Nurse Practitioner Resident

This 12-month post‑graduate Family Nurse Practitioner (FNP) residency provides additional skills training as well as independent mentorship experience in a community health center. The intensive clinical program prepares Family Nurse Practitioners to meet the needs of the culturally diverse and clinically complex patients who are typical of a community health center practice. Following the completion of the residency, the resident agrees to work a second year as a full‑time nurse practitioner at the health center.

• Work within their professional scope of practice and demonstrate adequate fund of knowledge in the application of evidence‑based medicine.
• Demonstrate competency by prioritizing acute illness and chronic disease states appropriately, by correctly ordering diagnostic and screening tests, and through safe and effective prescribing of pharmacotherapy, treatments, and procedures.
• Obtain appropriate and relevant history and demonstrate proficient physical exam skills, provide documentation that is organized, concise, thorough, and timely, and maintain an appropriate level of efficiency in clinical practice.

• Demonstrate dedication to the CHC multidisciplinary model of providing comprehensive, effective, and compassionate care to all patients, with an expressed focus on our underserved populations.
• Collaborate effectively with colleagues and other multidisciplinary team members, including support staff.
• Delegate appropriately so that all team members function at the fullest scope of their professional practice.
• Provide feedback that is respectful, timely, and constructive.
• Recognize and participate in quality improvement initiatives to improve health systems.

• Provide patient‑centered care, recognizing the impact of psychosocial factors.
• Recognize cultural diversity and include the patient as a full decision‑making partner.
• Provide appropriate, culturally competent, and relevant education and instruction within the context of the patient’s health literacy and culture, including anticipatory guidance.

• Demonstrate an appropriate level of confidence through commitment to a working diagnosis and plan of care.
• Reflect on and evaluate clinical progress, strengths, and areas for improvement.
• Receive and integrate constructive and respectful feedback to continually improve clinical practice.
• Express needs for professional and clinical growth effectively with colleagues, including supervisors and support staff.
• Operate as a full member of the care team with all the rights, benefits, and responsibilities of CHC staff.

• Assess patient's physical and psychosocial health/illness status through history taking and physical examination.
• Practice within the collaborative model with physicians, nurse practitioners, and clinical psychologists.
• Diagnose, manage, and appropriately refer patients with acute, episodic, or chronic illness according to department protocols.
• Order appropriate laboratory and diagnostic tests according to established guidelines.
• Prescribe pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions.
• Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
• As appropriate to the position, participate in specified health promotion, education, and/or prevention programs.
• Observe, assess, and record symptoms, reactions, and progress.
• Maintain and follow quality, safety, and/or infection control standards.
• Facilitate and coordinate patient care referrals to specialists and outside agencies.
• Develop and provide educational materials and programs to patients, families, and other healthcare professionals at the Center.
• May participate in approved medical and/or nursing research.
• Participate in defining nursing standards, practices, and educational needs of patient care staff.
• Managing patient care is a team effort that involves clinical and non‑clinical staff interacting with patients.