Description
The Nurse Practitioner (NP) has a specialized skill and knowledge related to the setting in which they practice and perform physical exams, collects and documents data, conducts approved diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services, according to established evidence-based clinical practice standards. The NP contributes to excellence in patient care, research, teaching, consulting, and provides leadership to the organization and advance practice profession. Duties may include but not limited to obtaining patient health histories and complete physical examinations, documenting findings noting pertinent normal and abnormal findings, ordering and interpreting appropriate diagnostic and laboratory tests, and performing procedures as needed within specialty area. The NP also helps facilitate safe and efficient operational flow of the patient through their continuum of care. The NP will function as a part of inter-professional teams by communicating, planning, and implementing care directly with other healthcare professionals, including but not limited to physicians, pharmacists, office support staff, and other advance practice providers (APPs).
Under general supervision and in accordance with standardized procedures for nurse practitioners, the incumbent performs physical examinations, obtains history of medical illness, treats common episodic and chronic health care problems, monitors patient progress, counsels patients and families. Is the resource and lead for RNs, LVNs, and support staff. Identifies and records pertinent progress of patients, updating and summarizing charts, changing orders when appropriate and notifying the responsible physician of changes in the patient's condition. Performs diagnostic, therapeutic, preventive and health maintenance services for GI service under the direction and supervision of a physician. Works in collaboration with other health care team members, consulting and referring as appropriate, but retains responsibility for ongoing clinical management of the patient
Essential Duties:
- Conducts in-depth interviews with patients and/or family, constructs comprehensive medical histories, performs initial and periodic physical examinations and explores patient's interpretation of health needs. Identifies and treats patients' diseases. Manages treatment of hospitalized patients.
- Acts as the lead in the clinic (e.g. triage issues and act accordingly, serve as the resource for RN, LVN, and support staff; etc.
- Identifies patient's educational needs and provides health related information to enhance patient's and family's understanding of medical condition and related treatments. Obtains informed consent for procedures that will be performed Instructs and counsels patients and families regarding care, medical problems, psychological problems and use of prescribed devices, treatments and drugs.
- Directly performs or orders appropriate diagnostic studies and interprets finished results.
- Develops and implements long and short range treatment plans.
- Assures, in collaboration with primary nursing staff, that patient receives proper discharge information including, but not limited to, medication reconciliation, summary list, etc.
- Writes orders to increase, decrease or change medication, subject to checking and counter-signing by physician.
- Initiates consultations and monitors scheduling of patients.
- Identifies records pertinent progress of patients, updating and summarizing charts, changing orders when appropriate and notifying the responsible physician of changes in the patient's condition.
- Acts as liaison with governmental agencies such as Center for Disease Control and National Institute of Health. Assists with medical research projects, following medical research protocols. Obtains Investigational Review Board approval for treatment protocols.
- Researches community resources for referral of patients. Refers patients to most appropriate resource based on patients' medical needs and condition
- Maintains compliance with established University and department policies and procedures, quality assurance, safety, environmental, infection control and complies with requirements of accreditation and regulatory agencies
- Act as a resource for the team for clinical questions that arise and delegate the proper follow-up or next steps
- Responsible for patient triage and urgent matters
- Addressing patient complains/concerns in relation to clinical care
- Accessible to patients and staff by phone to answer any questions that need to be resolved in order to prevent interruption in physician workflow
- Responsible party for coordinating (and delegating) care of complex patients
- Preforming med reconciliation and histories to improve physician workflow
- Assisting with patient documentation and properly delegating the processes necessary for completion
- Based on physician protocols the NP will proactively order labs/referrals and any additional evaluations to expedite the physicians workflow and patient loads
- Facilitate ETC visits as well as take ownership of patients that require a hospital admit
- Act as a Proxy in Cerner for physician messages
- See patients with the physicians in clinic; perform shared split documentation, which entails the MD being involved with either the history, physical, or impression/plan.
- Participates in in-service education programs and professional associations.
- Performs other duties as assigned.
Required Qualifications:
- Req Master's degree Graduate from an accredited school of Nursing (MSN).
- Req 5 years Clinical nursing experience.
- Req Other certifications and experience as required per specialty area
- Req Must have excellent communication skills, including the ability to speak, read and write English proficiently.
- Req Knowledge of medical procedures and conditions and ability to understand, follow and successfully perform duties.
Preferred Qualifications:
- Pref 3 years Experience as NP in specialty area preferred
Required Licenses/Certifications:
- Req Registered Nurse - RN (CA Board of Registered Nursing)
- Req Nurse Practitioner - NP (CA Board of Registered Nursing)
- Req Nurse Practitioner Furnisher (CA DCA) Current license to furnish medications in the State of California.
- Req DEA Certificate Drug Enforcement Agency (DEA) Certificate issued by the U.S. Department of Justice for Schedule II-V controlled substances.
- Req NP Board Certified Possession of National Board Certification in Nurse Practitioner area of specialty accredited by Accreditation Board of Specialty Nursing (ABSNC) or National Commission for Certifying Agencies (NCCA). (*Exempt from NP Board Certification requirement if hired/transferred prior to 12/2011.) ◦ If work in Hospital/Acute Care Setting must have Certification from the American Nurses Credentialing Center (ANCC) or American Association of Critical-Care Nurses (AACN) as an Acute Care Nurse Practitioner (ACNP) or Adult Gerontology Acute Care Nurse Practitioner (AGACNP) upon hire. ▪ (*Grandfathered from Acute Care Certification requirement if hired/transferred prior to 12/2015.)
- Req Basic Life Support (BLS) Healthcare Provider from American Heart Association
- Advanced Cardiovascular Life Support (ACLS) Healthcare Provider from American Heart Association ◦ ACLS as required by the NPs Job description for NPs in the Hospital/Acute Care Setting and Ambulatory Infusion Centers
- Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
The annual base salary range for this position is $161,500.00 - $264,160.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
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