Hospice Nurse Practitioner Job Leominster area,Massachusetts USA,Nursing

Major Responsibilities

Provides diagnostic and assessment services. Secures a health history from patient and/or family, records findings, and evaluates them. Performs a complete in-depth physical examination. Orders/performs pertinent diagnostic tests based on age and history.

Analyzes data collected to determine health status and identify differential diagnoses based on history, physical exam, and clinical findings.

Partners with physicians regarding proposed plan of care. Formulates this plan of care with the patient.

Manages therapeutic regime as outlined by established protocols for patients with acute illnesses. (Protocols are guidelines concerning patient care that are established between the physician and nurse practitioner. The guidelines outline subjective and objective findings, treatment plan and follow-up). Reassesses and modifies plan as necessary to achieve medical and health goals. Confers with physician for clinical direction as outlined by protocols.

Documents patient care outcomes to determine effectiveness of plan of care. Communicates outcomes with physician.

Signed delineation of privileges at hire between NP and collaborating physician. Must renew delineation of privileges each credentialing cycle including:

Scope of departmental practice
Treatment of emergencies
Physician consultation
Writing orders/prescription

Prescribes medications from Schedules II-VI. The form of prescription may be written or verbal via telephone order. Written prescriptions may be initiated by the nurse practitioner after obtaining proper registration numbers from the Massachusetts Department of Public Health and Drug Enforcement Agency.

Provides patient education. Acts as coordinator for admitting and discharging assigned patients. Works collaboratively with other health agencies and families of patients in the transition from admission to discharge. Confers with other health care providers including consultations and referrals to prepare a comprehensive patient care plan.

Within established protocols, under the supervision of the physician, nurse practitioners will assist with procedures in the operating room and with endoscopic procedures.

Enhances professional growth and development through participation in educational programs, current literature, in-service meeting and workshops.

Participates in department driven practices including on call scheduling, rotating weekends, etc.

Ambulatory Care Nurse Practitioners

Completion of accredited program pertinent to the departmental needs (OB/GYN, Pediatrics, etc.) and has passed the appropriate certification exam.
Partners with collaborating physician or designee as necessary with complexity of problems or plan of care.
Formulates plan of care with patient and multidisciplinary/interdisciplinary healthcare team.
Maintains department specific competencies that are degree specific, age specific to the discipline and license specific per certifying authority.
Participates in department driven practices including on call scheduling, rotating weekends, etc.

Acute Care Nurse Practitioners

Graduate of an approved Acute Care Nurse Practitioner program (ACNP) and has passed the ACNP board certification.
Under the supervision of designated collaborating physicians, conduct comprehensive health assessments, analyze data and formulate clinical decisions to manage acute and chronic illnesses.
Responds to sick calls of patients and treats them according to the acuity of illness.
Participates in department driven practices including on call scheduling, rotating weekends, etc.

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