Advanced Practice Provider

Missoula Bone & Joint Surgery CenterJob Description: Nurse PractitionerNurse PractitionerServes as a healthcare provider to Missoula Bone & Joint and Surgery Center patients primarily in an outpatient setting. Outpatient clinical responsibilities include evaluation and management of patients, Pre-Admission Testing (PAT) evaluation of patients in preparation for surgery, and discharge process for same day patients.1. PhilosophySupports the facility’s ideology, mission, goals, and objectivesPerforms in accordance with the facility’s policies and proceduresFollows the facility’s standards for ethical business conductRecognizes patients’ rights and responsibilities and supports them in performance of job dutiesParticipates in facility committees, meetings, in-services, and activitiesSeeks out additional assignments and duties2. Work QualityPerforms duties in an accurate and organized mannerAdheres to policies and procedures in performance of dutiesEnsures knowledge of job and asks questions when unsureCompletes duties within appropriate timeframes3. Personal AttributesShows initiative and dependability including punctuality and attendanceDisplays good judgmentCooperates and is flexibleFollows appropriate dress code presenting a professional image4. Customer ServiceFosters a culture of outstanding patient service showing courtesy in interactions with patients, physicians and co-workersPresents good telephone skillsResponds promptly to patient needs and co-worker requests5. Communication and TeamworkExpected to be a positive and responsible team member with a good attitudePresents good oral and written communication (documentation) skillsSafety/Risk ManagementAdheres to safety policies and procedures in performing job duties and responsibilitiesMaintains responsibility for safe work area by reporting observed or suspected safety violations, hazards, and policy/procedure noncomplianceResponds to emergency situations with competence and composureReports observed or suspected medical emergencies, notifies appropriate personnel, and responds appropriatelyProfessional competenceParticipates in continuing education and other learning experiencesShares knowledge gained in continuing education with staffSeeks new learning experiences by accepting challenging opportunities and responsibilitiesWelcomes suggestions and recommendationsMaintains current CPR certificationAnalyzes work area and makes recommendations for potential cost-effective improvementsNurse Practitioner dutiesPerforms history, physical examination, and careful chart review of patients having a planned outpatient surgical procedure including evaluation of the pre-existing medical record, collation and/or ordering of needed lab studies and other tests, and a final assessment of the medical state and overall fitness for the planned procedure to be relayed to the anesthesia team and the primary surgeonParticipates in the preparation of patients for surgery by coordinating care, testing, education, and support for surgical patients during a patient appointmentAssessing and documenting the patient’s medical historyIntegrating clinical findings of the history and physical with accurate clinical knowledge to adequately screen the patient for the procedure and anesthesia modalitiesWorks with pre-admission RNs to identify and personally consult on patients at higher risk of adverse events from the planned operation or anestheticOrders diagnostic tests pertinent to the clinical situation and standard Pre-Admission Evaluation guidelines: Interprets the results of tests, as a component of the perioperative evaluation including but not limited to: discovery or identification of a disorder or disease which may affect anesthetic safety. Verifies an already known disease, disorder, or medical condition or alternative therapy which may affect anesthetic care.Communicates medical assessment with the attending surgeon and anesthesia providerConsults with other healthcare providers i.e. PCP, cardiology, and/or pulmonologyConsults with the anesthesia provider and the surgeon concerning recommendations for rescheduling or canceling the surgical procedureCommunicates with referring or primary care provider regarding patient care and treatmentPrescribes appropriate pharmacologic and non-pharmacologic modalities to accomplish the plan of treatmentProvides patient education to patients and their families about the planned procedure, the experience of both outpatient or home-based convalescence and recovery, and provides counseling on clinical protocols such as enhanced recovery paradigms and narcotic-sparing multimodal analgesiaMaintains patient confidentiality.Responds to medical emergencies, including use of CPRAdheres to infection control/safety guidelines (OSHA)Compliance with patient confidentiality (HIPAA) and Red Flag RulesOther duties as assignedQualificationsCooperative work attitude toward co-employees, management, patients, visitors, anesthesiologists, and physiciansAbility to promote favorable facility image with physicians, patients, hospitals, other physician offices, and general publicAbility to make decisions and solve problemsWork effectively as team member with physicians and other staffAppropriately interact with patients, families, and othersAbility to flexibly respond to changing demandsMust have a flexible work schedule with the ability to work early/late as neededRequirementsCurrent Montana NP license (ability to obtain)Current DEA registration and Controlled Substance Registration certificate requiredGraduate of an Accredited Nurse Practitioner SchoolCertification through the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners Certification Board (AANP) requiredAt least one (1) year, and preferably three (3), of internal medicine experience required. Preference will be given to candidates with a history of experience in a perioperative medicine/PAE/PAT/OR or Orthopedic settingCandidate is required to have previous experience in medical and perioperative risk stratification and the ability to develop evidence-based strategies to optimize patient’s condition and minimize the risk of adverse peri-op eventsCurrent BLS certification requiredGood communication skillsGood computer skillsStrong ethical and moral character referencesJob qualityrequirementsAccuracyAttention to detailTimelinessOrganizationLittle supervision needed to accomplish tasksAbility to multi taskAppropriate assessment and assistance techniquesAppropriate use of universal precautions, safe workplace and confidentiality methods.Health information management by appropriately charting patient data.Understanding of patient education needs by effectively sharing information with patients and families.DependabilityAttendancePunctualityAbility to follow instructionsAbility to meet deadlinesPhysical/mental requirementsVaried activities including sitting, standing, walking, stooping, lifting, bending, reachingMust be able to use appropriate body mechanics techniques when making necessary patient transfers and helping patients with walking, dressing, etc. Must be able to lift up to 30 pounds. Requires full range of motion in all extremities, neck and back, manual dexterity, hand-eye coordination.Occasional stress from workload and dealing with tense patientsMust be able to use a variety of office equipment including phone, copy machine, writing instruments, pc, fax and medical equipment including stethoscope, ECG, blood pressure cuff, and cast saw equipment.Working conditions(environmental)Well lit and ventilated, with non-hazardous and hazardous equipmentMedical office, exam room, operating room and hospital in-patient settings. Frequent exposure to communicable diseases and other conditions common to clinic and hospital. Frequent contact with variety of people/patients.Reports toPA/NP SupervisorSupervisesNot applicableContactsPatientsPatients’ family/significant othersPhysicians and physician office personnelAdministrationMedical directorFormal linesof promotionNoneAll positions with Missoula Bone & Joint are to use due care in the use and communication of patients’ protected health information. It is every employee’s principal job function to ensure patient confidentiality and failure to maintain confidentiality may, and will, result in sanction and/or discharge. #J-18808-Ljbffr Priority Dispatch Corp.