FP Nurse Practitioners

***This role is dedicated to supporting the Emergency Department (ED ). ***

• The NP shall be capable of performing a full range of general medical services to include the ability and experience to adequately diagnose and treat urgent/acute disease and injuries including but not limited to:
  • Skin, Head, Eyes, Ears, Nose, Nose/Throat, Neck, Cardiovascular System, Gastrointestinal System, Lymphatic System, Musculoskeletal System, Genitourinary System, Reproductive System, Psychiatric Disease, Central Nervous System, Endocrine System, and Peripheral Nervous System.
• Provide a full range of emergency services or crisis intervention in the absence of the physician, including lifesaving emergency procedures to stabilize a patient within the scope of practice and approved protocols.
• Examine all eligible company healthcare system beneficiaries for emergency medical care to render a medical assessment of their condition and take appropriate action.
• Provide immediate evaluation and management of emergency patients as they present themselves for care, seeing no less than an average of two patients per hour.
• Provide emergency medical care to both inpatients, if part of code team response, and outpatients, summon appropriate on-call specialists as necessary, and continue medical management until the arrival of the appropriate specialist.
• Respond to "Code Blue" (cardiac or respiratory arrest) medical emergency alerts within the hospital and provide resuscitation treatment until more specialized treatment arrives. Should resuscitation efforts be unsuccessful, the physician on duty shall pronounce the patient dead, complete necessary records, and notify the next-of-kin, if the next-of-kin is physically present.
• Patients presenting themselves with non-acute conditions will be reassured and treated in priority as established by medical triage.
• Provide emergency care to patients in the holding area when necessary.
• Prepare appropriate narrative summaries and patient profile changes. Document history, physical examinations, and preoperative diagnosis. Maintain documentation of treatment IAW established procedures.
• Use facility electronic medical records as directed.
• If staffing permits, accompany emergency room technicians on ambulance runs when indicated by the nature of the emergency. This includes initial response for disaster-type situations. Remain on the scene until relieved by a staff physician.
• Perform emergency room procedures compatible with the medical facility's operating capacity and equipment. Respond to mass casualty situations per hospital procedures.
• As workload permits during scheduled duty, attend quarterly staff meetings as required.
• Become familiar with the hospital formulary. Prescribe pharmaceuticals according to the availability of drugs listed therein.
• Remain in the emergency room or immediately available to the emergency room throughout the tour of duty, except in response to emergencies and/or disaster ambulance runs. Remain on a tour of duty until appropriate replacement is on site.
• Maintain medical records IAW AR 40-66, Medical Record Administration. And correct any deficiencies within 48 hours of their next scheduled shift.
• Use an electronic medical record system for keeping records, ordering of ancillary procedures, ordering of medications, writing doctor's orders, and performing other required patient record functions.
• Utilize standardized, templated patient encounter sheets as supplements to the SF 558, to facilitate documentation of patient care.
• Verify the content and correctness of all prepared and transcribed reports by affixing his/her own signature and stamp to all copies of the document and validating its contents.
• Document appropriate history, physical examination, required laboratory and x-ray examinations, and preliminary diagnosis (as appropriate) prior to healthcare treatment.

• Have a minimum of one year of experience within the last two years routinely practicing as a nurse practitioner in rendering emergency medicine.
• Must be a US Citizen.
• Must have and maintain a current, active, valid, unrestricted state license to practice medicine in one of the 50 states in the United States, or the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the US Virgin Islands as required to obtain or renew a DEA registration number under the then effective DEA rules. The license must correspond to the DEA registration number.
• Current National Commission on Certification of Physician Assistants (NCCPA) certification, American Nurses Credentialing Center (ANCC) certification, or American Academy of Nurse Practitioners (AANP) certification.
• Have and maintain current Basic Cardiac Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) certifications by way of an American Heart Association-approved training program.
• Advanced Trauma Life Support (ATLS) is preferred, but not required.
• Shall be able to read, write, and speak English fluently to be able to communicate effectively with patients and other healthcare providers.
• Shall be required to meet Continuing Medical Education (CME) requirements.
• Must complete and maintain the Occupational Safety and Health Administration (OSHA).
• Shall be able to work well with department and external employee staff.
• Shall possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that they can relate constructively to a variety of patients from diverse backgrounds.

• Current privileges at US Military Hospital (Veterans, Navy, Air Force base)