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**Long Island Community Hospital** has served this richly diverse region as a patient-first community hospital for more than 60 years. As Long Island's only independent community hospital, we are 100% committed to becoming the community's healthcare provider of choice with our greatly enhanced services including the Knapp Cardiac Care Center, our highly-advanced heart disease diagnosis and treatment facility, our new modern surgical pavilion, our unique ER approach, and our high-touch services including women's imaging, sleep laboratory and orthopedics and more. These services are delivered with the highest level of compassion by our LI Community Hospital staff - Long Islanders with an unmistakable mix of courage and heart who care about the people right here in our community and whose sole purpose is to provide personalized comfort. _For more information, go to _licommunityhospital.org_, and interact with us on _LinkedIn_, _Glassdoor_, _Indeed_, _Facebook_, _Twitter_, _YouTube_ and _Instagram_._
**Position Summary**:
We have an exciting opportunity to join our team as a Nurse Practitioner - Full Time -.
At LICH, NPs provide services as a licensed independent practitioner (LIP) collaborating with a licensed physician fulfilling a broad range of medical services that would otherwise be provided by the physician. A NP shall be permitted to provide any service within his/her scope of training/skills outlined in the collaborative agreement between the NP and the collaborating physician that has been approved by the Credentials Committee. NPs may provide care for all patients throughout the hospital as permitted by their certification and licensure. NPs work collaboratively with the patient's physicians, assisting in providing high-quality care, and a well-planned, timely discharge. NPs provide patient-centered care as members of interdisciplinary teams emphasizing evidence-based practice and accepted standards of care. A NP shall document according to the practices included in the Clinical Documentation Initiative (CDI). NPs with Registered Nurse First Assistant (RNFA) documentation working in surgery have the primary responsibility of assisting in surgery. A NP working in surgery must have a collaborative agreement with a surgeon. A NP working in surgery will also perform surgical functions in other areas of the hospital as needed by the surgeons or the Chief PA. A NP on the Trauma Team must have privileges to first assist in surgery, experience in emergency medicine, and current Advanced Trauma Life Support (ATLS) documentation, or acquire it within six months. A NP on the Trauma Team may be required to be on-call.
**Responsibilities**:
**Assessment and Reassessment of Patients**
- Introduces/identifies self as a nurse practitioner
- Assists the physician with patient management focusing on quality care and a well-planned, timely discharge
- Communicates professionally and effectively with the patient's physician, and as appropriate, consulting physicians, case managers, nurses, and other Hospital staff any patient information that may affect discharge or the patient's hospital course.
- Performs initial and ongoing assessment/history and physical examination
- Assesses/reassesses patient's condition and care plan
- Orders and interprets tests/results(lab, radiology, ekg, etc.) based on patient need
- Orders medications and treatments
- Documents care in the chart in accordance with hospital policies and procedures
- Formulates diagnoses
- Formulates and implements patient care and treatment plans. Discusses patient care and treatment plans, expectations, needs, and any other information with physicians, nurses, case managers, and other hospital staff. Uses established Long Island Health Network (LIHN) guidelines, if applicable.
- Obtains consents for blood/blood product transfusion, CAT scan and MRI contrast administration, and for procedures performed by the PA
- Initiates consults with physicians and other hospital staff including those for hospice and palliative care
- Initiates and participates in care related to end-of-life issues including Do Not Resuscitate/Intubate (DNR DNI) and Medical Orders for Life Sustaining Treatment (MOLST) documentation
- Manages medical/surgical patient care including emergencies requiring BLS/ACLS/PALS (if adult or family NP)
- Performs Trauma assessments/reassessments following ATLS (Trauma Team)
- Performs peri
- and intraoperative assessments/reassessments
- Performs peri
- and intraprocedure assessments/reassessments
- Rounds with physicians and other hospital staff
- Orders, applies, reapplies, and removes restraints
- Documents in patient chart or the computer all pertinent patient information following departmental and hospital policies, and using the CDI education.
- Writes legibly
- Dates, times, and signs all chart entries
- Uses name stamp
- Documents any patient or family education
- Documents results of tests ordered, or disposition of care
- Completes all p
