Nurse Practitioner

Work Status Details: Full Time | 72.00 Hours Every Two Weeks
Exempt from Overtime: Non-Exempt
Shift Details: Overnights, 7:oopm - 7:30am
Department: Hospital Medicine |Reports To: Director of Hospital Medicine

The mission of Faith Regional Health Services is to serve Christ by providing all people with exemplary medical services in an environment of love and care. As a provider-led multispecialty healthcare team, Faith Regional Physician Services is committed to delivering high-quality, comprehensive services to the people of Northeast Nebraska.

Job Summary: The FRPS Mid-Level provider (APRN) will be responsible for the comprehensive clinical evaluation of a wide variety of medical patients while under the supervisory capacity of the attending Physician. The clinical evaluation will take place in the context during daily patient rounds for those patients previously admitted for care.

The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization.

Essential Job Duties and Responsibilities:

1. Demonstrates ability to appropriately modify approach and procedures to meet needs of age/diversity of population served for the following age groups:

☒ Adult (18 years - 65 years)

☒ Geriatric (over 65 years)
• Incorporates cultural considerations in the provisions of care.
• Knowledge of growth and developmental stages.
• Considers life changes/effects on health beliefs and behaviors.
• Provides necessary safety measures.
• Provides information and involves family/caregiver in decision making.

2. Performs all responsibilities/duties required by Faith Regional Physician Services as defined in the scope of practice, to assure that the unique nature of the patient is addressed. This includes but is not limited to the age of the patient served.
• Demonstrates accuracy, competency and thoroughness in history taking, assessment and evaluation of the patient's age specific needs (with appropriate differential diagnosis).
• Appropriately initiates medication, lab and x-ray orders.
• Appropriately interpret lab and x-ray results.
• Collaborates with ER physician on evaluation, assessment and treatment plan for all patients, both Select care and ER level.
• Demonstrates appropriate technical aspects of patient care and expertise in technical (such as suturing, splinting.)
• Initiate the discharge plan as appropriate and provide continuity of care to meet the patient's changing needs and achieve the outcomes.
• Includes and communicates the plan of care to patient, family, significant others and relays pertinent information thorough appropriate documentation and referral to other health care team members.
• Records information on the patient record in accordance with charting and regulatory guidelines.
• Recognizes changes in patient status based on interpretation of assessments and carries our physician's orders.
• Performs technical aspects of patient care according to established policies and procedures.
• Delegates and assigns appropriate patient care.
• Abuse Protection: Identifies high risk, dependent relationship and actions to prevent further infliction of physical or emotional harm
• Provides lifesaving measures in life threatening situations.
• Establishes priorities of patient care for urgent treatment
• Comprehensive assessment of the patient's clinical condition with attention focused on the reasons for presentation.
• Diagnostic determinations (Laboratory, Radiological, and other tests) to define the optimal treatment plan.
• On-going treatment and clinical management.
• Referral for appropriate sub-specialty consultations.
• Prescribing medications and other therapeutic interventions.
• Patient and family education and support (including family meetings as required.)
• Determination for readiness and subsequent planning for discharge from the hospital (working closely with case management and utilization review.)
• Update the patient "hand-off" form (for those patients managed by you on a given day) in order to clearly communicate the patient's current clinical status, plans for care and items to be addressed by the next hospitalist on duty.
• Attend monthly hospital medicine staff meetings and participate in specified hospital committee meetings.
• Participate in departmental quality improvement projects and other similar initiatives.
• Document (dictation) all patient encounters in a clear and well-organized fashion, including admission histories, daily progress notes, consultations, procedural notes, code blue/RRT responses and discharge summaries.
• Maintain all health information charts without deficiencies.
• Provide appropriate coding for each patient encounter.
• Demonstrates leadership qualities (characteristics include a strong self-image, vision of the future, a firm belief in the organization, ability to influence others positively).
• Works to maintain positive team relationships with co-workers, physicians, and other members of the healthcare team.
• Demonstrates the ability to problem solve and offer solutions.
• Facilitates the implementation of change projects.
• Enhances the collegial environment of the unit in a positive manner.

3. Promotes organizational mission, vision and values. Demonstrates respect and regard for dignity of all patients, families, visitors, and co-workers to ensure a professional, responsible and courteous environment. Maintains a high level of professional responsibility and performance outlined in Faith Regional Health Services Performance Standards. Promotes effective working relationships and works effectively as part of a department team (inter- and intradepartmental) to facilitate the department's/clinic's ability to meet its goals and objectives.

