LiveWell Clinic - APP

Patient Assessments Provides diagnosis and treatment for common acute illnesses, prevention and maintenance care to patients with stable chronic illnesses and performs interim physical exams for healthy patients within nurse protocol. Nurse Protocol means a written document mutually agreed upon and signed by a nurse and Licensed MD where the physician delegates to the nurse the authority to perform certain medical acts Separates patients with suspected infectious diseases such as tuberculosis and varicella-zoster from well patients by immediately placing them in exam room utilizing personal protective equipment and confidentially communicating the condition to other clinical staff.

Elicits appropriate present and past medical history and review of symptoms. Performs appropriate physical examination and orders appropriate diagnostic studies. Discriminates between normal and abnormal findings in history and physical. Establishes the appropriate differential diagnosis. Assesses the stability of chronic illness and compliance with present therapy; monitors complication of disease or therapy. Establishes appropriate treatment plan and assesses need for hospitalization or physician intervention.

Determines timing for follow up and orders appropriate referrals. Counsels regarding health promotion and disease prevention and provides anticipated guidance as appropriate. Provides Health Education to Patients Educates patient on ways to improve, promote and maintain health status including providing educational information on disease, self- care practices and positive lifestyle choices. Assesses learning readiness and capabilities of population or individuals;

tailors education to meet age, developmental and educational needs. Prioritizes learning needs and documents them accordingly. Ensures that time frame and subject matter is appropriate for target audience/individual. Utilizes appropriate teaching materials (handouts, demonstration and audiovisuals) and document use; documents patient learning outcomes. Initiates, designs and completes educational programs for patients, target audiences and families.

Maintains accurate records, medication lists and documentation of care follow up for administrative purposes and reimbursement of services. Adheres to policy and procedure for documentation of records. Maintains appropriate level of documentation to promote/support level of complexity when compared against/to service fee charges. Reviews and updates problem list at least on annual visit/episodic visit by patient and initiates problem and medication list on new patients.

Documents phone calls with patients and specialists. Documents visit in concise, clear, logical and legible manner. Accepts after hour calls and handles after hours problem (on a rotating schedule).

Identifies knowledge and skills needed through self-assessment and peer review. Participates in a variety of education activities to maintain and increase competency. Utilizes continuing education as a basis for expanding medical knowledge and improving clinical skill and incorporates these into daily practice. Participates in and completes annual educational requirements for Floyd Medical Center and/or the Primary Care Network. Approved to order and administer flu vaccines for off-site locations.

Supervises and intervenes with clinical issues and supports/directs…