Nurse Practitioner AHF

Major Responsibilities:

Patient






Assessments

• 
  
  
  
  
  Provides
  
  
  
  
  
  
  diagnosis
  
  
  
  
  
  
  and
  
  
  
  
  
  
  treatment
  
  
  
  
  
  
  for
  
  
  
  
  
  
  common
  
  
  
  
  
  
  acute
  
  
  
  
  
  
  illnesses,
  
  
  
  
  
  
  prevention
  
  
  
  
  
  
  and
  
  
  
  
  
  
  maintenance
  
  
  
  
  
  
  care
  
  
  
  
  
  
  to
  
  
  
  
  
  
  patients
  
  
  
  
  
  
  with
  
  
  
  
  
  
  stable
  
  
  
  
  
  
  chronic
  
  
  
  
  
  
  illnesses and performs interim physical
  
  
  
  
  
  
  exams for healthy
  
  
  
  
  
  
  patients within nurse
  
  
  
  
  
  
  protocol.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Nurse
  
  
  
  
  
  
  Protocol
  
  
  
  
  
  
  means
  
  
  
  
  
  
  a
  
  
  
  
  
  
  written
  
  
  
  
  
  
  document
  
  
  
  
  
  
  mutually
  
  
  
  
  
  
  agreed
  
  
  
  
  
  
  upon
  
  
  
  
  
  
  and
  
  
  
  
  
  
  signed
  
  
  
  
  
  
  by
  
  
  
  
  
  
  a
  
  
  
  
  
  
  nurse
  
  
  
  
  
  
  and
  
  
  
  
  
  
  Licensed
  
  
  
  
  
  
  MD
  
  
  
  
  
  
  where
  
  
  
  
  
  
  the
  
  
  
  
  
  
  physician delegates to
  
  
  
  
  
  
  the
  
  
  
  
  
  
  nurse
  
  
  
  
  
  
  the
  
  
  
  
  
  
  authority to
  
  
  
  
  
  
  perform certain medical
  
  
  
  
  
  
  acts
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Separates
  
  
  
  
  
  
  patients
  
  
  
  
  
  
  with
  
  
  
  
  
  
  suspected
  
  
  
  
  
  
  infectious
  
  
  
  
  
  
  diseases
  
  
  
  
  
  
  such
  
  
  
  
  
  
  as
  
  
  
  
  
  
  tuberculosis
  
  
  
  
  
  
  and
  
  
  
  
  
  
  varicella-zoster
  
  
  
  
  
  
  from
  
  
  
  
  
  
  well
  
  
  
  
  
  
  patients
  
  
  
  
  
  
  by
  
  
  
  
  
  
  immediately
  
  
  
  
  
  
  placing them
  
  
  
  
  
  
  in
  
  
  
  
  
  
  exam
  
  
  
  
  
  
  room
  
  
  
  
  
  
  utilizing
  
  
  
  
  
  
  personal
  
  
  
  
  
  
  protective
  
  
  
  
  
  
  equipment
  
  
  
  
  
  
  and
  
  
  
  
  
  
  confidentially
  
  
  
  
  
  
  communicating
  
  
  
  
  
  
  the
  
  
  
  
  
  
  condition
  
  
  
  
  
  
  to
  
  
  
  
  
  
  other
  
  
  
  
  
  
  clinical
  
  
  
  
  
  
  staff.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Elicits
  
  
  
  
  appropriate
  
  
  
  
  
  
  present
  
  
  
  
  and past medical
  
  
  
  
  
  
  history
  
  
  
  
  
  
  and review
  
  
  
  
  
  
  of symptoms.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Performs
  
  
  
  
  
  
  appropriate
  
  
  
  
  
  
  physical
  
  
  
  
  
  
  examination
  
  
  
  
  
  
  and
  
  
  
  
  
  
  orders
  
  
  
  
  
  
  appropriate
  
  
  
  
  
  
  diagnostic
  
  
  
  
  
  
  studies.
  
