RN Nurse Practitioner-PRN- Weekends - Urgent Care 2nd St

DHR Health - US:TX:McAllen - Days - Weekends

Summary:

POSITION SUMMARY:


Primarily responsible to assess, evaluate and treat patients in the Urgent Care Clinic setting, under the supervision and collaboration of a physician, by using advanced knowledge and skill to identify abnormal conditions, diagnose health problems, develop and implement treatment plans, evaluate patient outcomes, and collaborate with or refer to a physician in the medical practice for further care management.


POSITION EDUCATION/ QUALIFICATIONS :
• Graduate of an accredited school for professional nursing with BSN degree required, MSN preferred. Successful completion of practitioner program. National certification required
• Registered Nurse (RN) Texas license and Nurse Practitioner license.
• Minimum Two (2) years' experience as nurse practitioner, Urgent Care or Emergency Room preferred.
• BLS Certification.
• Advanced Cardiac Life Support Certification
• Pediatric Advanced Life Support
• Excellent customer service skills.
• Computer skills required with knowledge of Microsoft Office suite.
• Good written and verbal communication skills required.
• Bilingual - English/Spanish.


JOB KNOWLEDGE/EXPERIENCE :
• Minimum of two (2) years experience in a healthcare setting as a Nurse Practitioner required
• Experience in a supervisory position is strongly preferred.
• Requires reasoning ability and good independent judgment.
• Excellent interpersonal skills and must be able to be sensitive to cultural and bilingual issues.
• Organizational skills are necessary
• Good written and verbal communication skills required
• Requires working with frequent interruptions. Must project a professional image.


Responsibilities:

POSITION RESPONSIBILITES:
• Primarily responsible to assess, evaluate, and treat patients in the Urgent Care Clinic setting, under the supervision of a physician. Applying advanced knowledge and skill to identify abnormal conditions, diagnose health problems, develop and implement treatment plans, evaluate patient outcomes, and collaborate with or refer to a physician for further care management.
• Performs complete, accurate history and physical assessment/examination as appropriate for patient setting/type of visit and closes notes on a daily basis for all patients. To include but not limited to: injections, vaccinations, physicals, assessment with prioritization of patient care based on assessment, wound care, and splinting.
• Orders, performs and interprets diagnostic tests and accurately, communicates results to patient and/or parent(s), completes all documentation, adhering to compliance standards for documentation, coding/billing and collaborative supervision. Reports abnormal findings to supervising physician.
• Prescribes appropriate treatment, pharmacological agents and/or other non-pharmacological interventions. Completes simple and complex procedures independently. Reports adverse patient responses to collaborative/supervising physician.
• Provides direct patient and family education regarding patient medical condition/disease process, treatment methodologies, outcomes management, wellness and prognosis.
• Determines the effectiveness of patient care plans, treatment and interventions through reassessment and modifies as necessary to achieve patient health status goals. Reports significant plan changes to supervising physician.
• Responsible for communication with physician regarding variations from normal and evaluation of patient outcomes. Collaborates with physician and other members of health care team to provide individualized plan of care. Delegates care within scope of practice.
• Participates in medical record, patient care, quality assurance, process improvement and compliance audits, evaluations and follow-up.
• Actively demonstrates the organization's mission and core values, and conducts oneself at all times in a manner consistent with these values.
• Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information.
• Demonstrates flexibility and responsiveness in handling schedule coverage and service excellence.
• Performs other duties consistent with purpose of job, effective operation of medical practice and access/delivery of care to patients as directed. Other duties as required.


Other information:

LINES OF REPSONSIBILITES :


(Chain-of-command)


1. Office Manager → 2. Administrator → 3. Chief Ambulatory Officer → 4. Physician


CUSTOMER SERVICE:


Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.


AGE SPECIFIC :


Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of 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 requirement relative to his or her age.


AMERICANS WITH DISABILITIES ACT: (ADA) :


A. Essential Duties : Indicated by bold print within performance standards, preceding individual numbered criteria.


The following table provides physical requirements that will be associated with, but not limited to, this position:
• Light/moderate lifting up to 20 lbs, from the floor to shoulder height.
• Yes
• Kneeling
• Yes
• Must be able to assist other employees with lifting more than 20 lbs.
• Yes
• Walking
• Yes
• Light/moderate carrying up to 20 lbs.
• Yes
• Standing/Squatting
• Yes
• Straight pulling
• Yes
• Sitting
• Yes
• Pulling hand over hand
• Yes
• Pushing
• Yes
• Repeated bending
• Yes
• Stooping/Bending
• Yes
• Reaching above shoulder
• Yes
• Climbing Stairs
• Yes
• Simple grasping
• Yes
• Climbing Ladders
• No
• Dual simultaneous grasping
• Yes
• Depth Perceptions needed
• Yes
• Ability to see
• Yes
• Identify Colors
• Yes
• Operating office equipment
• Yes
• Twisting
• Yes
• Operating mechanical equipment
• Yes
• Crawling
• No
• Ability to read and write
• Yes
• Ability to Count
• Yes
• Ability to hear verbal communication without aid
• Yes
• Operating Personal Vehicle
• Yes
• Ability to comprehend written/verbal communication
• Yes
• Other: Ability to deal with stress
• Yes
• OSHA Category
• III
•
•B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.


C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.


D. Aptitudes: HIGH 1 2 3 4 5 6 LOW


Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3


Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3


Numerical: Ability to perform arithmetic operations quickly and accurately. 2


Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2


Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3


Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2


Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3


Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3


Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3


Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3


Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3


I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.


If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.


Employee Signature: ________________________________ Date: ____________________


Transfer/Hire Date Effective: ________________________.