Gastroenterology Advanced Care Provider
4 weeks ago
El proveedor de práctica avanzada (Enfermero Practicante/Asistente Médico) en el entorno ambulatorio colabora y es un miembro integral de un equipo de atención médica multidisciplinario. El APP ofrece atención integral en la práctica ambulatoria de Gastroenterología.
Evaluación y Manejo
- Realiza historias clínicas completas y exámenes físicos, documentando en el registro médico.
- Ordena y recopila datos utilizando técnicas de evaluación apropiadas, información diagnóstica relevante y procedimientos diagnósticos cuando sea necesario.
- El APP puede actuar como primer respondedor para el personal de enfermería y el personal médico en caso de cambios en el estado del paciente, órdenes y situaciones que requieran intervenciones procedimentales y de resucitación.
- Evalúa los riesgos asociados con la atención del paciente agudo y crónicamente complejo, incluyendo: efectos secundarios de medicamentos, inmovilidad, nutrición deficiente, desequilibrio de fluidos y electrolitos, inmunocompetencia, intervenciones invasivas y procedimientos diagnósticos.
- Colabora con el equipo de atención médica interdisciplinario en el diagnóstico de condiciones agudas y crónicas complejas.
- Gestiona pruebas diagnósticas a través de la orden, interpretación, ejecución y supervisión.
- Formula diagnósticos diferenciales por prioridad.
- Diagnostica complicaciones y ordena intervenciones apropiadas.
- Identifica los resultados esperados a partir del diagnóstico y formula y documenta un plan de atención para abordar las necesidades complejas de atención médica aguda y crónica.
- Utiliza guías y protocolos de práctica basada en evidencia en un plan de atención individualizado y dinámico que se puede aplicar a lo largo del continuo de atención.
- Implementa y modifica el plan de atención.
- Prescribe estrategias diagnósticas e intervenciones terapéuticas.
- Puede realizar procedimientos avanzados de acuerdo con las validaciones de privilegios y competencia.
- Documenta/dicta componentes clave del progreso del paciente a través de notas de progreso diarias, resúmenes de transferencia y alta, y/o notas de clínica donde sea aplicable. (h&p, notas de progreso diarias, plan de atención, listas de problemas, notas de procedimientos, notas de eventos agudos, resúmenes de alta, en el registro médico según la unidad o servicio específico del paciente, resumen de fallecimiento)
- La documentación es oportuna, cumple con los estándares de cumplimiento de atención aguda y captura la agudeza del paciente.
- Mantiene comunicación y colaboración continua con el equipo de atención médica interdisciplinario.
- Facilita y comunica con el paciente, la familia y el personal para promover la continuidad de la atención a lo largo del continuo de atención ambulatoria y hospitalaria.
- Demuestra comportamientos de Práctica Profesional, incluyendo: preceptoría/mentoría, educación e instrucción de estudiantes de posgrado.
- Busca oportunidades para la participación activa en la investigación y el análisis de la práctica basada en evidencia.
- Participa activamente en las Rondas de Práctica Avanzada y reuniones específicas de especialidad.
- Mantiene CEUs y membresía en una organización profesional.
Requisitos
Título de Maestría
Certificación Nacional como Enfermero Practicante de Cuidados Agudos o Asistente Médico
Certificación BLS
Declaración de Cierre
Jefferson incluye la Universidad Thomas Jefferson y Jefferson Health, un dinámico sistema universitario y de salud con un amplio alcance. Jefferson es el segundo mayor empleador en la ciudad y el mayor sistema de salud basado en el número total de camas licenciadas.
La misión, visión y valores de Jefferson crean una organización que atrae a los mejores y más brillantes estudiantes, facultad, personal y profesionales de la salud, así como a los líderes más visionarios para impulsar resultados excepcionales.
- NUESTRA MISIÓN: Mejoramos vidas.
- NUESTRA VISIÓN: Reimaginando la salud, la educación y el descubrimiento para crear un valor sin igual.
- NUESTROS VALORES: Poner a las personas primero, ser audaces y pensar de manera diferente, y hacer lo correcto.
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