APRN - Pediatrics Newborn

Work schedule varies - could include nights weekends on-call rotation, and holidays

POSITION SUMMARY

Work in conjunction with the Pediatric faculty to provide medical care for pediatric patients in Wesley Hospital Pediatric Units with possible coverage to Pediatric Faculty Clinic.

ESSENTIAL FUNCTIONS

Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s)

General Guidelines:

• Carry out all delegated medical processes and procedures when a licensed physician is immediately available, except during patient emergencies when independent life-saving medical procedures may be performed.
• Perform all medical chart documentation with physician oversight.
• Collaborate on an ongoing basis with the supervising physician to discuss and review the hospital course and plan of care for each patient.
• Participate in daily formal presentation of patient problems, evaluation, and plan of care with the attending pediatrician and resident team. Provide additional brief updates and presentations to the attending and/or resident team as new problems arise and the resident team at checkout.

• APP shall complete all billing and medical records documentation within thirty (30) business days of the patient visit or less time if required by an insurance company, other payor of services, or the hospital or institution at which APP is performing services.
• Reliable Attendance and Punctuality.

New Patients:

• Obtain necessary prenatal, intrapartum, and/or post-natal history as well as a history of present illness and other components of a history when applicable to enable care to be given.
• Perform necessary procedures or therapies to ensure stabilization.
• Perform admission physical examination. Initiate and/or complete all necessary forms to document and facilitate care including admission orders and computerized data base
• Formulate patient care diagnoses and goals based upon physical assessment, historical data, laboratory and radiographic studies
• Develop plan of care based on diagnoses and goals (long and short) in collaboration with the attending physician.
  • Order and interpret laboratory, radiographic, and other diagnostic data. Orders will be signed as follows: First Name, Last Name, APRN
  • Perform diagnostic procedures including, but not limited to: vein or artery puncture and lumbar puncture. At any time, the APRN believes he/she has not had enough recent experience to feel competent; an attending physician is immediately available to supervise the APRN or perform the procedure him/herself.
  • Initiate and direct support of the respiratory system including oxygen therapy and drug therapy. Orders for controlled substances require physician signature
  • Select and institute fluid, blood products and/or nutritional support as clinically necessary.
  • Monitor for infection and institute necessary antibiotic and supportive therapies.
• Establish contact with family; share responsibility with the attending physician for communicating patient problems, status and plans.
  • Assess level of understanding and emotional status to provide appropriate communication, information and emotional support.
  • Along with others, initiate discharge planning process.
• Document in medical chart activities, events, procedures undertaken or completed in collaboration with others and responses during the admission.
• Update the referring physician in conjunction with the attending physician regarding patient status.

Continuing Care of a Patient:

• Collect patient care information from nursing, medical, respiratory therapy, social work, nutrition and pharmacy to assist in developing a plan of care or continuing the plan in effect.
• Contact consultants as indicated after discussion with the attending physician
• Review hospital documents to obtain pertinent care information.
• Perform necessary procedures or therapies to ensure patient safety and well being. This can include, but is not limited to: establishment or continuance of:
  • respiratory support
  • cardiovascular support
  • metabolic support
  • pharmacologic support
  • nutritional support
  • family support
• Perform and record, in the medical record, a daily physical examination to include the completion of all necessary forms to document and facilitate care.
• Develop plan of care, in collaboration with the attending physician, based on diagnoses and goals (long and short)

1. Order and interpret laboratory, radiographic, and other diagnostic data.
   • Orders will be signed as follows: First Name, Last Name, APRN
2. Perform diagnostic procedures including, but not limited to: vein or artery puncture and lumbar puncture
3. Perform elective procedures including circumcisions.
4. Initiate, continue and direct support of the respiratory system including oxygen therapy and drug therapy.
   • Orders for controlled substances require physician signature
   • Select, institute or continue fluid, blood products and/or nutritional support, including appropriate supplements.
   • Monitor for infection and institute necessary therapy.
   • Maintain ongoing Problem List and computerized data base forms.

• If the plan of care requires an alteration, provide a notation in the progress note which describes; the change in status, the subsequent change in the plan of care, and the physician with whom collaboration occurred. Notify the attending physician as soon as possible of any emergency procedure performed, acute change in patient status, laboratory, drug therapies, or radiologic test results that result in changes in previously agreed upon plan of care.
• Continue contact with family; share responsibility with the attending physician for communicating patient problems, status and plans.
  • Assess level of understanding and emotional status so as to provide appropriate communication, information and emotional support.
  • Along with others, continue discharge-planning process.
• Document in medical chart activities, events, procedures undertaken or completed and responses occurring during the hospital stay.
• Continue contact with referring hospital and referring physician to update both staff and parents.
• Initiate or attend meetings related to patient care.
• Continue bedside education process for nursing staff and other caregivers as it relates to patient care needs.

Patients being Discharged or Transferred:

• Collect patient care information from nursing, medical and other staff to assist in determining transfer or discharge status.
• Review hospital documents to obtain pertinent discharge or transfer information.
• Discuss and receive the attending physician’s approval for all discharges and transfers.
• Perform necessary discharge/transfer procedures or therapies to ensure patient safety and well being.
• Perform discharge/transfer physical examination and complete all necessary forms to document and facilitate discharge or transfer including patient care summaries.
• Develop discharge/transfer plan of care based on diagnoses and goals (long and short).
• Collaborate with medical staff and caregivers to ensure a complete and satisfactory discharge process.
• Continue contact with family to assess and prepare for discharge or transfer to include an assessment of the level of understanding and emotional status regarding patient’s continued needs to provide appropriate communication, information and emotional support.
• Document in medical chart activities, events, and responses during the discharge/transfer process.
• Contact with referring/follow-up physician and referring hospital, in conjunction with the attending physician regarding patient status.
• Write transfer/discharge orders when appropriate and after discussion with the attending physician.
• Other duties as assigned.

Education: BSN - Preferred

Advanced Registered Nurse Practitioner – Master’s Degree and/or Certificate training (Masters preferred)

Experience: Two to four years pediatric experience preferred

SKILLS & ABILITIES

Computer Skills

Ability to adapt to EMR functions

Electronic patient charting

Basic Microsoft skills

Certificates & Licenses

RN- Active in the state of Kansas

APRN - Active in the state of Kansas