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Nurse Practitioner-Hosp Acute Nocturnist

Job in Reno, Washoe County, Nevada, 89550, USA
Listing for: Renown Health
Full Time position
Listed on 2026-01-02
Job specializations:
  • Nursing
    Nurse Practitioner, Healthcare Nursing
Job Description & How to Apply Below

Position Purpose

In collaboration with the physician, the Nocturnist nurse practitioner (NP) assumes clinical responsibility for tasks performed within the nurse practitioner's scope of practice. This includes obtaining and/or reviewing a comprehensive medical history, performing physical examinations as necessary, ordering diagnostic tests, prescribing both pharmacologic and non-pharmacologic interventions, establishing diagnoses, and providing care and management for common illnesses and disease prevention in the adult patient.

The NP will work in various areas of the hospital to include medical/surgical floors and the emergency room (ER). The NP may assist in the admission, transfer, or discharge from the health care system. The NP is also responsible for making appropriate referrals to specialists and community agencies, participating in quality assurance and quality improvement programs, and working within the multidisciplinary team to develop a plan of care for the patient and their family.

Nurse  Acute demonstrates a high level of independence and clinical expertise in the management of hospital medicine using advanced clinical skills, diagnostic reasoning, and therapeutic interventions while integrating education, research, management, leadership, and collaboration with other health professionals into their clinical roles to maximize a patient’s health.

Nature and Scope

Night Shift 7P-7A

Nurse practitioners are primary health care providers who practice in ambulatory, acute, emergency room, critical care and long-term care settings. According to their practice specialty, these primary care providers provide nursing and medical services to individuals, families, and groups. In addition to diagnosing and managing acute episodic and chronic illnesses, nurse practitioners emphasize health promotion and disease prevention. Teaching and counseling individuals, families, and groups are a major part of nurse practitioners role.

The incumbent must provide optimal patient care through assessment, planning, implementation, and evaluation of neonatal, adolescent, adult, and geriatric patients and families, as applicable. Demonstrates the knowledge and skills necessary to provide care, based upon physical, motor/sensory, psychosocial, and safety appropriate to the age of the patient served. A Nurse practitioner performs the following acts in addition to the ordinary functions of a registered nurse if he/she is properly prepared and the acts are currently within the standard of medical practice for his specialty and appear in their protocols:

  • Systematically assess and triage the health status of persons and families by:
    • a. Obtaining, recording, and interpreting medical histories
    • b. Performing physical examinations as deemed necessary based upon the clinical scenario
    • c. Reviews/orders/interprets diagnostic tests and radiographic results, and appropriately acts upon the results of those tests
    • d. Performing or initiating selected diagnostic procedures.
  • Based on the information obtained in the assessment of a person’s health, the nurse practitioner will manage the care of common, acute, recurrent, or long-term health problems. Management may include:
    • a. Initiating a program of treatment for the patient, in conjunction with the supervising physician or independent of physician supervision in select situations.
    • b. Prescribing medications consistent with Nevada prescribing laws and DEA privileges.
    • c. Evaluating responses to health problems and programs of treatment.
    • d. Informing a person or family of the status of the patient’s health and alternatives for care.
    • e. Evaluating compliance with a program of treatment agreed upon by the person or family and the nurse practitioner.
    • f. Modifying programs of treatment based on the response of the person or family to treatment.
    • g. Referring patients to appropriate providers of health care.
    • h. Treating minor lacerations, which do not involve damage to a nerve, tendon or major blood vessel, as applicable.
    • i. Performing lumbar puncture if prior training and certification have been established.
    • j. Commencing care as required stabilizing a patient’s condition in an emergency until a…
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