Urgent Care APP-Full Time NP/PA

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.

Separates Patients

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 Information

• Obtains appropriate present and past medical history and review of symptoms.
• Performs appropriate physical examination and orders appropriate diagnostic studies.

Differentiation and Treatment Planning

• Discriminates between normal and abnormal findings in history and physical.
• Establishes the appropriate differential diagnosis.
• Affirms the stability of chronic illness and compliance with present therapy; monitors complications 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.

Education and Counseling

• Provides Health Education to Patients
• Edits 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.

Documentation

• 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).

Competence and Training

• 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.

Drug Protocols and Prescribing

• Prescribes within the practice agreement agreed on by the delegating physician 100% of the time.
• Ensures updated and accurate practice agreement each year as set forth in state statutes for prescribing authority.

Quality Care

• Demonstrates regard for the dignity and respect of all patients, families, guests and representatives of other organizations and coworkers, volunteers and medical staff in support of the practice/organization mission.
• Codes radiologic procedures accurately.
• Maintains patient and practice confidentiality.
• Represents the practice positively and consistently displays a caring attitude.
• Conducts all activities with respect for patient/customer rights and expectations.

Safety and Security

• Fulfills safety precautions and procedures in performing duties to ensure a safe environment.
• Regularly performs tasks in accordance with policy and procedure including safe use of equipment and machines and appropriate use/wear of personal protective equipment and other safely equipment.
• Completes all required safety in service updates.

Quality and Performance Improvement

• Completes duties timely and promotes financial viability through the provision of services at a reasonable cost and efficient utilization of products, supplies, equipment and time.
• Participates in continuing education, professional memberships and other scholarly and community outreach and marketing activities to enhance the NP role and image of nursing in all aspects of patient, community and professional relations.

Continuing Education

• Completes competency checklists and unit specific recommendations.
• Completes unit and departmental annual skills checklists.
• Completes annual training on generating, preparing and/or submitting accurate requests for reimbursement from Federal Health Care programs for professional services.
• Utilizes continuing education to expand medical knowledge and improve clinical skills and incorporates into daily practice.

Licensure, Registration, and Certification

• Licensure, Registration, and Certification Required

Physical Requirements and Working Conditions

• Full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination.
• Standing and walking for extensive periods of time.
• Occasionally lifts and carries weight up to 50 pounds.
• Ability to distinguish letters, numbers and symbols with vision and hearing within normal range to respond to Code alerts and equipment alarms.
• Work-related stress due to volume and time constraints with irregular working hours.