Advanced Practitioner Wound Care

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

** Physician Assistant Program or Certified Nurse Practitioner Program
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* Experience:

** Two (2) year experience as an adult advanced practitioner  Clinical experience in Wound Care, Lymphedema, and Hyperbaric Therapy preferred but not essential.
** Licensure:*
* • Licensed as an Adult Nurse Practitioner or Physician’s Assistant by the Board of Medical Examiners of Maryland / Maryland State Board of Examiners of Nurses.  
• Certification as required.  
• Completion of "Healthcare Provider" CPR course.
** Skills:*
* • Analytical skills in order to assess patients and implement appropriate intervention.  
• Debridement of wounds as indicated  
• Application of therapeutic wound dressings as indicated  
• Ability to lead care team  
• Management of patients weekly  
• Follow up of cultures, diagnostic studies
** 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:

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* • Assumes responsibility for the initial evaluation and treatment of outpatients at the Lymphedema center, the Wound Care Center and/ or Hyperbaric Oxygen Center  
• Provides consultation and treatment on admitted patients for wounds and hyperbaric oxygen therapy  
• Performs history and physical as evidenced by appropriate documentation.  
• Writes appropriate orders appropriate to the patient's care requirements in compliance with hospital policy.  
• Evaluates patient progress on a continuing basis; collaborates with the attending physician and other treating staff; alters treatment modalities.  
• Evaluate medical, social and educational patient needs.  
• Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.  
• Documents pertinent information regarding patient progress and treatment regime.  
• Writes orders appropriate to the patient's care requirements in compliance with hospital policy.  
• Establishes medical diagnoses in compliance with standard accepted medical practice.  
• Makes immediate referral of acute and/or life-threatening patient conditions to attending physician or designee or Emergency Department  
• Consults with supervising physician or other appropriate consultant regarding patients whose condition is not improving as expected  
• Performs technical functions as covered by the job description and, delegation agreements submitted to BPQA, and approved NP agreement and in accordance with hospital policy.  
• Documents results of technical functions performed.  
• Participates in regular patient care interdisciplinary rounds  
• Monitors patient response related to technical function performed and document it.  
• Acts as a clinical resource for Wound Care Center and Hyperbaric Oxygen Therapy  
• Provides a leadership role in fulfilling an ongoing hospital initiative of meeting provider coverage for inpatients with lymphedema and/or wound care needs and a system for triaging these patients as a midlevel provider.  
• Performs QA, and other department level functions  
• Runs or participates in Wound Care Center and Hyperbaric Oxygen Therapy care rounds  
• Participates in education required in all Centers  
• Attends required staff meetings  
• Provides mentorship to nurses in Wound Care Center, Hyperbaric Oxygen Therapy and GBMC Actively supports and participates in nursing and/or hospital performance improvement initiatives.  
• Participates incompetency education tasks as presiding over outpatient Center Mock Codes  
• 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…