Description
Job Description
1. JOB SUMMARY
The Nurse Practitioner is a Masters prepared registered nurse, who possesses additional educational preparation and skill in physical diagnosis, psychosocial assessment, and management of health illness needs. This individual works in collaboration with the medical and hospital staff to provide multidisciplinary care of patients across the continuum of care and assists in the development, implementation, and evaluation of outcomes for the Los Alamitos Medical Center patient population. This position brings a cohesive element to care, providing comprehensive care management, overseeing patient and family teaching, and consulting with members of the healthcare team to ensure all aspects of patients care. These elements are accomplished efficiently; provide clinical management and education for patients; utilize a scientific approach in the analysis of patient care; identifying opportunities for quality improvement, cost reduction, and re-education based on current research findings. The position practices in accordance with TJC State and Specialty regulatory criteria and practices under the guidelines of standardized procedure as authorized in Title 16, Section 1474 of the Nursing Practice Act.
TELEPHONE SKILLS-Demonstrates hospital telephone etiquette by answering the phones promptly, courteously and identifying department and self.
POLICIES/PROCEDURES- Is aware of and follows all hospital and department policies and procedures.
TEAM WORK-Promotes positive co-worker relationships through team work and cooperation. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with coworkers, physicians and students in a non-threatening manner. Offers assistance and promptly responds to requests.
PRODUCTIVITY-Maintains high productivity and performs efficiently regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions.
Knowledge of physical assessment, differential diagnosis, pathophysiology, pharmacology, and management of chronic patient/family problems in the acute care and outpatient settings.
Strong written, verbal, and interpersonal communication skills for:
a. Instructing patients and families
b. Communicating complex theoretical and technical concepts to all levels of personnel
c. Resolving clinical issues
d. Promoting problem-solving conflicts
e. Team building and collaboration
Knowledge in applying a scientific approach to analyzing patient outcomes.
Broad knowledge of the research process and its application.
Strong organizational skills and ability to effectively present written and verbal information.
Knowledge of regulatory requirements necessary to integrate into patient care delivery system.
Nurse Practitioner Functions: (as outlined in the LAMC Nurse Practitioners approved Standardized Procedure)
1. Obtains history and performs physical examinations of the patient pertinent to the chief complaint.
2. Manages the care of the patient, collaborating with the physician when necessary according to LAMC approved standardized procedures.
3. Asses the status of the patient and intervenes with appropriate orders and interventions. Monitors patient progress to ensure clinical and financial outcomes.
4. Orders and evaluates appropriate diagnostic studies.
5. Orders appropriate therapeutic interventions.
6. Furnishes drugs and devices within scope of practice under Standardized Procedure.
7. Assesses, implements, and manages follow up plans
8. Records and documents data, interventions, results, patient education and outcomes.
9. Advises and educates patients and families concerning health related problems. Participates in patient/family support activities. 10. Initiates appropriate referrals for patients.
Mentors, develops, inspires, and leads staff members in patient and procedural settings, maintaining and promoting standards of care and developmental of critical thinking skills and role modeling advanced practice.
Accountable for clinical and financial patient outcomes where appropriate. Collaborates with patient, family, physicians, and health care providers to achieve optimal patient care management and outcomes.
Assists in tracking and trending outcome performance data on patient populations. Assist in the maintenance of databases specific to assigned patient populations. Participates in cost quality analysis making recommendations. Develops and implements action plan for practice changes to enhance patient outcomes.
Professional Development Functions:
1. Assess and recognizes own development needs.
2. Participates in professional education activities.
3. Participates as a member in a professional Nurse Practitioner organization.
4. Serves as a Preceptor for Nurse Practitioner Students.
5. Maintains and enhances current level of knowledge relative to professional practice, as well as, continuing education requirements necessary for licensure.
Research Functions:
1. Participates in research studies as needed, adhering to all policies of the Institutional Review Board.
2. Expands the scientific base specialty nursing practice utilizing nursing research.
3. Disseminates recent innovations and research findings relevant to specialty nursing practice and patient outcomes.
4. Initiates review of the literature when needed to formulate or change unit policies.
III. A. CUSTOMER SERVICE-G.E.M PROGRAM (GO THE EXTRA MILE)
1. Takes personal responsibility for providing quality services every day.
2. Displays outstanding customer service skills:
• Greets all customers warmly
• Makes eye contact
• Introduces self and calls patients/ customers by name
• Provides all assistance needed in a friendly and caring manner
3. Looks for opportunities daily to "Go the Extra Mile" in not only meeting customer needs but exceeding expectations.
4. Displays sensitivity to an individual's race, color, religion, sex, sexual orientation, national origin, age, disability or any characteristic protected by law. Respects, accepts and anticipates spiritual and personal needs.
