Urgent Care APP-Full Time NP/PA

PatientAssessments 

• Providesdiagnosisandtreatmentforcommonacuteillnesses,preventionandmaintenancecaretopatientswithstablechronicillnesses and performs interim physicalexams for healthypatients within nurseprotocol. 

• NurseProtocolmeansawrittendocumentmutuallyagreeduponandsignedbyanurseandLicensedMDwherethephysician delegates tothenursetheauthority toperform certain medicalacts 

• Separatespatientswithsuspectedinfectiousdiseasessuchastuberculosisandvaricella-zosterfromwellpatientsbyimmediatelyplacing theminexamroomutilizingpersonalprotectiveequipmentandconfidentiallycommunicatingtheconditiontootherclinicalstaff. 

• Elicits appropriatepresent and past medicalhistoryand reviewof symptoms. 

• Performsappropriatephysicalexaminationandordersappropriatediagnosticstudies. Discriminates between normaland abnormalfindings in historyand physical. 

• Establishesthe appropriate differential diagnosis. 

• Assessesthestabilityofchronicillnessandcompliancewithpresenttherapy;monitorscomplicationofdiseaseortherapy. Establishesappropriatetreatment planand assessesneed forhospitalizationorphysicianintervention. 

• Determines timing for followup and orders appropriatereferrals. 

• Counsels regarding health promotion and diseaseprevention and provides anticipated guidanceas appropriate. 

ProvidesHealthEducationtoPatients 

• Educatespatientonwaystoimprove,promoteandmaintainhealthstatusincludingprovidingeducationalinformationondisease,self- care practices and positive lifestyle choices. 

• Assesseslearningreadinessandcapabilitiesofpopulationorindividuals;tailorseducationtomeetage,developmentalandeducational needs. 

• Prioritizes learning needs and documents them accordingly. 

• Ensures that timeframeand subject matter is appropriatefor target audience/individual. 

• Utilizesappropriateteachingmaterials(handouts,demonstrationandaudiovisuals)anddocumentuse;documentspatientlearning outcomes. 

• Initiates, designs andcompletes educationalprograms for patients, targetaudiences andfamilies. 

Documentation 

•   Adheresto policy andprocedure fordocumentationof records. 

•   Maintainsappropriate level of documentationto promote/supportlevel of complexity whencomparedagainst/to service fee charges. 

• Reviewsandupdatesproblemlistatleastonannualvisit/episodicvisitbypatientandinitiatesproblemandmedicationlistonnew patients. 

• Documents phonecalls with patients and specialists. 

• Documents visitin concise, clear, logicaland legible manner. 

• Accepts after hour calls and handles after hours problem (on arotating schedule). 

MaintainsCompetenceinClinicalPractice 

• Identifies knowledgeand skills needed through self-assessment and peer review. 

• Participatesina variety of educationactivitiestomaintainandincrease competency. 

• Utilizescontinuingeducationasabasisforexpandingmedicalknowledgeandimprovingclinicalskillandincorporatestheseintodaily practice. 

• ParticipatesinandcompletesannualeducationalrequirementsforFloydMedicalCenterand/orthePrimaryCareNetwork. Approved toorder and administer flu vaccines for off-sitelocations. 

ManagementResponsibilities 

• Supervisesandinterveneswithclinicalissuesandsupports/directstriagebyclinicalstaffwhennecessary. Implements clinicaleducation and training ofclinicalstaffwhen necessary. 

• Providesconstructivefeedbackasitrelatestoperformance,patientflowandpatientissues. Providesinservicesand clinicaleducationforstaffmembersonasneeded basis. 

• Available for feedback on callback andtriage issues as needed. 

• Identifiesbarrierstopatientcareflow/deliveryandassistswithimplementingcorrectiveaction. Serves as rolemodelfor patient interaction. 

•   Workscollaboratively withhealthcare teammembersto ensure continuity of care andcomplete delivery of prescribedcare. 

DrugProtocols 

• Adherestothedrugprotocolswhicharereviewedannually,developedbythesupervisingphysicianincollaborationwiththeNP.Prescribes within thepracticeagreement agreed on bythedelegating physician 100% ofthetime 

• Ensuresupdated and accuratepracticeagreement eachyearasset forthinstatestatutesforprescribing authority 

QualityCare 

• Demonstratesregardforthedignityandrespectofallpatients,families,guestsandrepresentativesofotherorganizationsand coworkers,volunteers and medicalstaffin support ofthepractice/organization mission. 

• Codes radiologic procedures accurately. 

• Maintains patient and practice confidentiality. 

•   Representsthe practice positively andconsistently displaysa caringattitude. 

• Conducts allactivities with respectfor patient/customer rights andexpectations. 

Safety/Security 

•   Followsestablishedsafety precautionsandproceduresinperformingdutiesto ensure a safe environment. 

• Regularlyperformstasksinaccordancewithpolicyandprocedureincludingsafeuseofequipmentandmachinesandappropriate use/wear ofpersonalprotectiveequipment and other safelyequipment. 

• Completes all required safety in service updates. 

QualityandPerformanceImprovement 

• Completesdutiestimelyandpromotesfinancialviabilitythroughtheprovisionofservicesatareasonablecostandefficientutilizationof products, supplies, equipment and time. 

• Activelyparticipatesincontinuingeducation,professionalmembershipsandotherscholarlyandcommunityoutreachandmarketing activitiestoenhancetheNProleand imageofnursing inallaspectsofpatient,communityand professionalrelations. 

ContinuingEducation 

• Completescompetencychecklistsandunitspecificrecommendations Completes unit and departmentalannualskills checklists 

• Completesannualtrainingongenerating,preparingand/orsubmittingaccuraterequestsforreimbursementfromFederalHealthCare programs for professional services 

• Utilizescontinuingeducationto expandmedical knowledge andimprove clinical skillsandincorporatesinto daily practice