4. Maintains current knowledge/certification/licensure per organization policy. Pursues professional growth and development.
• Practices within legal boundaries of nurse practice act and according to organization policy and procedures.
• Attends continuing education programs in order to maintain licensure. Attends organization sponsored training programs as required.
• Maintains certifications as determined by department/clinic policy.

5. Functions as role model for current and new staff.
• Facilitates problem resolution among coworkers as observed by management and peers.
• Demonstrates a constructive approach during all interactions with coworkers and management toward the organization.
• Promotes the profession of healthcare workers in the community.
• Presents neat appearance in proper attire and identification as required by the position, department and the organization.
• Continuously displays a positive attitude within the department/clinic and across departmental lines to contribute to the overall customer service program.

6. Completes all required safety training programs and can describe his or her responsibilities related to general safety, department/service safety, and specific job-related hazards.

7. Understands and adheres to Faith Regional Health Services Corporate Compliance Plan, Personal Conduct Policy, Safe Environment policy, Grievance Process, Confidentiality,

Safety & Security, Infection Control, HIPAA and other departmental and organizational policies, procedures and guidelines.

8. Must be able to remain awake and alert during working hours. Physical presence at facility is required during scheduled working hours to perform job functions.

9. Performs other duties as assigned.

Essential Organizational Duties and Responsibilities:

1. Promotes organizational mission, vision and values. Demonstrates respect and regard for dignity of all patients, families, visitors, and co-workers to ensure a professional, responsible and courteous environment. Maintains a high level of professional responsibility and performance outlined in Faith Regional Health Services Performance Standards. Promotes effective working relationships and works effectively as part of a department team (inter- and intradepartmental) to facilitate the department's/clinic's ability to meet its goals and objectives.

2. Maintains current knowledge/certification/licensure per organization policy. Pursues professional growth and development.
• Practices within legal boundaries of nurse practice act and according to organization policy and procedures.
• Attends continuing education programs in order to maintain licensure. Attends organization sponsored training programs as required.
• Maintains certifications as determined by department/clinic policy.

3. Functions as role model for current and new staff.
• Facilitates problem resolution among coworkers as observed by management and peers.
• Demonstrates a constructive approach during all interactions with coworkers and management toward the organization.
• Promotes the profession of healthcare workers in the community.
• Presents neat appearance in proper attire and identification as required by the position, department and the organization.
• Continuously displays a positive attitude within the department/clinic and across departmental lines to contribute to the overall customer service program.
• Serves in committees and assist with programs of the hospital to constantly improve the quality of health care and promote good public relations.

4. Completes all required safety training programs and can describe his or her responsibilities related to general safety, department/service safety, and specific job-related hazards.

5. Understands and adheres to Faith Regional Health Services Corporate Compliance Plan, Personal Conduct Policy, Safe Environment policy, Grievance Process, Confidentiality, Safety & Security, Infection Control, HIPAA and other departmental and organizational policies, procedures and guidelines.

6. Must be able to remain awake and alert during working hours. Physical presence at facility is required during scheduled working hours to perform job functions. Work in a timely manner, within the time allotted for the shift per census count.

7. Performs other duties as assigned.

Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary.

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

Job Requirements:

The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required.

EDUCATION (Minimum Requirements for Position):

GED or High School Diploma

Associate Degree

Graduate of an accredited program of study ☒

Bachelor's Degree

Master's Degree

Doctoral Degree

EDUCATION FIELD OF STUDY (If Applicable):

Nurse Practitioner ☒

CERTIFICATES, LICENSES, REGISTRATIONS:

Current, valid Registered Nurse (RN) license and Advanced Practice Registered Nurse (APRN) license ☒

Current Registered Nurse (RN) license or temporary permit from the State of Nebraska

Current Licensed Practical Nurse (LPN) license or temporary from the State of Nebraska

Current Certified Nurse Aide (CNA) license from the State of Nebraska

Basic Life Support (BLS) obtained within one full month from date of hire ☒

Advanced Cardiac Life Support (ACLS) obtained within one year from date of hire ☒

Previous Experience Requirements:

EXPERIENCE:

Previous clinical experience

Previous management experience

Previous healthcare experience

3 years of previous experience in field, preferred ☒

Skills/Knowledge Requirements:

SKILLS (If Applicable):

Language Skills - Ability to read, write, speak, and understand the English language ☒

Computer Skills - Ability to use computers and related technology efficiently ☒

Customer Service ☒

Time Management - Ability to manage time and tasks efficiently ☒

Interpersonal Skills - Ability to socially interact and communicate with others in a positive and professional manner ☒

Other Certifications/Requirements Required

Proficiency in performing comprehensive history and physical examination ☒

Experience in formulating targeted assessments and clinical plans for a broad variety of medical patients ☒

Faith Regional Health Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.