Gastroenterology - Advance Practice Clinician (PA-C or CRNP) - Jefferson Hospital

Advanced Practice Provider

The advanced practice provider (Nurse Practitioner/Physician Assistant) within the ambulatory setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP provides comprehensive care in the Gastroenterology ambulatory practice.

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 conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• 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.
• Prescribes diagnostic strategies and therapeutic interventions.
• May perform advanced procedures consistent with privileges and competency validation.

Documentation:

• Documents/dictates key components of patients progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable.
• Documentation is timely, meets acute care compliance standards and captures patient acuity.

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.

Professional Practice:

• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
• Actively participates in Advance Practice Grand Rounds and specialty specific meetings.
• Maintains CEUs, and membership in a professional organization.

Masters Degree National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant

BLS certification

Work Shift: Rotating (United States of America)

Worker Sub Type: Regular

Employee Entity: Jefferson University Physicians

Primary Location Address: 132 S 10th Street, Philadelphia, Pennsylvania, United States of America

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