Nurse Practitioner - Walk-In

Elkhart Clinic · United States

• Uses practice guidelines and clinical judgment to carry out duties.
• Accepts responsibility for individual patient care as well as responsibility for addressing broader health care needs and issues; works with others in these areas.
• Receives direction from collaborating physicians for medical management of patient care.
• Receives direction from Administration regarding nursing responsibilities and management.

Responsibilities

Clinical Component

• Assessment of health status including,
  • Obtaining a relevant health and medical history,
  • Performing a physical examination based on age and history,
  • Conducting preventive screening procedures based on age and history,
  • Identifying medical and health risks and needs.
  • Updating and recording changes in health status.
• Diagnosis, including,
  • Formulating the appropriate differential diagnosis based on the history, physical examination, and clinical finding.
  • Identifying needs of the individual, family, or community as a result of the evaluation of the collected data.
• Development of a treatment plan, including,
  • Ordering appropriate diagnostic tests,
  • Identifying appropriate pharmacologic agents,
  • Identifying non-pharmacologic interventions,
  • Coordinating appropriate referrals,
  • Developing a patient education plan.
• Implementation of the plan, including actions that are:
  • Consistent with the appropriate plan of care and practice guidelines,
  • Based on scientific principles, theoretical knowledge, and clinical expertise,
  • Individual to the specific situation,
  • Consistent with teaching and learning opportunities.
• Appropriate in the following respects:
  • Accurately conducting and interpreting diagnostic tests,
  • Prescribing pharmacologic agents,
  • Prescribing non-pharmacologic therapies,
  • Providing relevant patient education,
  • Making appropriate referrals to other health professional and community agencies.
• Systematic follow up and evaluation of patient status, including,
  • Determining the effectiveness of the plan of care through documentation of patient care outcomes
  • Reassessing and modifying the plan as necessary to achieve medical and health goals.
• Safe environment
  • Following clinic policies and procedures.
• Interdisciplinary/collaborative responsibilities:
  • Participates as a team member in the provision of medical and health care, interacting with professional colleagues to provide comprehensive care.
• Accurate documentation of client status and care:
  • Maintains accurate, legible, and confidential records.
• Productivity expectations:
  • Works proactively with collaborating physicians and Administration to analyze and resolve productivity problems.

Clinical procedures relevant to specialty area.

• Professional component
  • Establishes and meets annual professional goals.
  • Continuing education and specialty certification:
    • Maintains CPR certification.
    • Obtains and maintains prescriptive privileges as per Indiana state law.
    • Maintains Allied Health privileges at hospitals, when necessary and appropriate.
• Collaborating with peers:
  • Participates in regular Advanced Practice meetings.
  • Contributes to ongoing development of NP role at clinic.
  • Mentors new NPs where appropriate
  • Participates in professional organizations as appropriate.
• Health care advocate.
• May include public speaking, conducting patient groups, providing special teaching, participating in organizational, local, or national groups, and similar activity.
• Perform other duties as assigned.

Physical Demands

• Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination.
• Requires standing and walking for prolonged periods of time.
• Occasionally lifts and carries items weighing up to 40 pounds.
• Requires normal visual acuity and hearing.
• Requires exposure to communicable disease and bodily fluids.
• Requires working under stress in emergency situations or during irregular hours.

Knowledge & Skills

• Organizational policies, regulations, and care procedures.
• Requires a high level of analytical skills necessary to assess the patient and participate in follow-up care planning.
• Demonstrates interpersonal skills necessary to effectively interact with patient(s), family of patient(s), physicians, other professionals, and paraprofessionals.
• Demonstrates high level of communication skills, both oral and written, necessary for effective communication with patient/family, physicians, and referral sources.

Experience and Education

• Successful completion of a master, post-master, or doctorate degree from an accredited adult nurse practitioner program.
• Current license to practice as a Registered Nurse and an Advanced Practice Nurse in the State of Indiana.
• Board certification in applicable specialty.
• Current and unrestricted DEA license.