Acute Care or Family Nurse Practitioner or Physician Assistant - Deaconess Henderson Pain Management P-T 40 hrs./pay

Advanced Practice Provider

Mission Statement To advance the health and wellbeing of our community with a compassionate and caring spirit. A Brief Overview Advanced Practice Providers (APPs) include Advanced Practice Nurses (APNs) as defined by the Indiana Code 25-23-1-1, Kentucky Revised Statutes 314.011, and Illinois Nurse Practice Act (225 ILCS 65/65-43); and Physician Assistants (PAs) as defined by the Indiana Code 25-27.5, Kentucky Revised Statutes 311.840 to 311.862, and the Illinois Physician Assistant Practice Act of 1987 (225 ILCS 95/). The Advance Practice Provider provides comprehensive health assessments, determining diagnosis, plans and prescribing treatments and managing health care regimens in collaboration with the designated physician(s). Provides care to patients in the hospitalized and ambulatory setting. This role includes the promotion of wellness, prevention of complications and management of acute and chronic conditions. Works autonomously as well as in collaboration with a variety of individuals to diagnose and manage health care problems. APNs practice within the scope of practice outlined in the Indiana Nurse Practice Act (848 IAC 4-2-1), Kentucky Revised Statutes 314.011, and the Illinois Nurse Practice Act (225 ILCS 65/65-30). This includes both an independent and interdependent scope; the interdependent scope requires a collaborative agreement with the collaborating physician(s). PAs practice within the scope of practice outlined in the Indiana Code 25-27.5, requiring a supervisory agreement with the collaborating physician(s) for all aspects of their scope, the Kentucky Revised Statutes 311.854 to 311.860, and the Illinois Physician Assistant Practice Act of 1987 (225 ILCS 95/). APPs are health care providers, interdisciplinary consultants, and patient advocates within the interdisciplinary team in collaboration with the collaborating physician/physician group to provide coordinated continuity of care for the patient population served within their respective specialty service. The APP practices in various sites within Deaconess Health System.

What You Will Do Job duties may include any of the following, depending on the specialty area and location in which the APP is working.

• Obtains histories and performs physical examinations.
• Diagnoses and manages acute and chronic health conditions via evidence-based guidelines.
• Orders, conducts, and interprets diagnostic studies and laboratory tests.
• Prescribes or recommends pharmacologic and non-pharmacologic therapies, including controlled medications in accordance with practicing state's Codes/Regulations, State Controlled Substance Registries, and supervisory agreements.
• Performs diagnostic and therapeutic procedures including but not limited to suturing, wound care, incision and drainage, splinting, casting, biopsies, invasive procedures such a line placement, etc. in accordance with training, scope of practice and collaborative and supervisory agreement requirements.
• Assists patients to maximize their abilities to cope with health and illness.
• Promotes self-care, health promotion, and disease prevention through the provision of information, counseling, and education for individuals, families and groups as indicated.
• Refers patients to appropriate sources of care as indicated.
• Consults appropriate physician(s) for patient care needs.
• Maintains a collegial relationship with the interprofessional team involved in care of the patient inclusive of the primary care physician.
• Takes responsibility for assuring patient/family satisfaction with care provided.
• Presents and documents patient data.
• Assures the efficient utilization of resources while supporting clinical pathway implementation and compliance.
• Supports the primary care physician/patient relationship.
• Actively establishes primary care relationships for patients who do not have primary care physicians.
• Participates in the assurance of robust communication system (including telephone communications as needed) on the admission/status updates, discharge summaries, etc. in acknowledgement of the inpatient hospitalization as a component of the continuum of care provided by the primary care physician.
• Assists with relevant billing documentation and development of efficient billing processes.
• Develops and participates in community outreach programs/activities.
• Works to exceed national benchmarks for quality care delivery, cost containment and length of stay for various disease states.
• Responsible with hospitalist team to help reduce patient length of stay by performing tasks and evaluations in a timely manner, as well as, advocating for the patient regarding system issues in the hospital preventing them from creating barriers that increase patient length of stay, i.e. timely laboratory results, radiology reports, social issues, etc.
• Assures appropriate and timely referrals to an appropriate facility as indicated by the patient care needs in consultation with the primary care physician.
• Plans/coordinates patient discharge and/or transfer.
• Responds to the Emergency Department for evaluation and treatment of patients.
• Other Functions Prescriptive authority will include controlled substance prescriptions for medications as is compliant within the practicing state's codes/regulations including Indiana Code IC 25-23-1-19, Kentucky Revised Statutes KRS 218A.060130, under the conditions set forth in KRS 314.042, and Illinois Nurse Practice Act (225 ILCS 65/65-43) and Illinois Controlled Substances Act, as administered through the Illinois Department of Financial and Professional Regulation (IDFPR).
• Collaborative physician providers and APNs/PAs will meet to discuss patient care and management and to review current literature regarding practice trends as needed.
• Competencies: If applicable and not listed below, please refer to the department for required competencies.
• Professional Activities Attends lectures, meetings, and conferences to maintain knowledge of current trends in a particular area of expertise.
• The Advanced Practice Nurse/Physician Assistant must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards appropriate to the individual Advanced Practice Nurse/Physician Assistant.

Education Qualifications Master's degree with advanced training or education as an Advanced Practice Nurse licensed to practice in the state of employment and appropriate Board certifications maintained. Required

Experience Qualifications None

Skills and Abilities Strong interpersonal skills, ability to relate to people in a respectful manner, and the ability to establish mutually satisfying relationships with a wide range of people.

Ability to read, analyzes, and interprets common scientific and technical journals, financial reports and legal documents.

Ability to write reports, business correspondence and procedure manual.

Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.

Ability to apply mathematical concepts such as fractions, percentages, ratios, proportions, and data analysis.

Able to enter, retrieve, organize, and assemble data.

Displays well-developed organizational skills

Requires initiative, judgment, and dependability in completing work assignments.

Demonstrate appropriate initiative and judgment to monitor and intervene as appropriate.

Must be able to recognize and interpret non-verbal communication and abnormal behaviors.

Must be able to select appropriate data to gather and carefully interpret information.

Must demonstrate independent judgment and be able to make decision of consequence.

Must be able to balance multiple demands on time and prioritize appropriately.

Must be able to handle stressful conditions in high workload situations.

Must possess and demonstrate willingness to train and teach others.

Must be able to work collaboratively with other organizations and have a commitment to the health of the entire community.

Ability to learn and use electronic medical record efficiently and effectively.

Knowledge of Word, Excel and Power Point helpful.

Demonstrated flexibility to work on an interdisciplinary team; ability to work in various roles and capacities and to respect boundaries in each role. Ability to establish mutually satisfying relationships with a wide range of people.

Maturity and demonstrated ability to work with patients and their families.

Ability to work independently and to maintain a flexible schedule. Also able to work effectively as part of an interdisciplinary team in a health care setting.

Strong organizational skills.

Demonstrates motivation and ability