Job Description

Specific Duties & Responsibilities



Patient Care

Provides comprehensive, age appropriate and episodic care to patients as a member of the multi-disciplinary health care team.
Obtains patient history; Performs patient care and physical examinations; Prepares patient summaries; Develops care/treatment plan; Attends outpatient clinics and assists with patient management.
Provides information to staff regarding patient's care plan and condition.
Consistently develops effective care/treatment plan for assigned patients according to established protocols and procedures.
Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age.
Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
Follows progress of patients, including history and physical exam, ordering, performing, and interpreting laboratory and radiological data and establishing and implementing a plan of care based on those interpretations and observations. Makes referrals to appropriate specialties assisting in multidisciplinary communication.
Follows long-term progress of patients including history and physical examination, orders and interprets tests, and assesses status.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.


Procedures

Routine laboratory procedures.
Performs advanced procedures such as tilt table test, and other procedures as necessary.
Provides Emergency Care.
Maintains BLS and ACLS certification.
Maintains airway, breathing, circulation.
Starts and provides basic CPR.
Orders and administers anti-anaphylactic and supportive medications.


Prescribes Drugs

Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
Prescribes Schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.


Educational Responsibilities

Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in weekly multidisciplinary team meetings.


Fiscal Responsibility

Assumes fiscal responsibility with working knowledge of evidence based medical model.
Effectively uses resources of the patient and the institution.
Is aware of and adheres to specific capitations and limitations of the patients insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
Has knowledge of and utilizes all available resources in the event that the patients resources are limited or unavailable in order to provide medical care and social well-being.


Refers

Works in collaboration with the physician and is able to detect those deviations from normalcy or from established protocols that require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psychosocial, and other resources.


Special Knowledge, Skills, & Abilities


Advanced clinical skills in specialty area or equivalent.
General computer knowledge and experience with Epic electronic medical record system.
Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members.
Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care.
Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem solving.
Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel.
Ability to function effectively in a fluid, dynamic, and rapidly changing environment.


Minimum Qualifications
Master's Degree in Nursing.
Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing.
Approval of the Maryland Board of Nursing for the written signed delegation agreement.
Three years of related clinical nursing experience.
Current CPR certification required.
Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.