Advanced Practitioner- Nights

Under general supervision, is responsible for the clinical management of patients in accordance with hospital, State and National regulatory agency standards.
** Licensures/

Certifications:

*** Licensed as a Physician Assistant or as an Adult Nurse Practitioner by the Board of Medical Examiners of Maryland / Maryland State Board of Examiners of Nurses.
* Certification as required.
* Completion of "Healthcare Provider" CPR course.
* Completion of  “Healthcare Provider” ACLS course
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* Experience:

** One (1) year acute care experience preferred.
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* Skills:

*** Analytical skills in order to assess patients and implement appropriate intervention.
* Able to work under varying degrees of stress and the ability to adjust to changes in the work environment.
** Patient & Workplace Safety:
*** Employee has knowledge and understanding of patient and workforce safety as it relates to job duties.
** Patient Population:
*** Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.
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* Principal Duties and Responsibilities:

*** Trains staff to receive and screen visitors and telephone calls.
* Assumes responsibility for the initial evaluation and treatment of admitted surgical patients, except for emergency admissions.
* Performs admission history and physical as evidenced by appropriate documentation.
* Writes appropriate orders within approved delegation agreements.
* Discusses with the attending physician and nursing staff, physical and/or emotional findings which impact patient care.
* Evaluates patient progress on a continuing basis and, in collaboration with the attending physician, alters treatment modalities.
* Make daily rounds on assigned patients to evaluate medical, social and educational needs.
* Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.
* Writes progress notes daily, documenting pertinent information regarding patient progress and treatment regimen.
* Writes orders appropriate to the patient's care requirements in compliance with hospital policy.
* Establishes medical diagnoses in compliance with standard accepted medical practice.
* Refers to the attending physician or designee those problems, which require consultation and documents it on progress note.
* Makes immediate referral of acute and/or life threatening patient conditions to attending 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 document it.
* Acts as a clinical resource.
* Actively supports and participates in nursing and/or hospital performance improvement initiatives.
* Performs activities to meet patient/family education needs.
* Participates actively in health teaching of patient and family to include preventative health care, as well as current medical condition and treatment regime.
* Plans and reviews home care instructions with patient and family if needed.  Includes needs for service provided by community resources and hospital based ancillary services.
* Maintains continual communication with health team members regarding patient education and discharge planning.
* 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.
** All roles must demonstrate GBMC Values:
** Respect*I will treat everyone with courtesy. I will foster a healing environment.
** Treats others with fairness, kindness, and respect for personal dignity and privacy
* Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence
* I will strive for superior performance in every aspect of my work. I will recognize and…