JOB CODE INFORMATION:

1. Title: Advanced Practice Clinician
2. Job Code: 8915
3. Job Stream Description: Professional

JOB SUMMARY:
The Advanced Practice Clinician (NP) is service/physician aligned, managing a distinct patient population. The APC may be required to perform some outpatient and inpatient care and facilitate discharges/outpatient follow up. The APC has a strong foundation in evidenced based practice/education and is responsible for ensuring adherence to clinical pathways/protocols and ensures an environment of safe quality care. The APC demonstrates advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgement, professional communication skills, timely and compliant documentation, and responsible for professional development and competency validation.


KEY RESPONSIBILITIES:

• 1. Assessment of Health Statusa. Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patientsb. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.c. The APC may serve as the first responder for both nursing and staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.d. 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.e. Coordinates daily clinic schedule with the attending physician team, presents patient report, collaborates in plan of care, and follows assigned patient population.f. Manages diagnostic tests through ordering, inter
• 2. Formulates Plan of Carea. Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs.b. Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.c. Implements and modifies plan of cared. Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes.e. Manages further diagnostic tests through ordering, interpretation, performance, and supervision.f. May perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removalsg. Communication and Collaborationh. Maintains ongoing communication and collaboration with interdisciplinary health care team.i. Facilitates and communicates with patient, family, and staff to promote c
• 3. Documentationa. Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries in medical record per specific patient unit or service, death summary)b. Documentation is timely, meets critical care compliance standards and captures patient acuity.
• 4. Professional Practicea. Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate, and novice APCsb. Seeks opportunities for active engagement in research and the analysis of evidenced based practice.c. Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.d. Maintains CEUs, and membership in a professional organization.

TECHNICAL CAPABILITIES:

CORE ACCOUNTABILITIES:

CORE CAPABILITIES:

SUPPORTING COLLEAGUES (P2):

• - Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
• - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
• - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.

DELIVERING EXCELLENT SERVICES (P2):

• - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
• - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
• - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.

ENSURING HIGH QUALITY (P2):

• - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
• - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
• - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.

MANAGING RESOURCES EFFECTIVELY (P2):

• - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
• - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
• - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.

FOSTERING INNOVATION (P2):

• - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
• - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
• - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Master's Degree (or equivalent experience) and minimum 3-years relevant experience

Licensure, Certification, and/or Registration (LCR):

• BLS Required
• Advanced Practice Registered Nurse Required

Additional Qualification Information:

• DEA Certification, required Accepts personal responsibility for the promotion of teamwork, professional conduct, communication, organizational commitment, work habits, job knowledge, attendance, and appearance. Possesses the ability to handle conflict and adapt to change. Knowledge of general health and related diagnostic and treatment modalities.

Physical Requirements/Strengths needed & Physical Demands:

• Medium Work category requiring exertion up to 50lbs of force occasionally and/or up to 20 of force frequently and/or up to 10 of force continually to move objects.

Movement

• Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
• Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
• Occasional: Push/Pull: Exerting force to move objects away from or toward.
• Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
• Occasional: Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms.
• Occasional: Kneeling:Bending legs at knees to come to rest on knee or knees.
• Occasional: Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders.
• Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
• Frequent: Sitting: Remaining in seated position
• Continuous: Standing: Remaining on one's feet without moving.
• Continuous: Walking: Moving about on foot.
• Continuous: Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces
• Continuous: Reaching below shoulders: Extending arms in any direction below shoulders.
• Continuous: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
• Continuous: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.
• Continuous: Bimanual Dexterity: Requiring the use of both hands.