APRN / PA INPATIENT - CLINICAL OBSERVATION -

About the role

Seeking an Advanced Practice Provider (APP) who thrives in a fast-paced environment to serve in a rotating cross-cover and admission capacity. While on admissions APPs are responsible for working closely with the nocturnist attending to admit medically complex patients throughout the night. On cross-cover APPs are responsible for overnight coverage of adult medicine teams, including internal medicine, hematology, medical oncology, and transplant. Duties include triaging, assessing, and intervening upon acute patient issues that occur overnight and handing off to the primary team in the morning. New graduates are welcome to apply.

Responsibilities

• Function in a specialized area of advance practice in the role of practitioner, mentor, consultant, educator, researcher and manager
• Establish goals and priorities in accordance with patient and staff needs and organizational objectives
• Ensure adherence to Hospitals and departmental policies and procedures
• Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups
• Assess, diagnose and develop treatment plans; implement treatment, follow-up and evaluate patient within the scope of practice protocols as outlined by state statute
• Perform patient history and physical exams as needed for procedures or admissions; document findings noting pertinent normal and abnormal findings
• Complete admitting orders, daily rounds and orders, consultations with nurses, specialist and ancillary staff, discharge summary, transfers, medication management and other orders as required for the management of patient care
• Perform invasive and non-invasive diagnostic and therapeutic procedures
• Order and interpret appropriate diagnostic procedures and tests. Explain the necessity of preparation, nature, and anticipated effects of procedures to patient and patient's family
• Evaluate and revise intervention care/treatment plan with patient and family as necessary to achieve improved health
• Provide education for patients and/or families about preventative care, medical issues and use of the prescribed medical treatment
• Provide accurate documentation of patient care, document orders, directives, procedures and patient responses in the medical record and communicate them to other members of the health care team; maintain accurate, legible and confidential records
• Work as a team member with medical/nursing/counseling staff to provide comprehensive care and promote continuity of care
• Guide, teach, support and serve as a clinical resource nursing and medical staff
• Act as a role model through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem solving skills
• Support research by conducting or participating in research studies; incorporate findings in clinical practice
• Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
• Follow patient safety-related policies, procedures and protocols
• Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
• Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
• Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
• Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"

Qualifications

• Education: Program Graduate; Advanced Nurse or Physician Assistant specialization
• Experience: 1 year directly related experience
• Credentials: CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days; Advanced Practice RN or Physician Asst Lic & NCCPA Cert; Pediatric Nursing Certification as applicable; ACLS or PALS (as applicable) within 30 days of hire; Prescriptive Authority from the State of New Mexico; State of New Mexico and Federal DEA Certification
• Physical Conditions: Medium Work: Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.
• Working conditions: Sig Hazard: Chemicals, Bio Hazardous Materials req PPE

Pay

A $100/night stipend is given in addition to base pay. Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.