FRANCISCAN CARE SERVICES INC., DINKLAGE MEDICAL CLINIC
Nurse Practitioner - Mental Health
REPORTS TO: Supervising physician and/or clinic manager
Contributes to the fulfillment of the Franciscan Care Services mission and vision by providing medical care to patients under the supervision of a physician. Provides comprehensive assessment of the patient’s medical, physical and psychological status, develops medical care plans, implements a treatment plan, periodically assesses patients medical needs, provides patient education and counseling.
NATURE AND SCOPE:
This position reports to the Supervising/Collaborative Physician or appropriate director as assigned.
- Functions within the scope of practice as defined within state regulations.
- Assists physicians in the management of medical care for patients. Meets with the supervising and collaborative physician as necessary to consult and/or review care.
- Assesses the medical, physical and psychological status of patients by reviewing patient records, obtaining a comprehensive problem-oriented health history, performing a physical examination of appropriate complexity, and ordering and evaluating laboratory, e-ray, EKG’s and other diagnostic studies as medically indicated.
- Performs or delegates procedures and tests (e.g. suturing minor lacerations, PAP smears, excision of minor lesions, wart removal, IV insertion, EKG’s), as deemed appropriate by the supervision physician and outlined in the individual role delineation.
- Interprets available data in order to establish a preliminary diagnosis and develop a treatment plan. Consults as needed with supervising physician regarding abnormal results, or when medical problem is beyond the scope of his/her training. Provides appropriate referrals to clinic physicians and consulting physicians.
- Orders and/or administers injections and immunizations. Writes prescriptions for or electronically prescribes controlled and non-controlled medications.
- Maintains comprehensive and complete medical records assuring that records are accurate and current. Clearly documents and electronically signs all orders. Updates the problem list and medication list as needed.
- Dictates or electronically documents history and physical, progress notes and discharge summaries for hospital records as directed by the supervising physician.
- Provides complete and appropriate information for billing purposes.
- Instructs patient and family regarding medication and treatment. Provides appropriate patient education and counseling as to health maintenance, disease prevention, nutrition, and lifestyle changes. Assists patients and caregivers in identifying and utilizing community and other resources which will meet patient and family needs and lead to optimum health.
- Triages patient telephone calls and provides consultation.
- Takes first call coverage and works weekends on a rotating basis as required. Assists in hospital and nursing home rounds at the direction of the supervising or collaborating physician.
- Maintains patient confidentiality.
- Demonstrates commitment to further professional development by planning, attending or participating in continuing educational programs and professional association groups and meetings. Maintains professional affiliations.
- Adheres to clinic policies and procedures. Attends meetings, staff training sessions, and in-services, and participates in committees as requested. Participates in all inflection control, safety and security procedures and policies.
- Other duties as assigned by supervising physician or other medical staff within the scope of practice of a Nurse Practitioner.
- Participates in all safety, security and infection control programs that are mandatory as well as those required and provided by the department.
- Demonstrates work practices consistent with Franciscan Care Services and department specific safety, security and infection control policies.
- Authorized to make entries in the medical record, consistent with and limited to the scope of the job duties and any applicable licensure.
- Consistent attendance is required.
Follows our Standards of Conduct.
- Integrates the principles of Servant Living into day to day decisions and actions.
- Be a team player.
- Treat coworkers with respect and dignity.
- Help to make coworkers and manager/supervisors jobs easier.
- Do not criticize coworkers.
- Show compassion and heart for your coworkers and managers/supervisors.
- Forgive and Forget.
- Be supportive.
- Ask “How can I make a positive change?”
- Always remember We, not I.
- We smile and are courteous to all.
- We treat others as they want to be treated.
- We maintain confidentiality.
- We ask “How may I help you?” and “Is there anything else I can do for you?”
- We take customer where they need to go, or ask someone else to help.
- We keep customers informed while they wait.
- We are team players. We respect the rights of others.
- We remember that coworkers are customers too.
- We compliment our coworkers for doing things right.
- We avoid saying, “That’s not my job.”
Experience required: None
- A minimum of a Masters Degree in nursing with completion of a Nurse Practitioner program.
- Must have a current license, as an RN in Nebraska.
- Must also be licensed in Nebraska as an Advanced Practice Registered Nurse APRN-NE or Advanced Registered Nurse Practitioner ARNP-IA, license must be held in the state you practice.
- Must have Drug Enforcement Act License.
- Professional medical practice and standards of care to give and evaluate patient care.
- Medical equipment and instruments.
- Common safety hazards and precautions to establish safe work environment.
- Medications and their effects on patients.
- Patient education principals.
- Organizational policies, regulations and procedures.
- Principals of risk management, quality improvement, infection control and universal precautions.
- Insurance protocols and referral requirements.
- CPT and ICD-9 coding necessary to complete charge sheets.
Skills as demonstrated through:
- Applying and modifying the principles, methods and techniques of medicine to provide ongoing care.
- Taking medical histories, assessing medical conditions, and interpreting findings.
- Preparing and maintaining records, writing reports, and responding to correspondence.
- Establishing and maintaining effective working relationships with patients and their families, physicians, staff, and the public.
- Perform a complete, appropriate and thorough physical examination.
- Provide compassionate, empathic patient care.
- Communicate clearly, both orally and in writing, with physicians, patients and staff.
- React calmly, effectively, and professionally in emergency situations.
- Interpret and utilize lab data, medical imaging data, and other information to develop a plan of care.
- Function at and appropriate level of independence, at all times working in collaboration with the supervising physician.
- Project a friendly, courteous, and service-oriented image.
WORKING CONDITIONS/PHYSICAL DEMANDS:
- Normal office environment.
- Routine periods of sitting, walking and standing required.
- Occasional lifting required. If involved with patient handling tasks, and weight to be lifted exceeds 35 lbs., assistive devices should be used.
- May involve exposure to communicable diseases, body fluids, or toxic substances.
- Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination.
- Requires normal visual acuity and hearing.
- Occasional travel between clinic sites may be required.
- Flexible working hours may be required for evening and weekend hours.
- May participate in call schedule.