5.Compassionate to patients, families, visitors, physicians and co-workers.
• Demonstrates kindness, compassion, courtesy and respect.
• Demonstrates good listening skills.
• Demonstrates a willingness to help.
Connection to patients, families, visitors, physicians and co-workers.
• Greets and performs tasks with a smile.
• Practices the 5 fundamentals of communication (AIDE-T) (Acknowledge, Introduction, Duration, Explanation, and Thank you).
• Practices professional telephone courtesy.
Communication to patients, families, visitors, physicians and co-workers.
• Responds to patient's complaints/patient issues take priority.
• Accepts responsibility for actions.
• Demonstrates communication excellence.
Caring and professional with patients, families, visitors, physicians and co-workers.
• A-team player and "spotlights" other members of the team.
• Lends a helping hand to co-workers without being asked.
• Keeps the workplace clean and neat.
• Offers to escort visitors to their destination.
• Refrains from personal conversations in front of patients, families or visitors.
• Maintains a positive, professional attitude.
III. B. KEY SUCCESS FACTORS
1. ATTENDANCE - Employee reports to work each regularly scheduled workday. Accurately records all work time including meal periods.
2. PUNCTUALITY - Is ready for work at precise starting time and continues working until scheduled departure time. Returns on time from all break and meal periods.
GENERAL WORK HABITS - Readily accepts work assignments in a positive manner. Performs work that is accurate, timely, neat and consistent. Documentation is legible.
SAFETY- Keeps work area neat and maintains equipment in accordance with health and safety codes. Reports safety issues and equipment failures appropriately
APPEARANCE – Projects a professional image, follows the hospital dress code policy and/or department requirements. Wears hospital ID badge at all times on duty.
CONFIDENTIALITY - Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception. Verifies patient information is provided to appropriate party, i.e. patient discharge information, fax to doctor's office,
etc.
ANNUAL REQUIREMENTS - Completes annual requirements (PPD, health requirements, Annual Update, Ethics training, licensure and/or professional certification) on time.
IV. TRAINING AND EXPERIENCE
MANDATORY:
Education: Masters of Science Degree in Nursing
Experience: 3 years as a registered nurse
Licensure/Certification:
Current CA RN License
Current CA Nurse Practitioner Certification
CA Nurse Practitioner Furnishing Certificate Current National Provider Identification
Current DEA License at time of credentialing
MSN graduates from 2008-present are required to have and maintain National Board Certification as a Nurse Practitioner for the patient population being served.
Current AHA BLS Certification
Current ACLS Certification
Current NIHSS Certification
PREFERRED:
Education: Doctorate Nursing Practice Degree
Experience: 5 Years Experience as a Nurse Practitioner
Licensure/Certification:
Sub-specialty certification in practice area.
Age Related Competencies:
Human development knowledge/skills:
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of principles of growth and
development and psychosocial characteristics and interventions for infant (0-1 year), child (1-5 years), school age (6-12 years), adolescent (13-17 years), young adult (18-45 years), middle adult (40-60 years), older adult (60+ years).
Age specific patient needs that employee is required to understand:
Demonstrates the ability to assess and interpret age appropriate data about the patient's status in order to identify age-specific needs and provide the care needed. Additional Requirements:
Demonstrates age appropriate communication skills for the patient population served.
Demonstrates knowledge of age-specific community resources.
Information Management:
Treats all information within the scope of the position with appropriate confidentiality and security
Risk Management:
Cooperates fully in all risk management activities and investigations
Participates in performance improvement projects to improve process and patient outcome.
Environmental Conditions:
May include exposure to potentially hazardous material, infectious agents, contact with patients, public and staff.
Able to function in an environment that includes crisis situations while exercising appropriate interpersonal and critical thinking skills.
V. PHYSICAL REQUIREMENTS
Ability to sit and/or stand for long periods
Visual and auditory acuity necessary for responsibilities listed
Additional Requirements are defined in the Physical Demands Analysis
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