Nurse Practitioner, Hospitalist
Highland Hospital of Rochester
Advanced Practice Provider (APP) Hospitalist Statement of Purpose:
The APP Hospitalist is responsible for admitting and managing adult patients requiring inpatient medical care. This role ensures continuity of care by obtaining detailed sign-outs from the overnight team, addressing follow-up medical concerns, and collaborating with the attending physician to develop and execute treatment plans. Major Responsibilities:
The APP Hospitalist is responsible for admitting and managing adult patients requiring inpatient medical care. This role ensures continuity of care by obtaining detailed sign-outs from the overnight team, addressing follow-up medical concerns, and collaborating with the attending physician to develop and execute treatment plans. Major Responsibilities:
- Patient Interaction & Communication
- Introduces self to patients and their families, explaining the APP role and responsibilities before performing assessments or procedures.
- Communicates pertinent patient medical issues to the covering attending physician to ensure the development of an effective treatment plan.
- Patient Care & Clinical Duties
- Provides care to patients across the adolescent to geriatric age range.
- Remains in the hospital and is available to respond to calls promptly during the assigned shift.
- Admits patients to the inpatient medicine service from the Emergency Room, ICU, or direct admission pathways.
- Obtains a detailed medical history, performs comprehensive physical examinations, and orders appropriate diagnostic tests.
- Completes all medical record documentation, including assessments and treatment plans, in accordance with hospital policies.
- Cross-covers medical issues as they arise, performing necessary evaluations and executing appropriate care plans in collaboration with the covering physician.
- Participates in emergency response situations, including Code Blue, and maintains current CPR certification.
- Orders & Documentation
- Writes and executes medical orders, including but not limited to:
- Medications, intravenous therapy, clinical investigations, laboratory tests, imaging studies (X-ray, MRI, CT), cardiac studies, fluid management, diet orders, and other necessary interventions.
- Completes admission documentation per hospital policy, ensuring all pertinent patient information is recorded and communicated with the attending physician.
- Facilitates patient flow by completing discharge summaries and required paperwork for the attending physician.
- Assists in obtaining and documenting advance directives, code status, and initiating Do Not Resuscitate (DNR) orders when appropriate, in conjunction with the attending physician.
- Writes and executes medical orders, including but not limited to:
- Procedural Competency & Compliance
- Performs approved procedures such as:
- Nasogastric tube insertion, Dobhoff tube placement with guidewire, urinary catheterization, arterial blood gas (ABG) sampling, phlebotomy, and other procedures as credentialed.
- Obtains patient consent for procedures performed by the APP in accordance with hospital policies.
- Procedure privileges are granted based on documented training and competency verification by a supervising physician or designated credentialed provider.
- Ensures compliance with New York State Department of Health (NYS DOH) Rules and Regulations under Section 405.19 by being available to the Emergency Department within 30 minutes.
- Performs approved procedures such as:
- Interdisciplinary Collaboration & Quality Improvement
- Actively participates in morning huddles with the interdisciplinary care team to review patient updates and coordinate care.
- Engages in hospital quality assurance (QA) activities as assigned by the Chief Medical Officer.
- Maintains continuous professional development by completing required Continuing Medical Education (CME) credits to ensure competency.
- Adheres to Jones Memorial Hospital's philosophy of Continuous Quality Improvement and upholds employee standards.
- Maintains current New York State (NYS) license and NCCPA certification (if applicable).
- Current and unrestricted New York State license as a Nurse Practitioner (NP) or Physician Assistant (PA).
- Board certification through an accredited body (e.g., NCCPA for PAs or ANCC/AANP for NPs).
- BLS and ACLS certification required.
- Experience in hospital-based medicine preferred.
Vacancy posted 4 days ago
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