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Ambulatory Nurse Practitioner

2 months ago

Lutherville Timonium, United States Greater Baltimore Medical Center (GBMC) Full time

Under general supervision is accountable for the clinical management of patients.

Education

Certified Nurse Practitioner Program OR Physician Assistant Program

Skills

  • A high level of analytical ability required for assessing patients and implementing appropriate intervention.
  • Substantial interpersonal skills required to effectively interact with staff, physicians, patients, and family members.

Licensures, Certifications

  • Current registration with the Maryland State Board of Examiners of Nurses as a Certified Adult or Family Nurse Practitioner OR Licensed Physician Assistant.
  • Valid contract with preceptors.
  • Completion of "Healthcare Provider" CPR course, yearly.

Physical Requirements

  • Ability to concentrate and pay close attention to detail for up to eighty percent of work time in performing duties and dealing with patients and families often during stressful situations.
  • Ability to stand and walk for prolonged periods.

Working Conditions

  • Normal patient care environment with possible exposure to excessive noise, dust , temperature.
  • Exposure to adverse working conditions due to performance of patient care activities, and exposure to communicable diseases.

Principal Duties and Responsibilities

Assumes responsibility for the initial evaluation and treatment of patients in assigned areas.

  • Performs initial history and physical as evidenced by appropriate documentation.
  • Writes standard orders in accordance with hospital policy.
  • Writes appropriate orders related to pre-existing conditions.
  • Discusses with the attending physician and nursing staff physical and/or emotional findings, which may interfere with care of the patient.

Evaluates patient progress on a continuing basis and in collaboration with the attending physician, and alters treatment modalities as needed.

  • Evaluates nursing, medical, social and educational needs on assigned patients.
  • Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.
  • Writes progress notes for each visit documenting pertinent information regarding patient progress and treatment regime.
  • Writes orders appropriate to the patient's care requirements in compliance with existing contract.
  • Establishes medical diagnoses in compliance with contract.
  • Refers to the physician or designee those problems which require consultation and documents same on progress note.
  • Makes immediate referral of acute and or life threatening patient conditions to physician or designee. Documents physical findings and treatment plan pertaining to same.

Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital policy.

  • Documents results of technical functions performed.
  • Reports to physician or designee any abnormal findings related to it.
  • Monitors patient response related to technical function performed and documents it.
  • Acts as a clinical resource.
  • Actively supports and participates in nursing and/or hospital performance improvement initiatives.

Performs activities to meet patient/family educational needs.

  • Participates actively in health teaching of patient and family to include preventative health care as well as current medical condition and treatment regime. Evidence of same by documentation on progress note and/or established flow sheet.
  • Plans and reviews home care instructions with patient and family if needed. Include needs for service provided by community resources and hospital based ancillary services.

Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continue certification as well as attending mandatory inservice as required.

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

  • Treats others with fairness, kindness, and respect for personal dignity and privacy
  • Listens and responds appropriately to others' needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

  • Meets and/or exceeds customer expectations
  • Actively pursues learning and self-development
  • Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

  • Sets a positive, professional example for others
  • Takes ownership of problems and does what is needed to solve them
  • Appropriately plans and utilizes required resources for various job duties
  • Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

  • Works cooperatively and collaboratively with others for the success of the team
  • Addresses and resolves conflict in a positive way
  • Seeks out the ideas of others to reach the best solutions
  • Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

  • Demonstrates honesty, integrity and good judgment
  • Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

  • Embraces change and improvement in the work environment
  • Continuously seeks to improve the quality of products/services
  • Displays flexibility in dealing with new situations or obstacles
  • Achieves results on time by focusing on priorities and manages time efficiently

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.