  
  
  
  
  
  
  
  
  
  Discriminates between normal
  
  
  
  
  
  
  and abnormal
  
  
  
  
  
  
  findings in history
  
  
  
  
  
  
  and physical.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Establishes
  
  
  
  
  
  
  the
  
  
  
  
  appropriate differential
  
  
  
  
  diagnosis.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Assesses
  
  
  
  
  
  
  the
  
  
  
  
  
  
  stability
  
  
  
  
  
  
  of
  
  
  
  
  
  
  chronic
  
  
  
  
  
  
  illness
  
  
  
  
  
  
  and
  
  
  
  
  
  
  compliance
  
  
  
  
  
  
  with
  
  
  
  
  
  
  present
  
  
  
  
  
  
  therapy;
  
  
  
  
  
  
  monitors
  
  
  
  
  
  
  complication
  
  
  
  
  
  
  of
  
  
  
  
  
  
  disease
  
  
  
  
  
  
  or
  
  
  
  
  
  
  therapy.
  
  
  
  
  
  
  
  
  
  
  Establishes
  
  
  
  
  
  
  appropriate
  
  
  
  
  
  
  treatment
  
  
  
  
  plan
  
  
  
  
  
  
  and assesses
  
  
  
  
  
  
  need for
  
  
  
  
  
  
  hospitalization
  
  
  
  
  
  
  or
  
  
  
  
  
  
  physician
  
  
  
  
  
  
  intervention.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Determines
  
  
  
  
  timing for follow
  
  
  
  
  
  
  up and orders
  
  
  
  
  appropriate
  
  
  
  
  
  
  referrals
  
  
  
  
  .
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Counsels
  
  
  
  
  regarding
  
  
  
  
  health promotion and disease
  
  
  
  
  
  
  prevention and provides
  
  
  
  
  anticipated
  
  
  
  
  guidance
  
  
  
  
  
  
  as
  
  
  
  
  appropriate
  
  
  
  
  .
  
  
  
  
  
  
  
  

Provides






Health






Education






to






Patients

• 
  
  
  
  
  Educates
  
  
  
  
  
  
  patient
  
  
  
  
  
  
  on
  
  
  
  
  
  
  ways
  
  
  
  
  
  
  to
  
  
  
  
  
  
  improve,
  
  
  
  
  
  
  promote
  
  
  
  
  
  
  and
  
  
  
  
  
  
  maintain
  
  
  
  
  
  
  health
  
  
  
  
  
  
  status
  
  
  
  
  
  
  including
  
  
  
  
  
  
  providing
  
  
  
  
  
  
  educational
  
  
  
  
  
  
  information
  
  
  
  
  
  
  on
  
  
  
  
  
  
  disease,
  
  
  
  
  
  
  self- care
  
  
  
  
  practices
  
  
  
  
  and positive lifestyle choices.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Assesses
  
  
  
  
  
  
  learning
  
  
  
  
  
  
  readiness
  
  
  
  
  
  
  and
  
  
  
  
  
  
  capabilities
  
  
  
  
  
  
  of
  
  
  
  
  
  
  population
  
  
  
  
  
  
  or
  
  
  
  
  
  
  individuals;
  
  
  
  
  
  
  tailors
  
  
  
  
  
  
  education
  
  
  
  
  
  
  to
  
  
  
  
  
  
  meet
  
  
  
  
  
  
  age,
  
  
  
  
  
  
  developmental
  
  
  
  
  
  
  and
  
  
  
  
  
  
  educational
  
  
  
  needs.
  
  
  
  
  

• 
  
  
  
  
  Prioritizes learning needs and documents them accordingly.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Ensures that
  
  
  
  
  time
  
  
  
  
  
  
  frame
  
  
  
  
  
  
  and subject matter is
  
  
  
  
  appropriate
  
  
  
  
  
  
  for
  
  
  
  
  target audience/individual.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Utilizes
  
  
  
  
  
  
  appropriate
  
  
  
  
  
  
  teaching
  
  
  
  
  
  
  materials
  
  
  
  
  
  
  (handouts,
  
  
  
  
  
  
  demonstration
  
  
  
  
  
  
  and
  
  
  
  
  
  
  audiovisuals)
  
  
  
  
  
  
  and
  
  
  
  
  
  
  document
  
  
  
  
  
  
  use;
  
  
  
  
  
  
  documents
  
  
  
  
  
  
  patient
  
  
  
  
  
  
  learning
  
  
  
  
  outcomes.
  
  
  
  
  

• 
  
  
  
  
  Initiates, designs and
  
  
  
  
  
  
  completes educational
  
  
  
  
  
  
  programs for patients, target
  
  
  
  
  
  
  audiences
  
  
  
  
  and
  
  
  
  
  
  
  families.
  
  
  
  
  
  
  

Documentation

• 
  Maintains accurate records, medication lists and documentation of care follow up for administrative purposes and reimbursement of services.
  
