Hospital Medicine- Advanced Practice Clinician- Nocturnist - Per Diem

** Job Details
** Assessment & Management  
• Performs complete history & physicals and documents in the medical record.  
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.  
• The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.  
• Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.  Diagnosis  
• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.  
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.  
• Formulates differential diagnoses by priority.  
• Diagnoses complications and orders appropriate interventions  Formulates Plan of Care  
• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.  
• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.  
• Implements and modifies plan of care.  
• Prescribes diagnostic strategies and therapeutic interventions.  
• May perform advanced procedures consistent with privileges and competency validation.  Communication and Collaboration  
• Maintains ongoing communication and collaboration with interdisciplinary health care team.  
• Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.  Documentation  
• Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)  
• Documentation is timely, meets acute care compliance standards and captures patient acuity.  Professional Practice  
• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.  
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.  
• Actively participates in Advance Practice Grand Rounds and specialty specific meetings.  
• Maintains CEUs, and membership in a professional organization.
Responsibilities:
Master’s Degree   National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant  BLS certification
** Job Description
** Assessment & Management
* Performs complete history & physicals and documents in the medical record.
* Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
* The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
* Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

Diagnosis
* Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
* Manages diagnostic tests through ordering, interpretation, performance, and supervision.
* Formulates differential diagnoses by priority.
* Diagnoses complications and orders appropriate interventions

Formulates Plan of Care
* Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
* Utilizes evidenced based practice guidelines and protocols in an…