Advanced Practice Professional - Hospitalist - Grant Memorial

Advanced Practice Professional

The Advanced Practice Professional (APP) has coordination and clinical skills required for the comprehensive management of hospitalized patients. The APP coordinates involvement of medical/surgical specialty teams necessary to develop a comprehensive plan for the patient and reviews the plan of care with the other members of the clinical team, participates in directing that care, performs diagnostic/therapeutic procedures, peri-operative services, and coordinates ambulatory management and/or discharge planning/follow-up (as applicable). The APP participates in the education of residents and medical/nursing students.

Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable.

Minimum Qualifications for Nurse Practitioner:

• Graduate of a CCNE accredited nursing program with Master's Degree in Nursing.
• National Certification by one of the recognized APRN Certification Centers.
• Licensure or eligibility for licensure, as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
• American Heart Association BLS Certification required with additional Advanced Life Support training at the discretion of the department.

Experience:

• Acute care or hospitalist experience preferred.
• Eligible new graduates will be considered.

Preferred Qualifications:

• ACNP or AGACNP preferred, but FNPs will be considered.

Minimum Qualifications for Physician Assistant:

• Bachelor's Degree or Master's Degree as a Medical/Surgical (as applicable) Physician Assistant required.
• Graduate of an ARC-PA approved Physician Assistant (PA) training program required.
• Certification by the National Commission for Certification of Physician Assistants required.
• Must be licensed or eligible for licensure by the WV Board of Medicine or WV Board of Osteopathic Medicine.
• American Heart Association BLS Certification required with additional Advanced Life Support training at the discretion of the department.

Experience:

• Acute care or hospitalist experience preferred.
• Eligible new graduates will be considered.

Preferred Qualifications:

• Masters level education as Medical/Surgical (as applicable) Physician Assistant preferred.

Core Duties and Responsibilities:

• Manages comprehensive and individualized care for hospitalized patients and their families in the inpatient phase of hospitalization and planning disposition for immediate post discharge in the ambulatory setting.
• Completes daily rounds; consults and/or pre-procedure/evaluations.
• Completes integrated assessments.
• With the collaboration of hospitalist faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults as deemed appropriate.
• Performs and communicates results of diagnostic tests following established clinical guidelines and scope of practice.
• Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients.
• Performs succinct comprehensive clinical evaluations and documents findings in medical record.
• Facilitates patient discharge by coordinating appropriate services and tests prior to discharge necessary for outpatient follow-up appointments in the clinic (as applicable).
• Develops a comprehensive individualized plan of care for hospitalized patients which includes teaching, discharge planning (as applicable) and necessary referral to other members of the health care team as necessary.
• Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification.
• Identifies unstable or complex hospitalized patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting.
• Recognizes emergency situations and initiates effective emergency care.
• Evaluates general medicine patients and serves as a coordinator for follow up, procedures and tests in the ambulatory setting (as applicable).
• Assists in the collection of outcome measures (as applicable).
• Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.
• Demonstrates the ability to utilize equipment in a safe manner.
• Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.
• Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community.
• Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities and readiness to learn.
• Updates own knowledge base throughout the year.
• Completes all identified clinical competencies.
• Serves as a resource person for staff caring for the hospitalized patient.
• Provides educational programs to professional and paraprofessional personnel in area of expertise.
• Participates in community programs, distribution of literature, as appropriate in area of expertise.
• Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient's medical record following approved hospital/WVUM policies and compliance standards for documentation.
• Collaborates with other leaders and staff to effectively achieve patient outcome based improvements in care.
• Provides leadership in the development and implantation of changes in the cardiology practice that positively impact patient outcomes.
• Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support.
• Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.
• Promotes and practices innovation of the expanded role in the delivery of care to inpatients and families throughout the inpatient hospitalization, and the ambulatory setting.
• Participates and provides leadership for committees and task forces.
• Documents hours and submits billing reports, as appropriate.
• Reviews and interprets cardiology data from sources such as patient registries, clinical and financial reports, length of stay, access to care, and cost per case reports and recommends/implements changes as necessary.
• Participates in clinical trials and research studies with the Principal Investigator.
• Assists Hospitalist Faculty, Administrators and Directors in the collection of outcome measures.
• Other duties/projects as assigned.

Physical Requirements:

• Heavy/Hard Work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, positioning of patients, standing, walking, and carrying of patients, materials and equipment weighting 40+ pounds.

Working Environment:

• Working closely with others.
• Protracted or irregular hours.
• Working around biohazards.
• Working around infectious diseases.
• Working with or near the deceased.
• Working with hands in water.
• Electrical hazards associated with patient care equipment.

Skills and Abilities:

• Proficiency with computers.
• Strong communication skills.