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Nephrology - NP/PA - Full-Time

Advocate Health






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

    <>
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