  

• 
  
  
  
  
  
  
  Adheres
  
  
  
  
  
  
  to policy and
  
  
  
  
  
  
  procedure for
  
  
  
  
  
  
  documentation
  
  
  
  
  
  
  of records.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  
  
  Maintains
  
  
  
  
  
  
  appropriate level
  
  
  
  
  of documentation
  
  
  
  
  
  
  to promote/support
  
  
  
  
  
  
  level of complexity when
  
  
  
  
  
  
  compared
  
  
  
  
  
  
  against/to service fee charges.
  
  
  
  
  
  
  

• 
  
  
  
  
  Reviews
  
  
  
  
  
  
  and
  
  
  
  
  
  
  updates
  
  
  
  
  
  
  problem
  
  
  
  
  
  
  list
  
  
  
  
  
  
  at
  
  
  
  
  
  
  least
  
  
  
  
  
  
  on
  
  
  
  
  
  
  annual
  
  
  
  
  
  
  visit/episodic
  
  
  
  
  
  
  visit
  
  
  
  
  
  
  by
  
  
  
  
  
  
  patient
  
  
  
  
  
  
  and
  
  
  
  
  
  
  initiates
  
  
  
  
  
  
  problem
  
  
  
  
  
  
  and
  
  
  
  
  
  
  medication
  
  
  
  
  
  
  list
  
  
  
  
  
  
  on
  
  
  
  
  
  
  new
  
  
  
  
  patients.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Documents phone
  
  
  
  
  
  
  calls with patients and specialists.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Documents visit
  
  
  
  
  
  
  in concise, clear,
  
  
  
  
  logical
  
  
  
  
  
  
  and legible manner.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Accepts after hour calls and handles after hours
  
  
  
  
  problem
  
  
  
  
  (on a
  
  
  
  
  
  
  rotating schedule).
  
  
  
  
  
  
  
  

Maintains






Competence






in






Clinical






Practice

• 
  
  
  
  
  Identifies
  
  
  
  
  knowledge
  
  
  
  
  
  
  and skills needed through self-assessment and peer review.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Participates
  
  
  
  
  
  
  in
  
  
  
  
  
  
  a variety of
  
  
  
  
  education
  
  
  
  
  
  
  activities
  
  
  
  
  
  
  to
  
  
  
  
  
  
  maintain
  
  
  
  
  
  
  and
  
  
  
  
  
  
  increase competency.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Utilizes
  
  
  
  
  
  
  continuing
  
  
  
  
  
  
  education
  
  
  
  
  
  
  as
  
  
  
  
  
  
  a
  
  
  
  
  
  
  basis
  
  
  
  
  
  
  for
  
  
  
  
  
  
  expanding
  
  
  
  
  
  
  medical
  
  
  
  
  
  
  knowledge
  
  
  
  
  
  
  and
  
  
  
  
  
  
  improving
  
  
  
  
  
  
  clinical
  
  
  
  
  
  
  skill
  
  
  
  
  
  
  and
  
  
  
  
  
  
  incorporates
  
  
  
  
  
  
  these
  
  
  
  
  
  
  into
  
  
  
  
  
  
  daily
  
  
  
  
  practice.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Participates
  
  
  
  
  
  
  in
  
  
  
  
  
  
  and
  
  
  
  
  
  
  completes
  
  
  
  
  
  
  annual
  
  
  
  
  
  
  educational
  
  
  
  
  
  
  requirements
  
  
  
  
  
  
  for
  
  
  
  
  
  
  Floyd
  
  
  
  
  
  
  Medical
  
  
  
  
  
  
  Center
  
  
  
  
  
  
  and/or
  
  
  
  
  
  
  the
  
  
  
  
  
  
  Primary
  
  
  
  
  
  
  Care
  
  
  
  
  
  
  Network.
  
  
  
  
  
  
  
  
  
  
  Approved to
  
  
  
  
  
  
  order and administer flu vaccines for off-site
  
  
  
  
  
  
  locations.
  
  
  
  
  
  
  
  

Management






Responsibilities

• 
  
  
  
  
  Supervises
  
  
  
  
  
  
  and
  
  
  
  
  
  
  intervenes
  
  
  
  
  
  
  with
  
  
  
  
  
  
  clinical
  
  
  
  
  
  
  issues
  
  
  
  
  
  
  and
  
  
  
  
  
  
  supports/directs
  
  
  
  
  
  
  triage
  
  
  
  
  
  
  by
  
  
  
  
  
  
  clinical
  
  
  
  
  
  
  staff
  
  
  
  
  
  
  when
  
  
  
  
  
  
  necessary.
  
