Allergy/Immunology Physician
Jefferson Health
The advanced practice provider (Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP provides comprehensive care on t he Observation service which is an extension of the Emergency Department Job/Practice Description
- Busy Academic Medical Center
- Patient population- adults on the service treated for a variety of conditions with an estimated 24 hour stay.
- Specific duties include admissions, rounding, responding to changes in clinical condition of patients, coordination with consultants, organizing discharges.
- Nights only, 12 hour shifts, 7p-7a
- Call, holidays
- Nurse Practitioner/ Physician Assistant
- Certification required (ACLS, state license, DEA License) NPs must carry an Acute Care Certification
- Performs complete history & physicals and documents in the medical record.
- Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
- The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
- Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
- Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
- Manages diagnostic tests through ordering, interpretation, performance, and supervision.
- Formulates differential diagnoses by priority.
- Diagnoses complications and orders appropriate interventions
- Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
- Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
- Implements and modifies plan of care.
- Prescribes diagnostic strategies and therapeutic interventions.
- May perform advanced procedures consistent with privileges and competency validation.
- Maintains ongoing communication and collaboration with interdisciplinary health care team.
- Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
- Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)
- Documentation is timely, meets acute care compliance standards and captures patient acuity.
- Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.
- Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
- Actively participates in Advance Practice Grand Rounds and specialty specific meetings.
- Maintains CEUs, and membership in a professional organization.
Vacancy posted 3 hours ago
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