Nurse Practitioner (Per Diem, Day)

Under the supervision of a medical director or physician, assesses, plans, and provides patient care under California scope of practice for Nurse Practitioners and College Medical Center’s (CMC) standardized procedures.

This position supports the Mission of the Hospital by providing an environment that allows for provision of distinctive and compassionate care to our patients.

QUALIFICATIONS

• Active licensure as a registered nurse in  California, certification as an NP in CA and;
• CA Furnishing license;
• DEA license;
• Must be credentialed through CMC’s Medical Staff as a Licensed Independent Practioner;
• Master’s degree in Nursing, a master’s degree in clinical field related to nursing, or a graduate degree in nursing;
• Current BLS and ACLS for healthcare provider cards upon hire
• Must obtain CPI certification with 30 days of employment
• Must be supervised by a qualified member of the Medical Staff who is a licensed independent practitioner.
• Demonstrates knowledge and skills necessary to oversee and direct personnel delivery direct patient care activities in multiple patient care settings.  Knowledge of growth and development over the life span.  Must be able to speak, read and write in English.

PHYSICAL DEMANDS

Prolonged standing/walking, occasional lifting, pushing of 50-75 lbs.  Hand manipulation, both fine and gross dexterity for writing and technical skills

WORKING CONDITIONS

Frequent exposure to noise, cold and heat.  Moderate exposure to blood borne pathogens, chemicals, general cleaning chemicals.

MAJOR TASKS, DUTIES AND RESPONSIBILITIES

(All duties listed below are essential to the job.)

 * General Staff Accountabilities

• Employee’s conduct conforms to the Mission, Vision, Values, and Code of Conduct of College Medical Center.
• Values individual differences and demonstrates sensitivity to the cultural needs of others.
• Respects the rights, privacy and property of others, and maintains strict confidentiality.
• Effectively protects all health information from unauthorized access per HIPAA regulations and all applicable local and state laws.
• Exhibits good attendance and punctuality.
• Provides appropriate notice prior to vacation/time off and notifies supervisor a minimum of two hours prior to shift when unable to come to work.
• Observes allotted break and meal periods as prescribed by Hospital Policy and follows time card procedures by accurately writing in and out.
• Attends to personal affairs to avoid any interference with productivity.
• Adheres to the Dress Code.
• Demonstrates an understanding of their personal role in the case of fire/disaster and participates in Performance Improvement activities.
• Functions with an awareness of patient safety issues and applies basic principles of safety as identified within the facility.
• Follows the occurrence reporting policy and procedure in reporting any potential safety issues.

 * Job Specific Accountabilities

Provides Direct Patient Care to a Specified Patient Population.

• Appropriately triages and manages the care of patients during the emergent, urgent and/or non-urgent phase of the disease/illness process.

Coordinates Patient Care utilizing the Nursing Process: Assessment

• Perform initial patient screenings and patient history and physical examinations.
• Reviews patient history, diagnostic data and physician orders/notes, if available, prior to interviewing patient/family/significant other.
• Collects data by interviewing patient, family/significant other within specified time frame.
• Performs physical and mental health assessment within specified time frame.
• Assesses for age specific abuse/neglect and reports to appropriate agency as mandated.
• Assesses educational level, learning needs, preferred teaching methods and barriers to learning.
• Analyzes patient data, identifies and prioritizes patient needs.

Demonstrates age appropriate care for integration across the life span

• Recognizes and responds appropriately to unique needs of varying age groups with who she/he has contact.
• Recognizes and responds to safety factors for age level involved.

Coordinates Patient Care Utilizing the Nursing Process: Planning

• Collaborates with the patient/family/significant other and other disciplines, as appropriate, to develop an individualized treatment plan based on the prioritized needs identified in the assessment process.
• Provides diagnoses and provides treatment for patients with chronic acute illnesses, diseases and injuries.
• Orders and performs diagnostic testing and interprets results.
• Prescribes medication, physical therapy and other treatments based on patient’s diagnosis or test results.
• Communicates the treatment plan, and changes to the plan, to the patient/family/significant other and other members of the health care team as appropriate and documents in EMR.

Coordinates Patient Care Utilizing the Nursing Process: Implementation

• Reviews and implements physician orders accurately and timely.
• Reviews all patient lab results and follows-up on abnormal test results. Reviews lab results with patient.
• Requests specialty consultation when appropriate.
• Identifies high risk problems and transfers care to appropriate physician.
• Performs basic nursing procedures, specific unit based nursing procedures and/or standardized procedures safely, accurately and efficiently per policy and procedure.
• Prepares patients for transfer in accordance with regulatory agency requirements and per policy and procedure.
• Considers knowledge deficits, barriers to learning and appropriate teaching methods in performing patient teaching.
• Collaborates with other disciplines to assure the treatment plan is implemented in a coordinated manner to avoid time constraints and assure an uninterrupted treatment plan.
• Documents in a timely manner and reports responses of treatment and changes in clinical conditions.
• Readily seeks input from supervising physician as needed.
• Collaborates and communicates with appropriate physicians on patient care issues.
• Collaborates with other members of the health care team to identify patient problems and develop plan of care to address the needs of the patient.
• Acts as a resource for staff, including supporting Team RNs and LVNs.
• Assists in the development and implementation of special projects and programs and assists in the monitoring of results.
• Documents all care rendered in the  medical record in a timely fashion.

Coordinates Patient Care Utilizing the Nursing Process: Evaluation

• Evaluates effectiveness and patient response to treatments, procedures and medications.  Provides alternative interventions as needed and reevaluates.
• Monitors patient behavior to evaluate effectiveness of patient teaching provided.
• Recognizes life threatening patient complications/situations and responds immediately by initiating and participating in emergency procedures.
• Participates in monitoring patient outcomes to evaluate effectiveness of care provided and to identify organizational performance improvement opportunities.

Demonstrates the Ability to Perform as a Professional Nurse Practitioner

• Understands the legal aspects of patient care, implications of COBRA regulations and the importance of accurate and timely documentation according to standards and policy and procedures.
• Successfully completes core and unit specific competencies annually.
• Maintains knowledge and skills in clinical specialty through success completion of a minimum 8 C.E.U.’s annually, attendance at seminar, reading and reporting on a professional journal article and/or attending in-service education functions
• Performs all other duties and responsibilities as assigned.

Demonstrates age appropriate care for integration across the life span.

• Recognizes and responds appropriately to unique needs of varying age groups with whom she/he has contact.

• Recognizes and responds to safety factors for age level involved.
• Other duties as assigned.

Salary Rate: $70.00