The Nurse Practitioner IV performs comprehensive patient care, including history and physicals, ordering appropriate testing, and communicating findings and progress to the supervising physician. Responsibilities also involve developing discharge planning, providing patient/family counseling, and participating in performance improvement activities.
Requirements summary
Candidates must perform clinical duties that maximize patient care outcomes, including assuming appropriate roles during emergencies and adhering to infection control processes. Required qualifications include ANCC Acute Care Certification, with prior CRNP experience being preferred.
professional certificateDocumentationCollaborationPatient EducationPatient SafetyInfection ControlPatient RoundsDischarge PlanningPerformance ImprovementDiagnostic ProceduresHistory And PhysicalsOutcome ManagementCode Team ResponseTreatment Goals ReviewANCC Acute Care Certification
Job description
Performs history and physicals as designated by the physician.
Identifies normal and abnormal findings and reports to the physician in a timely manner.
Provides preoperative teaching to patients and or families.
Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician.
Orders appropriate testing per established guidelines and as outlined by supervising physician.
Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements.
Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results.
Prepares for and develops discharge planning in conjunction with supervising physician.
Dictates discharge summaries timely and appropriate.
Provides counseling and instruction to patients and or families as appropriate.
Performs clinical responsibilities in a manner that maximizes patient care and outcomes.
Assumes appropriate code team role during emergency situations and responds effectively.
Facilitates timely treatment of abnormal labs or other relevant findings.
Develops workflow patterns to facilitate patient transfers or discharges.
Participates in outcome management and Press Ganey scores.
Evaluates patient's current status providing recommendations for ongoing treatment.
Provides patient/family education regarding medication, rationale for use and possible side effects
Collaborates with the supervising physician and/or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care.
Alerts the treatment team to any significant changes in the patient's status.
Within prescribed time frames, review treatment goals and objectives with patients.
Communicates pertinent information efficiently to the supervising or substitute supervising physician.
Documents all screenings and assessments performed, including patients mental status.
Records medication changes, prescriptions written and samples provided.
Documents patient's complaints, concerns and questions as appropriate.
Demonstrates leadership by utilizing the concepts inherent to the practice of a professional APP.
Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies.
Identifies initiatives to improve patient outcomes and satisfaction.
Assists in chart review/audits as needed for performance improvement data collection.
Supports initiatives implemented to improve patient outcomes and or efficiencies.
Provides for patient safety in compliance with hospital and or physician practice policies.
Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections.
