About MedStar Georgetown University Hospital:
MedStar Georgetown University Hospital is a not-for-profit, acute-care teaching and research hospital with 609 beds located in Northwest Washington, D.C. Founded in the Jesuit principle of cura personalis—caring for the whole person—MedStar Georgetown is committed to offering a variety of innovative diagnostic and treatment options within a trusting and compassionate environment.
MedStar Georgetown's centers of excellence include neurosciences, transplant, cancer and gastroenterology. Along with Magnet® nurses, internationally recognized physicians, advanced research and cutting-edge technologies, MedStar Georgetown's healthcare professionals have a reputation for medical excellence and leadership.
General Summary of Position:
The specialty nurse practitioner (NP) in the ambulatory surgery setting works in collaboration with a multidisciplinary health care team. The specialty NP is generally service/physician aligned, managing the specialty surgery patient population in the outpatient setting. The NP functioning primarily in a clinic setting may be required to perform some coordination of inpatient care and facilitate discharges/outpatient follow up. The specialty clinic NP has a strong foundation in evidenced based practice/education and is responsible for ensuring adherence to national guidelines/protocols and ensures an environment of safe quality care. The NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and responsible for professional development and competency validation. He/she functions in accordance with all applicable laws, regulations and MedStar Georgetown University Hospital’s philosophy, policies, procedures and standards.
- EDUCATION/TRAINING: BSN, MSN required. Graduation from a certified graduate nurse practitioner program.
- EXPERIENCE: Three years of nursing experience, surgical experience preferred.
- LICENSE/CERTIFICATION/REGISTRATION: State Licensure in DC as a Registered Nurse and Nurse Practitioner certification with prescriptive privileges. BLS Certification. State Licensures in MD and/or VA as a Registered Nurse and Nurse Practitioner certification with prescriptive privileges as indicated by the Program.
- KNOWLEDGE, SKILLS & ABILITIES: Knowledge of professional nursing theory, practice and medical care to give and evaluate patients. Knowledge of organizational policies, regulations, and procedures to administer patient care. Skill in applying and modifying the principles, methods, and techniques of professional nursing to provide ongoing patient care. Skill in taking medical histories to assess medical condition and interpret findings. Ability to establish and maintain effective working relationships with patients, medical staff, and the public. Ability to maintain quality control standards. Ability to maintain calm & effective in emergency situations. Excellent inter-personal & communication skills with a broad spectrum of professionals, including attending physicians, residents, medical students, trainees, support staff, and hospital management.
- Consideration will be given to an appropriate combination of education/training and experience.
Primary Duties and Responsibilities:
- Assessment of Health Status
- Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients.
- Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Assesses for risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
- Coordinates daily clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.
- Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
- Manages diagnostic tests through ordering, interpretation, performance, and supervision.
- Formulates differential diagnoses by priority.
- Diagnoses complications and orders appropriate interventions.
- Formulates Plan of Care
- Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
- Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
- Collaborates with the clinical research team to discuss potential studies that the patient(s) may be eligible to participate.
- Implements and modifies plan of care
- Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes.
- Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
- May perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removals.
- Instructs patient/family regarding medications and treatments.
- Educates patients regarding health promotion/illness prevention.