The position has the following principal responsibilities:
- NP provide clinical care to residents of the a non Profit Clinic associated with a Skilled Nursing Facility for Senior Care.
- Assist in modifying the treatment regimen to meet the physical and psychosocial needs of the resident.
These responsibilities are performed in accordance with existing federal, state and local standards, as well as the Governing Bodies approved policies and procedures to assure quality medical services are provided in a timely and professionally acceptable fashion.
MAJOR DUTIES AND RESPONSIBILITIES:
Gerontological Nurse Practitioner Services:
- Through campus licensed community care clinic and non Profit Clinic for Senior Care, provide primary care to specific participants/residents under the medical direction and supervision of the participants/residents’ attending physicians or the Medical/Associate Medical Director of the facility with emphasis on assessment, illness prevention and health care management.
- Assist in modifying the treatment regimen to meet the physical and psychosocial needs of the participant/resident, in accordance with established medical practices and the requirements of this state and the policies and goals of the facility.
- Interact and communicate with physicians, residents, family, staff and administration in the terms of the nursing care provided in the clinic/non profit.
- Initiates entry into the health care system.
- Discriminates between normal and abnormal findings on a physical exam or on diagnostic tests, discusses these findings with Primary Physician, and suggests referrals and consultations when appropriate.
- Monitors and records progress, evaluates plan of care, and makes modifications accordingly.
- Provides initial evaluation in emergency situations.
- Assumes responsibility for the ongoing therapeutic management of stable long-term health problems in the chronically ill (i.e. hypertension, diabetes, CHF, DJD, COPD).
- Assumes responsibilities for the identification and therapeutic management of minor illnesses (i.e. soft tissue injuries, uncomplicated infections and local skin conditions).
- Regulates and adjusts medications and treatments in conjunction with Primary Physician.
- Consults and collaborates with members of the health care team and with families in the assessment and management of health care problems (physical and emotional) of the residents.
- Participates in informal resident teaching activities aimed at promoting positive health practices and an understanding of the individuals’ medical problems: a) management of incontinence, b) bowel movement (diet, fluids, fiber, etc.), c) Diabetes (diet, skin care, insulin admin., reactions), d) Miscellaneous (use of inhalers, admin. of eye drops, management of minor treatments), e) Esophageal distress (role of antacids, positioning in bed, diet).
- Set up clinic hours Monday – Friday, to see non profit clinic residents or clinic participants/residents with new complaints, and chronic/ongoing complaints.
- Confer with the Medical/Associate Director and the attending physician regarding specific residents assigned.
- Initiate request for consultation or referral. Respond to requests from the resident, physician or nursing staff.
- Examine the resident and his/her records and charts to distinguish between normal and abnormal findings in order to recognize early stages of serious physical, emotional or mental problems.
- Determine when to refer the resident to a physician for evaluation, supervision or directions.
- Perform administrative duties regarding assigned residents, such as completing medical forms, reports, evaluations, studies, charting, etc.
- Implement and maintain established policies, procedures, objectives, quality assurance, safety and environmental and infection control. Interpret these to the physician, participant/resident, family members and public, as appropriate.
- Make written and oral reports/recommendations to the attending physician, Medical/Associate Director or Administrator concerning the status and care of the assigned participant/resident.
- Participate in the planning and evaluation of the written policies and procedures that govern the day-to-day functions of the Nursing Services Department.
- Participate in facility surveys (inspections) made by authorized government agencies.
Medical Care Functions:
- Provide information and instruction to residents and their families in areas such as resident rights.
- Provide assessment and diagnostic services to assigned participants/residents.
- Perform an assessment evaluation and a complete in-depth physical examination. Use assessment techniques including observation, inspection, auscultation, percussion, and palpation. Perform optic and ophthalmic examinations.
- Record physical findings and formulate plans/prognosis based on resident’s condition. Report these to the attending physician.
- Order, interpret and evaluate diagnostic tests to identify and assess resident’s clinical problems and health care needs. Report these findings to the attending physician.
- Provide therapeutic services. Confer with the Care Planning Team in the development of the care plan.
- Identify and manage specific minor illnesses such as colds, diarrhea, skin abrasions, simple sprains, and simple foot problems such as corns and calluses.
- Provide established protocols and under the supervision of the physician, treatment for uncomplicated diabetes, hypertension, pneumonia and such other conditions, as agreed upon in writing by the Nurse Practitioner and the Physician.
- Provide surveillance of medical regimens for chronically ill persons, adjust regimens within established protocols, and recognize when to refer the resident to his/her physician.
- Give direct physical and psychological nursing care in emergencies, and well as in the presence of an illness or disability, in order to maintain life, provide comfort, reduce stress, and enhance the resident’s ability to cope.
- Coordinate the admission or discharge of residents as necessary.
- Work with other health agencies and family members in the physical and emotional transitions of admission, care, and discharge of the residents.
- Assist in resident rehabilitation activities. Where required, perform range of motion, assist in ambulating and provide emotional support. Monitor the results of physical therapy activities.
- Provide preventive health care services. Make recommendations to the resident concerning nutrition and the prevention of common illnesses, accidents, etc.
- Provide information to resident and family members of prevention techniques and other ways to maintain or improve the general health and psychosocial status of the resident.
- Graduate of an accredited School of Nursing and current license in State of California.
- Certificate of completion of a GNP/FNP/NP program at an institution of higher education that offers a Master’s Degree in Nursing or Nurse Practitioner certification by the California Board of Registered Nursing.
- Must possess a current, unencumbered, active license to practice as a Nurse Practitioner.
- 2-3 years of experience working in an outpatient clinic preferred.
- Must have Geriatric Certificate or at least 2-3 years working with a geriatric population.
- Must have experience charting in an electronic medical record.
- Experience in a managed care is environment is desirable.
- Must be able to read, write, speak and understand the English language.
- Must possess the ability to make independent decisions when circumstances warrant such action.
- Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
- Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, guidelines that pertain to long-term care.
- Must possess leadership and supervisory ability and the willingness to work harmoniously with the clinic personnel.
- Must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
- Must have patience, tact, a cheerful disposition and enthusiasm, as well as willingness to handle difficult residents.
- Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
- Must be able to relate information concerning a resident’s condition.
- Must not pose a direct threat to the health or safety of other individuals in the workplace.