Hospital-Based Nurse Practitioner Orthopedic & Spine Services

Advanced Nurse Practice Opportunity

Organization: SMCS-Sutter Med Center - Sacramento

Position Overview:

Assesses, diagnoses, plans and implements the medical care of patients in collaboration with a physician. Functions within the full scope of licensure; accountable for the assessment, coordination delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care. Delivers holistic and individualized care to all patients in assigned area. Develops, implements, manages an optimal interdisciplinary plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to entity polices, industry standards, best practices, and applicable laws/regulations and codes to promote a quality, highly reliable patient experience. Engages in continuous growth and development in professional advanced nursing practice. Follows ambulatory care and inpatient standardized procedures, protocols, policy and procedures regulated by the State of California Nurse Practice Act.

Job Description:

Job Accountabilities:

Advanced Nurse Practice:

• Manages the medical care for patients utilizing clinical protocols in collaboration with the physicians.
• Performs a physical exam if indicated.
• Ensures individualized health maintenance status to include, but not limited to, vaccinations, screening for risk factors, mental status baseline, dental screening and other appropriate functional assessments.
• Conducts diagnostic examinations, complies and updates detailed medical histories.
• Consults with supervising physician in cases of abnormal examination of test findings and when implementing clinical protocols.
• Perform standardized procedures without the direct observation, supervision or approval of a physician.
• May facilitate care to a community practitioner, upon discharge.

Assessment and Planning of Patient Care:

• Conducts patient and family assessment encompassing physiological, spiritual and emotional areas.
• Collaborates and communicates with physicians and other members of the healthcare team to interpret, adjust, and coordinate patient care plan to ensure a plan of care that is patient centric with continuity of care.
• Partners with peers, other healthcare providers, and management to effectively improve patient outcomes and provide the highest care quality.
• May partner to streamline patient workflow.
• Communicates patients' plan of care to co-workers and other departments
• May facilitate transfer to a community practitioner.

Provision of Patient Care:

• Provides competent, compassionate and cost-effective patient care in accordance with unit, department, hospital policies, scientific principles, evidence-based nursing practice/process, nursing objectives and standards of care.
• Maintains a safe, comfortable and therapeutic environment for each patient and their families/support group in accordance with entity regulations
• Delegates tasks appropriately/effectively to team members based on legal scopes of practice, licensure, educational preparation, appropriate guidelines and individual capability.
• Communicates with and explains treatments/activities to patient and family in a clear, open-ended, collaborative manner showing care and concern, using teach back to ensure patient understanding of explanations, and integrating patient learning and educational needs.
• Maintains mindfulness in delivery of individualized care and in communication with patients and families, with a safety focus
• Delivers safe and effective patient care in compliance with established entity policies and procedures, as well as local, state and federal regulations to provide the highest level of patient care.
• Upholds the confidentiality of all patients protected health information (PHI) and protects all PHI from accidental, intentional or inappropriate disclosure.
• Remains current in advancements, trends, and best practices related to acute care and area of specialty and in professional nursing practice
• Participates in and supports system, operating unit, facility and unit process improvement activities.

Evaluation of Patient Care:

• Monitors patient care interventions, assesses therapies, evaluates outcomes, and intervenes.
• Conducts ongoing education for patients and their families to ensure optimal patient care from admission through transitions of care.
• Reassesses, evaluates and documents each patient's response to the plan of care and adjusts the plan.
• Reports any events or near-misses in safety or compliance concerns via patient safety reporting mechanism
• Participates in analysis of safety events to prevent future occurrences
• Accurately documents and updates all treatment information in the patient's electronic health record (EHR).
• Develops, implements, documents formal teaching and transition planning that includes the patient/family in care for identified health needs

Education: Graduate of an accredited school of nursing. Master's: Nursing

Typical Experience: 5 years of recent relevant experience.

Skills and Knowledge: Demonstrated general knowledge and competence with regard to advanced nursing theories, concepts and practices; medical terminology; anatomy; and physiology. Working knowledge of the healthcare industry, safety precaution policies, best practices regarding patient care and privacy, and changes in local/state/federal regulations. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Basic knowledge of computer applications, such as Microsoft Office Suite (Word and Outlook), Electronic Health Record. Prioritize and delegate assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. Ensure the privacy of each patient's protected health information (PHI). Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.

Job Shift: Days

Schedule: Full Time

Days of the Week: Variable

Weekend Requirements: Rotating Weekends

Benefits: Yes

Unions: No

Position Status: Exempt

Weekly Hours: 40

Employee Status: Regular

Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $186,700.80 to $261,372.80 / annual salary

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.