AHP - Hospitalist - PRN

Job: Nurse Practitioner/Hospitalist   
Job Category: 2 Professionals  

Position Summary  
The Nurse Practitioner/Hospitalist performs physical examinations and patient visits, orders and interprets appropriate diagnostic tests, makes appropriate referrals to either a physician or specialist as needed, collaborates with physicians and staff as necessary to provide consistent care to patients, ensures quality assurance standards are met, and displays a caring and professional attitude at all times.  

Essential Functions  
-Provides comprehensive patient care to individuals and communities.   
-Utilizes training and expert knowledge to identify areas of need based on protocols to assess, treat and refer as necessary.     
-Teaches and counsels patients on health education, preventive medicine, expected outcomes of treatment, diet and other health maintenance measures, appropriate for the patient’s age and needs.   
-Collaborates with physician supervisors through approved protocols to provide delivery of quality health care services.   
-Collects and interprets data to provide appropriate care based on demonstrated knowledge of the principles of growth and development over the lifespan.  
-Obtains a complete history of chief complaints and other problems on patient presentation.   
-Provides indicated medical treatment according to protocols, including pertinent exam directed to patient’s history and complaints and the ordering of laboratory tests, x-ray procedures and other diagnostic tests or procedures.   
-Initiates drug therapy and collects specimens for pathologic examination per protocols.   
-Reviews all x-rays, radiology, pathology, lab and other diagnostic reports in a timely fashion.   
-Documents all relevant patient information in the patient’s chart.   
-Dispenses and documents the dispensation of Class D Pharmacy drugs.   
-In emergency situations, administers lifesaving procedures and medication but not to exceed current training.   
-Coordinates patient care with other members of the health care teams at the Rural Health Clinic, Community Prenatal Clinic and Titus Regional Medical Center.   
-Consults regularly with supervising physician on problem cases or on cases not covered by protocols.   
-Provides daily clinical supervision and routine clinical training for clinic staff on treatment, infection control and laboratory policies and procedures.   
-Participates in continuous quality improvement, staff meetings, and policies and procedures reviews.   
-Delegates duties according to authority appropriate for Texas Nursing Practice.   
 -Adheres to and follows all patient experience initiatives.  
-Reports to and departs from work on time and as scheduled.  
-Performs other duties as assigned.  
-Must be able to deal with stress while maintaining composure.   
-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS). 

 Work Experience  
-Five years’ experience in a hospital or clinic setting is preferred.  

Education  
-Licensed by the Texas State Board of Nurse Examiners as an Advanced Practice Nurse required.  
-BLS (Basic Life Support) within 30 days of hire date required.  

Physical Demands and Work Environment  
Lifting/Carrying    Pushing/Pulling               
Lbs.      % Time     Lbs.      % Time  
1-10     34-66      1-10      34-66  
11-20     0-33     11-20      0-33  
21-50     0-33     21-50      0-33  
51-75     0-33     51-75      0-33  
76-100    0-33     76-100    0-33  

Movement            % Time  
Bend/Stoop/Twist          0-33  
Crouch/Squat                0-33  
Kneel/Crawl                  0-33  
Reach Above Shoulder   0-33     
Reach Below Shoulder   0-33  
Repetitive Arm              None  
Repetitive Hand            0-33  
Grasping                      0-33  
Squeezing                    0-33  
Climb Stairs                  None  
Walking Uneven            0-33  
Walking Even                34-66  

Environment         % Time  
Indoors               67-100  
Outdoors             0-33  
Extreme Heat       None  
Dusty                  None     
Excessive Noise    0-33  
  
Equipment        % Time  
Motor Vehicles     None  
Foot Pedals          None  
Extreme Heat       None  
Dusty                  None     
Excessive Noise    0-33  

Work near          % Time  
Machinery           None  
Electricity           None  
Sharps              0-33  
Chemicals           0-33  
Fumes                0-33  
Heights              None  

Vision          
Depth Perception     Required  
< 20"                     Required  
Color                      Not Required  
Peripheral               Required  

 

Endurance       Hours at Once      Total in 12HR  
Sit                                  1                        3  
Stand                              4                       4.5  
Walk                               4                       4.5