Nurse Practitioner ARNP

Advanced Registered Nurse Practitioner (ARNP)

The Advanced Registered Nurse Practitioner is responsible for practicing culturally competent primary care in a team-based environment that recognizes the physical, mental, emotional, and spiritual aspects of health and wellbeing. The Advanced Registered Nurse Practitioner is responsible and accountable for the comprehensive assessment of clinic patients including diagnosing diseases, disorders, and conditions. The Advanced Registered Nurse Practitioner initiates treatment including health care management, therapeutic interventions, and prescribes medications in accordance with the regulatory standards, limits, conditions, and applicable employer policies and procedures. The Advanced Registered Nurse Practitioner provides professional guidance to other health professionals and practices autonomously and interdependently within the context of an interdisciplinary healthcare team, making referrals to specialist providers and others as appropriate.

This position collaborates with patients, and other health professionals to identify and assess trends and patterns that have health implications for patients, families, and communities; develops and implements population and evidence-based strategies to improve health, and participates in Nooksack Medical Clinic activities that influence health service and practices. The position participates in peer review and self-review to evaluate the outcome of services at patient, community, and population level.

Major tasks and responsibilities include:

1. Diagnoses and treats previously undiagnosed patients for undifferentiated diseases, disorders, and conditions within the Nurse Practitioner's scope of practice; writes orders for treatment and medications; assess the need for emergency care.
2. Monitors ongoing care, orders appropriate screening diagnostic investigations; interprets reports of investigations and analyzes information to monitor progress and plan treatment.
3. Establishes priorities for management of health, diseases, disorders, and conditions; provides follow-up treatment; communicates with patients and families about health findings, diagnoses and priorities, outcomes and prognoses; supports and counsels patients in their responses to diseases, disorders and conditions.
4. Collaborates and consults with physicians or other health care and social service providers as appropriate to assess and diagnose patient status. Develops and implements treatment plans.
5. Prescribes drugs within the statutory and regulatory standards, limits, and conditions for Nurse Practitioners and within applicable employer policies and procedures.
6. Participates in research contributing to improved patient care and advances in nursing, health policy development and population health.
7. Maintains population health focus by implementing screening and health promotion activities.
8. Participates in interdisciplinary staff and nursing education through case presentations, mentoring, role modeling and facilitating the exchange of knowledge in the clinical setting and the community; fosters health care partnership.
9. Must continuously maintain a courteous and professional rapport with the clients and staff of the Nooksack Indian Tribal Community.
10. Must be respectful and sensitive to the values and culture of the Nooksack Indian Tribal Community.
11. Must become familiar with the Nooksack Indian Tribal Community Health Departments and available resources available for patients, clients and their families

Preference: Indian Preference Policy applies to this and all positions with the Nooksack Indian Tribe.

Skills and abilities include:

1. Ability to communicate and collaborate with patients and families about health findings, diagnosis, treatment, self-care and prognosis.
2. Ability to collaborate, consult with and formally refer patients to physicians and other health professionals when appropriate.
3. Ability to critically assess and evaluate health research literature to determine best practices ability to introduce education and evidence-based research.
4. Ability to assess and recognize population health trends ability to plan and implement strategies for population-based prevention and health promotion.
5. Ability to implement and evaluate planned change.
6. Ability to lead a team and work within a team.
7. Ability to self-direct, interact, and adapt effectively with other professionals in complex, dynamic situations.
8. Ability to transfer knowledge, teach, coach and mentor others.
9. Ability to identify and respond appropriately to legal and ethical issues that may arise in patient care.
10. Ability to self-assess performance an assume responsibility and accountability for own professional development, educational or consultative assistance when appropriate.
11. Physical ability to carry out the duties of the position.

Other duties may include a wide range of office and field duties as required by the Tribe's commitment to community service and the well-being of its members.

Minimum qualifications required for the position include:

• Graduate of a nationally accredited ARNP Program.
• Certification with from a nationally accredited certifying body: AANP or ANCC.
• Minimum of 2 years' experience as an RN or higher in a Tribal Clinic setting or Primary care.

Required conditions of employment include:

• Must pass alcohol/drug test at time of hire and throughout employment.
• Must pass criminal background check at time of hire and periodically thereafter.
• Must adhere to Federal Privacy Act and comply with the Federal HIPPA regulations.

Required licenses or certifications include:

• Unrestricted WA State ARNP license
• Valid DEA License
• Maintain current ACLS and PALS certification
• Must have and maintain a valid WA state driver's license and meet the insurability requirements of the Tribe.

Physical requirements include:

• Occasional standing/walking while performing office duties: walking short distances performed throughout shift on tile, carpet or concrete.
• Frequent/constant sitting: on adjustable chair at desk or assigned work area. May stand as desired.
• Ability to occasionally lift 1-20 lbs.: files, paperwork, supplies. Seldom required to lift up to 35 lbs.
• Occasional push/pull using both arms/hands with required force of 5-20 lbs. to open doors/file drawers and filing document.
• Seldom required to climb: stairs at some locations.
• Frequently required to bend at waist/knees/neck to and from seated position while working at desk, filing and records handling.
• Constant use of both hands/fingers and arms to reach/handle or grasp while keyboarding, using phone, calculator, copier, and other office equipment; writing instructions, filing and performing other administrative duties. Job requirements include forward and over shoulder reaching on a frequent basis.
• Keyboarding – frequently for short intervals throughout work shift depending on specific work requirements.
• Ability to use computers, reading fine print, interacting with the public and co-workers; visual requirements include hand/eye coordination and visual acuity in near/mid ranges.
• Ability to constantly answer phones, communicate with clients, patients and, co-workers while giving and receiving instructions.
• Work is performed indoors in a climate-controlled office environment.

I have read and understand the position requirements as stated above I further, understand that occasionally I may be instructed to perform duties that are not listed above but are relative to my position.