  
  
  
  
  
  
  
  
  
  Implements clinical
  
  
  
  
  
  
  education and training of
  
  
  
  
  
  
  clinical
  
  
  
  
  
  
  staff
  
  
  
  
  
  
  when necessary.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Provides
  
  
  
  
  
  
  constructive
  
  
  
  
  
  
  feedback
  
  
  
  
  
  
  as
  
  
  
  
  
  
  it
  
  
  
  
  
  
  relates
  
  
  
  
  
  
  to
  
  
  
  
  
  
  performance,
  
  
  
  
  
  
  patient
  
  
  
  
  
  
  flow
  
  
  
  
  
  
  and
  
  
  
  
  
  
  patient
  
  
  
  
  
  
  issues.
  
  
  
  
  
  
  
  
  
  
  Provides
  
  
  
  
  
  
  in
  
  
  
  
  
  
  services
  
  
  
  
  
  
  and clinical
  
  
  
  
  
  
  education
  
  
  
  
  
  
  for
  
  
  
  
  
  
  staff
  
  
  
  
  
  
  members
  
  
  
  
  
  
  on
  
  
  
  
  
  
  as
  
  
  
  
  
  
  needed
  
  
  
  
  basis.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Available for feedback on call
  
  
  
  
  
  
  back and
  
  
  
  
  
  
  triage issues as needed.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Identifies
  
  
  
  
  
  
  barriers
  
  
  
  
  
  
  to
  
  
  
  
  
  
  patient
  
  
  
  
  
  
  care
  
  
  
  
  
  
  flow/delivery
  
  
  
  
  
  
  and
  
  
  
  
  
  
  assists
  
  
  
  
  
  
  with
  
  
  
  
  
  
  implementing
  
  
  
  
  
  
  corrective
  
  
  
  
  
  
  action.
  
  
  
  
  
  
  
  
  
  
  Serves as role
  
  
  
  
  
  
  model
  
  
  
  
  
  
  for patient interaction.
  
  
  
  
  
  
  
  

• 
  
  
  
  
  
  
  Works
  
  
  
  
  
  
  collaboratively with
  
  
  
  
  
  
  health
  
  
  
  
  
  
  care team
  
  
  
  
  
  
  members
  
  
  
  
  
  
  to ensure continuity of care and
  
  
  
  
  
  
  complete delivery of prescribed
  
  
  
  
  
  
  care.
  
  
  
  
  
  
  
  

Drug






Protocols

• 
  
  
  
  
  Adheres
  
  
  
  
  
  
  to
  
  
  
  
  
  
  the
  
  
  
  
  
  
  drug
  
  
  
  
  
  
  protocols
  
  
  
  
  
  
  which
  
  
  
  
  
  
  are
  
  
  
  
  
  
  reviewed
  
  
  
  
  
  
  annually,
  
  
  
  
  
  
  developed
  
  
  
  
  
  
  by
  
  
  
  
  
  
  the
  
  
  
  
  
  
  supervising
  
  
  
  
  
  
  physician
  
  
  
  
  
  
  in
  
  
  
  
  
  
  collaboration
  
  
  
  
  
  
  with
  
  
  
  
  
  
  the
  
  
  
  
  
  
  NP.
  
  
  
  
  
  
  
  
  
  
  
  
  Prescribes within the
  
  
  
  
  
  
  practice
  
  
  
  
  
  
  agreement agreed on by
  
  
  
  
  
  
  the
  
  
  
  
  
  
  delegating physician 100% of
  
  
  
  
  
  
  the
  
  
  
  
  
  
  time
  
  
  
  
  
  
  
  

• 
  
  
  
  
  Ensures
  
  
  
  
  
  
  updated and
  
  
  
  
  accurate
  
  
  
  
  
  
  practice
  
  
  
  
  
  
  agreement each
  
  
  
  
  
  
  year
  
  
  
  
  
  
  as
  
  
  
  
  
  
  set forth
  
  
  
  
  
  
  in
  
  
  
  
  
  
  state
  
  
  
  
  
  
  statutes
  
  
  
  
  
  
  for
  
  
  
  
  
  
  prescribing authority
  
  
  
  
  

Quality






Care

• 
  
  
  
  
  Demonstrates
  
  
  
  
  
  
  regard
  
  
  
  
  for
  
  <>