PRN Nurse Practitioner

Job Title/Position: PRN Nurse Practitioner

Reports To:

Medical Director

The Nurse Practitioner is a licensed professional nurse with advanced graduate education and clinical training who provides comprehensive palliative care services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. The Nurse Practitioner provides palliative care through the evaluation, assessment and management of the HPI, review of symptoms, physical exam, management of health problems by directing and developing the plan of care, prescribing medications as needed, coordinating and collaborating with patients, families and other healthcare practitioners.

Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, and provides a consultation to meet the patient’s goals and improve quality of life. The nurse practitioner builds from the resources of the community to plan and direct services to meet the need of individuals and families within their homes and communities.

• 1. Provides palliative care consultations in compliance with the state Nurse Practice Act under the supervision of a collaborating physician.
• 2. Completes history and physical examinations by evaluating the patient's medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions and documents the findings in the patient's medical record.
• 3. Manages advanced illnesses by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals and coordinating hospice care, when appropriate.
• 4. Educates patient/family on disease progression, trajectory, and options for care.
• 5. Reviews clinical information, coordinates and oversees patient care in consultation with the palliative care interdisciplinary team and other healthcare practitioners.
• 6. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members and other healthcare providers.
• 7. Reviews and develops advanced directives with patient/family.
• 8. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols.

• 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care.
• 2. Consults with the patient's primary care physician, specialists, home health care team, caregivers, and other healthcare providers within the patient’s care team.
• 3. Communicates with other community health practitioners to coordinate the plan of care.
• 4. Attends and participates in palliative care interdisciplinary group meetings.
• 5. Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes and other documentation in the medical record.
• 6. Educate/counsel patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients.
• 7. Provides and maintains a safe environment for the patient.
• 8. Assists the patient and family/caregiver and other team members in providing continuity of care.
• 9. Works in cooperation with the family/caregiver and palliative care interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver.
• 10. Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare…