Urology - Nurse Practitioner - Jefferson Einstein Hospital

Job Details

Job Description

Responsibilities:

The advanced practice provider (Nurse Practitioner/Physician Assistant) within the ambulatory setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP provides comprehensive care in the Urology ambulatory practice.

Assessment & Management

• Performs complete history & physicals and documents in the medical record.
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
• 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.

Diagnosis

• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
• Manages diagnostic tests through ordering, interpretation, performance, and supervision.
• Formulates differential diagnoses by priority.
• Diagnoses complications and orders appropriate interventions

Formulates Plan of Care

• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.
• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
• Implements and modifies plan of care.
• Prescribes diagnostic strategies and therapeutic interventions.
• May perform advanced procedures consistent with privileges and competency validation.

Documentation

• 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)
• Documentation is timely, meets acute care compliance standards and captures patient acuity.

Communication and Collaboration

• Maintains ongoing communication and collaboration with interdisciplinary health care team.
• Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

Professional Practice

• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
• Actively participates in Advance Practice Grand Rounds and specialty specific meetings.
• Maintains CEUs, and membership in a professional organization.

Qualifications

Master's Degree

National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant

BLS certification

The Surgery Advanced Practice Clinician works within the department of Surgery, supporting the program by covering all aspects of the surgery program. The APC is part of a team that includes their colleagues, attending physicians, and residents. The APC will provide all aspects of clinical care for patients throughout the continuum. This includes, but is not limited to the Emergency Room, inpatient hospital and Operating Room. The surgical APC interacts with various disciplines within the hospital including consultants in the hospital in an effort to coordinate care. Coverage will be provided at Jefferson Lansdale Hospital (JLH).

• Attend morning sign-out with the residents & attendings as a part of the surgery team.
• Manage surgery patients to include the following documentation: history & physicals, order placement, brief operative notes, progress notes, discharge summaries.
• Prescribe medications including narcotics under Federal & State prescribing laws.
• Perform surgery consults.
• Perform evaluations in the Emergency Room.
• Attend unit based safety briefings when indicated
• Provide preadmission testing communication with elective surgery patients.
• Collaborate with preadmission testing nurses regarding elective surgery patients.
• Collaborate with nurses and ancillary staff from various areas within the hospital.
• Provide OR first assistant coverage; including skills for open, laparoscopic, and robotic procedures.
• Carry hospital issued phone and address issues, perform consults.
• Work in collaboration with the resident team to cover the needs of the surgery service line.
• Round on patient, write progress notes, evaluate laboratory and imaging data.
• Perform suturing, drain removal, abscess drainage, wound care, skin biopsy, and minor procedures.
• Attend monthly/quarterly programmatic meetings, in-person or via Zoom
• Staggered work schedule with coverage until 10pm Monday-Friday
• Saturday and Sunday full coverage, on average one weekend per month.
• Holiday full coverage, shared amongst the APC team to include those observed by Jefferson Health:
• New Year's Day, Martin Luther King Day, Memorial Day, 4th of July, Labor Day, Thanksgiving Day, Christmas Day.
• Coverage at Jefferson Lansdale Hospital to include patient care and preadmission testing communication.
• Ensure strong communication among team to include APCs, physicians, floor nursing staff, OR staff and members of other multidisciplinary teams.
• Efficient use and navigation of the electronic medical record "EPIC" for patient care.
• Ability to multi-task, prioritize, and triage duties and patient care.
• Possess strong communication skills.
• Be flexible and adaptable to change
• Maintain professional appearance and follow code of conduct as per hospital guidelines.
• Complete mandatory education yearly.
• Maintain professional licensures and certifications.

Qualifications

Master's Degree

National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant

BLS certification

Work Shift

Worker Sub Type

Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.