Care Home Matron

2 weeks ago

Langhorne, United States Thomas Jefferson University & Jefferson Health Full time
Per Diem, Day Shift - Weekends

The Advanced Practice Provider within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP provides comprehensive care on the inpatient Hospital Medicine service at Jefferson Northeast (Frankford/Torresdale/Bucks Campuses ).

Per Diem - Weekends (night shift)

Assessment & Management
  • Performs complete history & physicals and documents in the medical record.
  • Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
  • The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
  • Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
Diagnosis
  • Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
  • Manages diagnostic tests through ordering, interpretation, performance, and supervision.
  • Diagnoses complications and orders appropriate interventions
Formulates Plan of Care
  • Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
  • Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
  • Implements and modifies plan of care.
  • Communication and Collaboration
  • Maintains ongoing communication and collaboration with interdisciplinary health care team.
  • Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
Documentation
  • Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)
  • Documentation is timely, meets acute care compliance standards and captures patient acuity.
Professional Practice
  • Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.

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