Family Nurse Practitioner

Nurse Practitioner/Advance Practice Registered Nurse

Exempt

The Nurse Practitioner (NP) is an advanced practice nurse who performs a variety of direct patient services including assessment, diagnosis, implementation of treatment, evaluation, and monitors the general patient management plan for Center patients. The NP is responsible for delivery of quality medical care to the patients of the Center and functions as a member of a multi-disciplinary health care team within the scope of his or her medical practice.

The NP performs these functions under the general supervision of a licensed physician in a primary health care setting.

• Provide direct clinical services and management of patients as defined in the standing orders, policies, procedures and protocols for the nurse practitioner.
• The NP will act as a member of the care team and work in collaboration with other health team members and is responsible for assisting in the promotion of the health and well-being of a panel of patients.
• Obtain patient health histories and complete physical examinations.
  
  Document findings, noting pertinent normal and abnormal findings.
• Order and interpret appropriate diagnostic and laboratory tests.
• Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family and staff.
• Perform approved therapeutic procedures based upon patient’s clinical status.
  
  Document patient preparation and response to procedure(s).
• Collaborate with physician and nursing colleagues and document in medical records and appropriate narrative summaries.
• Utilize prescriptive privileges as allowed by the Texas Board of Nursing.
  
  Document all prescriptions in patient’s medical record.
• Assess patient for change in status and institute appropriate interventions.
• Initiate necessary emergency interventions to stabilize patient.
• Maintain clinical expertise and competency (to include age specific competency) as well as demonstrate thorough knowledge of procedures to deliver quality primary health care.
• Provide clinic sessions, as scheduled, in direct patient care at Center site, including extended hours clinics if applicable.
• Provide an average of 12 primary care encounters per half-day session (4 hours) and provides services equaling to at least forty (40) hours per week in Center in addition to weekly telephone on-call coverage as determined by the Chief Medical Officer and as part of a shared call rotation between Center providers.

• Review all lab and x-ray reports for patients under his/her care on a timely basis and makes medical management decisions appropriately.
  
  Follows appropriate standards of care for each patient.

• Provide clinical oversight under the supervision of the Supervising Physician and/or the Chief Medical Officer.
• Assume responsibility/accountability for delegating, directing, and supervising patient care activities. Trains, mentors and supervises students and clinical support staff engaged in activities and procedures, as appropriate.
• Participate in Compliance and Performance Improvement activities for continuous care quality improvement and risk management purposes.
• Participate in and support accreditation, compliance and regulatory activities of the organization.
• Participate in the review and development of patient care policies, including health maintenance schedules and continuity of care.
• Participate in the review and development of protocols and standing orders.
• Implement the plans, procedures and protocols for the medical team.
• Serve as a resource and positive, proactive leader for the department.
• Accept responsibility for remaining current with medical and health care trends and information that impact the…