Family Practice APRN
3 weeks ago
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. The HSCS is comprised of nine psychiatric hospitals located throughout the state and one youth residential psychiatric center in Waco. The HSCS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. The hospitals provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
The Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly complex to advanced (senior-level) clinical medical care under the clinical and administrative supervision of the Medical Director and/or another supervising physician. Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement. Utilizes advanced nursing skills in the treatment and care of patients to include medical assessments. Limited prescriptive authority and the evaluation of the efficacy and progress of a patient’s individualized care plan. Provides treatment to HHSC employees injured in course and scope of employment. Works under limited supervision with extensive latitude for the use of initiative and independent judgment.
Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Essential Job Functions:
• Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
• Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary. The assessment includes diagnosis, treatment, and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
• Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted, and monitoring of the chronic condition, quarterly assessment for individuals with identified chronic health care diagnosis including review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted.
• Provides comprehensive medical care, which includes conducting rounds, review of hospitalized patients, and on-call cases for status of condition on individuals under treatment.
• Provides medical diagnosis and the review of the recovery plan. Includes review of all the identified risks of the individual (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.
• Develops accurate and timely documentation, which includes annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical restraints, and all acute and chronic patient care.
• Provides treatment to HHSC employees injured in course and scope of employment as needed.
• Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge Skills Abilities:
• Knowledge of methods and procedures in the field of general medicine/nursing, including laws and ordinances governing public health and hospital operations.
• Knowledge of principles, methods, and procedures for the delivery of medical evaluations, diagnosis, and treatment.
• Knowledge of the principles of the development, implementation, and documentation of case histories, and individualized care and treatment plans.
• Skill in interpretation of laboratory analyses and x-rays.
• Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.
• Ability to examine, diagnose, and treat physical disorders.
• Ability to supervise the work of others who provide medical care to patients.
• Ability to appropriately interact with individuals with developmental disabilities.
• Ability to present ideas clearly and concisely in both written and oral communications.
• Ability to prepare and maintain medical records.
• Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.
• Ability to work independently and be flexible in carrying out assigned responsibilities.
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