Position Summary

In collaboration with a physician, and according to the collaborative practice protocol provides inpatient management, consultations, and co-management of medical and surgical patients.

Responsibilities

Essential Functions

• Assesses the physical and psychosocial status of patients by means of interview, health history, physical examination, diagnostic studies and recognizes deviations from the normal. Then develops a diagnosis and works collaboratively with the interdisciplinary team to formulate and implements the treatment plan.
• Performs complex diagnostic and therapeutic procedures, as credentialed, in diagnosing medical and surgical problems and prescribing necessary treatment and services for quality patient care.
• Implements appropriate management based on laboratory results, physical assessment, routine diagnostic and follow-up studies, therapeutic measures, admission, and discharge care in accordance with evidence based medicine.
• Identifies, analyzes, and resolves patient care issues to foster significant improvement in patient care and outcomes.
• Dictates and documents in an accurate and timely manner.
• Performs H & P examinations and documents appropriately in the medical record. (Must be reviewed and countersigned by supervising medical staff member within 24 hours and may not be substituted for physician H & P).
• Performs patient education and maintains provision of preventive health services.
• Conducts or participates in multidisciplinary rounds.
• Participates in the department weekend/ holiday rounding as required.
• Participates in quality initiatives to ensure consistent attainment of key quality indicators.
• Supports IRB approved clinical research/trials through a variety of activities including but not limited to ordering diagnostic tests, prescreening patients, recording laboratory and diagnostic results, administering therapeutic interventions per trial protocols and
  documenting outcomes per hospital and trial protocols.
• Uses clinical judgment and evidenced based medicine to order and schedule appropriate lab and radiology studies
• Works with supervising physician to determine and place appropriate specialty consultations
• Removes catheters, drains, sutures and staples
• Assess patient for changes in status and capable of instituting appropriate interventions in sub-acute, acute and emergent situations
• Notifies attending physician about unusual or unexpected events or problems requiring direct physician consultation
• Prescribes medications using evidence based medicine, clinical judgment and plan of care as discussed in rounds with attending physician
• Writes and / or dictates concise thorough patient progress notes, consult notes, history and physical notes and clinical resumes.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions

• Acts as a role model and resource person for staff.
• Assists in teaching students, residents and interns in complex techniques and procedures.
• Participates in review and revision of policies and procedures.
• Establishes relationships with professional and other health-related groups within the community.
• Demonstrates effective verbal and written communication with diverse populations, including physicians, employees, patients, and families.
• Participates in basic science and clinical research projects.

Qualifications

Education/Training
MN or MSN or DNP or PhD or DNS degree in nursing required.

Licensure/Certification

• ARNP license in the state of Florida. After July 1, 2006, licensure applicants are required to have national advanced certification from an approved nursing specialty board.
• Maintains current BLS/Healthcare certification.
• ACLS as required by department.

Experience
One (1) years nurse practitioner experience or two (2) years' experience as a Registered Nurse in an acute care facility specialty area