Nurse Practitioner-Hospice-Palliative

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As a Nurse Practitioner-Hospice-Palliative Care, the employee is an active participant in the provision of care for patients enrolled in hospice, outpatient palliative care, and/or inpatient palliative care. The employee demonstrates a high level of independence and clinical expertise in the management of patients with serious and terminal illnesses by using advanced clinical skills, diagnostic reasoning, and therapeutic interventions. The employee will provide after-hours and weekend call coverage for all service lines on a rotating basis and will be responsible for care plan oversight, ongoing eligibility evaluation, pain and symptom management, collaboration with acute partners, and participation in designated Renown committees, as applicable.

Nurse practitioners are primary health‑care providers who practice in ambulatory, acute, emergency, critical care, and long‑term care settings. They diagnose and manage acute episodic and chronic illnesses, emphasize health promotion and disease prevention, and teach and counsel individuals, families, and groups.

• Systematically access the health status of persons and families by taking, recording, and interpreting medical histories and performing physical examinations.
• Perform or initiate selected diagnostic procedures.
• Management of selected persons and families with common, acute, recurrent, or long‑term health problems, including implementation of treatment programs in consultation with the supervising physician.
• Prescribe medications consistent with Nevada prescribing laws and DEA privileges.
• Evaluate responses to health problems and treatment programs and inform patients or families of the status of the patient’s health and alternatives for care.
• Evaluate compliance with agreed treatment programs and modify them based on patient response.
• Refer to appropriate health‑care providers.
• Treat minor lacerations not involving nerve, tendon, or major blood vessel damage.
• Stabilize patients in emergencies until a physician can be consulted.
• Perform other acts as dictated by the Nevada Board of Nursing and nurse practitioner certification.

• Adopt Renown Health’s purpose statement and model “Standards of Conduct.”
• Effective written and verbal communication skills.
• Establish positive working relationships with provider staff.
• Work efficiently and cooperatively in a multi‑physician provider office setting.
• Work as part of a team toward clinic goals.
• Maintain accurate, legible, and confidential records.
• Actively participate in quality assurance, peer review programs, and health‑care outcome evaluations.
• Direct nursing and/or medical assistant duties consistent with clinic protocols.
• Ensure the highest quality of care with ethical practice, continuing professional development, and maintenance of clinical skills.
• Advocate patients through ethical and legal standards.
• Combine the roles of provider, mentor, educator, researcher, manager, and consultant as applicable.
• Interpret the role of the nurse practitioner to individuals, families, and other professionals.
• Work efficiently, cooperatively, and autonomously in long‑term and acute care facilities.
• Comply with NRS 632 and Nevada State Board of Nursing regulations.
• Cooperate with the collaborating physician’s responsibilities for the nurse practitioner’s actions.
• Attain sufficient specialty knowledge and approach ongoing education, including core APHON programs.
• Attend and participate in departmental and Renown Health meetings consistently.

Bibliography:
1. Code of Ethics for Nurses With Interpretive Statements, American Nurses Association Publication;
2. Nurse Practitioner Primary Care Competencies in Specialty Areas:
Adult, Family, Gerontological, Pediatric, and Women’s Health, U.S. Department of Health and Human Services, April 2002; 3. Magnet Recognition Progress, Recognizing Excellence in Nursing Service - Healthcare Organization Instruction and Application Process Manual, American Nurses Association Credentialing Center, Washington, DC, 2002.