RN Advanced Practice, PRN, Lincoln

Job ID: 0007O0

Lincoln-Madonna Main Campus

Physician Services-Lincoln

PRN - Day

Job Description

JOB DESCRIPTION

Job Title: RN Advanced Practice
Job Code: 100052
Immediate Supervisor: Chief Medical Officer

Status: Exempt

DEPARTMENT FUNCTION/JOB OVERVIEW

The nurse practitioner functions as an independent practitioner under the supervision of a physician. The nurse practitioner assists assigned medical staff using discretion and independent judgment with clinical duties to include history and physicals, ongoing clinical assessments, rehabilitation treatment planning, medical management, and discharge summaries. Administrative and management functions include participation in interdisciplinary team meetings and assigned program development committees. Work will be performed in an ethical and legal manner following organizational policies, processes, protocols and procedures. Responsible for quality service delivery and internal/external customer relations for Madonna as a whole, including upholding the mission and values for the department and facility.

ESSENTIAL FUNCTIONS

(INFORMATION)

• Completes initial history and physical within defined time parameters.

• On day of discharge, reviews patient's chart and dictates discharge summary to include brief summary of history, physical exam, diagnosis, treatment course, pertinent laboratory and radiology, discharge medications, condition on discharge and disposition of patient.

• Uses direct entry and/or EHR system for documentation of pertinent clinical data.

• Actively participates with interpretation, analysis, and program improvement initiatives utilizing program evaluation and quality assurance data.

• Evaluates laboratory and other clinical data and takes appropriate action for medical follow-up.
  (PEOPLE)

• Performs detailed complete history and physical examination to include health history and current reason for admission.

• Order diagnostic tests.

• Completes assessment and recommendation of rehabilitation goal and plan.

• Evaluates and treats medical problems in accordance with established protocols, using discretion and consulting assigned physician to deal with issues outside the nurse practitioner’s scope of practice

• Consults with physician in all emergencies and/or potentially life threatening conditions.

• Makes daily rounds of assigned patients.

• Writes orders for medications consistent with scope of practice, therapy orders, laboratory, radiology, or other medical follow-up.

• Provides care for patients on an outpatient basis as assigned.

• May participate in the staffing of an employee clinic.

• Follows instruction from supervisor to perform other functions as assigned in order to achieve the goals within the department and/or system.
  (THINGS)

• Ability to access clinical information using Sunrise clinical system.

• Maintain and ensure a safe working environment. Handles and operates all necessary equipment and performs required duties according to established safety standards to maintain compliance with regulations and prevent injury.

  PHYSICAL DEMANDS AND ENVIRONMENTAL CONDITIONS

• Medium work with frequent lifting. Manual patient transfer or reposition does not exceed the equivalent of 35 pounds of force to lift, push or pull. Requires sufficient strength to produce 50 pounds of force to push a wheelchair with a 300-pound individual on level surfaces.

• Constant walking with a maximum duration of up to 30 minutes sustained walking on tile, carpet, and other surfaces. Must tolerate frequent standing with sustained periods of up to 1 hour on tile, carpet, and shower surfaces. Must tolerate frequent sitting with sustained periods of up to 1 hour. Frequent reaching with both arms at low, waist, and high levels. Frequent grasping of both hands for transfers and repositioning requiring normal grip strength based on national averages. Frequent stooping, bending, and twisting are required for patient care.

• Constant near visual acuity to evaluate and monitor patients.

• Ordinary hearing and speaking skills.

• May be potential exposure to biohazardous materials.

Protective clothing – frequently wears gloves, gowns, and eye protection.

• QUALIFICATIONS (Education/training and/or Experience)

  Requires Master’s Degree in Nursing from an accredited school of nursing or university. Current Advanced Nurse Practitioner License from Nebraska. Must be CPR Certified, ACLS preferred. Two years of rehabilitation or medical nursing required.

  Background checks are conducted. When specific authorization forms are requested so that full background and history can be obtained, employees/applicants must sign the form(s) requested.

Requirements

The following are requirements in addition to any stated in the above description.