APP - PRETEST

Job Summary: Functions in an expanded role as a professional nurse, performing acts of medical diagnosis and prescription of medical therapeutics or corrective measures, in collaboration with a physician, performing duties in the outpatient setting. The APP works with an interdisciplinary team of primary caregivers and administrative support staff to perform assigned duties while displaying the highest standards of ethical and moral conduct as well as acting in the best interest of Aultman Hospital and Aultman Health Foundation, supporting our mission, vision, and values to optimize the health and well-being of our patients.

Primary Job Responsibilities:

• Obtains comprehensive health history: perform physical examination on new admissions and document/dictate in patient record.
• Performs physical assessment, interpretation of diagnostic studies, interaction with nursing staff and documentation in medical record for patients in Same Day Surgery setting prior to surgery as needed.
• Facilitates communication between surgeon offices, anesthesia personnel, and hospital.
• Orders (verbal or written) common diagnostic studies, laboratory studies and pharmacologic treatment modalities according to written protocol in collaboration with the physician.
• Orders (verbal or written) pharmacologics if he/she has obtained prescriptive privileges as documented by a current collaborative practice agreement with a physician member of the Medical and Dental Staff and a current letter of approval of prescriptive authority from the State Board of Nursing. The APP can only write for those pharmacologics identified on the collaborative agreement.
• In collaboration with the attending physician and anesthesiologist, assists in establishing diagnosis, formulating plan of care, evaluation of patient response, and revising plan of care.
• Consults other physicians and members of the healthcare team and agencies in collaboration with the physician.
• Performs diagnostic and therapeutic functions within the scope of APP practice as designated by clinical privileges and obtain informed consent as appropriate. A procedure note must be dictated for all clinical procedures for which the APP has privileges that require competency validation.
• Discusses medical plan/education with patient/family. Serve as a liaison between physicians and patient/family as needed to enhance communication and understanding.
• Utilizes computer programs such as CERNER/AllScripts, email, intranet, etc.
• Provides support and clinical expertise to nursing personnel regarding complex patient care issues.
• Participates in collaborative appraisal of his/her own practice with APP peers including mandatory compliance with peer review requirements.
• Provide for the educational needs of the patient/family through verbal and written teaching and development of educational materials.
• Provide for the educational needs of the community through verbal and written teaching and development of prevention and outreach materials.

Participation in Hospital Activities:

• APRN Council
• Anesthesia or Surgery Service Line Meetings (as requested)
• Integrative Health Collaborative Membership and Committees (as requested)

Other Job Responsibilities:

• Promotes health education in conjunction with other health professionals
• Efficiently uses group practice and healthcare resources
• Contributes to quality improvement activities by actively participating in medical staff activities, serving on various committees, including Integrated Health Care Collaborative initiatives, and suggesting and supporting process improvements

Education/Certification/Licensing Requirements:

• Graduate of an accredited MSN program.
• Certification to prescribe or meet qualifications to prescribe (required)
• Credentialed by the medical staff in accordance with current policy and procedure.
• Maintain BLS provider certification and provide evidence of these.
• Two (2) years previous experience in a Nurse Practitioner role (preferred, not required)
• One (1) year of experience serving in a leadership role (preferred, not required)
• Five (5) years of clinical experience
• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

Additional Requirements:

• Continuing medical education (CME) as required

Knowledge, Skills, and Abilities:

Knowledge of and ability to apply professional primary care medicine principles, procedures, and techniques. Thorough knowledge of pharmacological agents used in patient treatment. Ability to effectively manage and direct medical staff support activities while providing quality patient care. Ability to receive detailed information and express and exchange ideas orally. Ability to perform under stress.

Possesses excellent written and oral communication, listening, and social skills. Ability to interact effectively with people of varied educational, socioeconomic, and ethnic backgrounds, skill levels, and value systems. Professionally performs in a tactful manner. Taps experience and uses independent judgment to plan and accomplish goals.