Nurse Practitioner GA-GGL- Palliative Weekender - DCMC

Location:

Luminis Health Doctor's Community Medical Center (DCMC)

Under general supervision, accountable for the clinical management of patients, in accordance with State and National regulatory agency standards.

Successful completion of a Nurse Practitioner program

At least five (5) years of related experience in a healthcare environment.

• Skill in using computer, familiarity with the use of electronic medical records
• Effective written and oral communication skills to communicate and relate effectively with patients, family, staff, other home-based providers, the public, physicians, and insurers.
• Skill in effectively collaborating with a wide variety of service providers who also are working with the patient and with the team members.
• Skill in effectively working with patient/family with challenging psycho-social, and socio-economic issues and circumstances.
• Analytical skills in order to assess patients and implement appropriate intervention, care plans, and treatments
• Able to work under varying degrees of stress and the ability to adjust to changes in the work environment.

• Current registration with the Maryland State Board of Examiners of Nurses as a Nurse Practitioner, specializing in Adult, Family or Geriatrics;
  Inpatient position can include Acute care certification.
• National and State Certification as required for the relevant position (DEA, CDS).
• Completion of "healthcare provider" CPR course
• CAPC Designation completion by end of 90-day probation period

Assumes responsibility for the initial evaluation and treatment of patients in assigned areas.

• Performs initial history and physical as evidenced by appropriate documentation.
• Writes standard orders in accordance with hospital policy.
• Writes appropriate orders related to pre-existing conditions.
• Discusses with the attending physician and nursing staff physical and/or emotional findings, which may interfere with care of the patient.

Evaluates patient progress on a continuing basis and in collaboration with the attending physician, and alters treatment modalities as needed.

• Evaluates nursing, medical, social and educational needs on assigned patients.
• Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.
• Writes progress notes for each visit documenting pertinent information regarding patient progress and treatment regime.
• Writes orders appropriate to the patient's care requirements in compliance with existing contract.
• Establishes medical diagnoses in compliance with contract.
• Refers to the physician or designee those problems which require consultation and documents same on progress note.
• Makes immediate referral of acute and/or life-threatening patient conditions to physician or designee. Documents physical findings and treatment plan pertaining to same.

Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital policy.

• Documents results of technical functions performed.
• Reports to physician or designee any abnormal findings related to it.
• Monitors patient response related to technical function performed and documents it.
• Acts as a clinical resource.
• Actively supports and participates in nursing and/or hospital performance improvement initiatives.

Performs activities to meet patient/family educational needs.

• Participates actively in health teaching of patient and family to include preventative health care as well as current medical condition and treatment regime. Evidence of same by documentation on progress note and/or established flow sheet.
• Plans and reviews home care instructions with patient and family if needed. Include needs for service provided by community resources and hospital based ancillary services.

Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continued certification as well as attending mandatory inservice as required.

• Work is of medium physical demand; walking and standing most of the time.
• Valid Driver's License and reliable transportation.

• Normal office environment with little exposure to excessive noise, dust, or temperature variances.
• Works in Emergency Department and on Patient units in consulting role.
• Work hours:
  
  12 hours, on site
• Workdays:
  Flexible to include a 3-day weekend, option and discretion of Medical Director and/or Program Needs (Friday
  - Saturday-Sunday, or Saturday-Sunday-Monday)

• Maintain current licensure and certifications as an RN/Nurse Practitioner.
• Maintain CME requirements needed for licensure.
• Comply with conditions of Gilchrist Agreement.

All roles must demonstrate GBMC Values.

Respect: I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with…