Nurse Practitioner
Position Summary:
A nurse practitioner employed by Orthopaedic Associates of Zanesville is expected to assist in the medical and surgical care of patients in both the inpatient and outpatient setting as outlined in the Principal Duties and Responsibilities below. An Orthopaedic Associates of Zanesville nurse practitioner will report directly to their respective attending physician and will participate in all aspects of patient care as indicated and will be expected to perform duties described.
Position Responsibilities/Standards:
Outpatient Clinics
Attend outpatient clinics and participates in the initial evaluation, as well as, longitudinal care of patients.
Obtain detailed medical history and perform comprehensive physical examination of patients.
Order and review appropriate diagnostic testing including radiographs, CT scans, MRI’s, EMG’s and DEXA scans.
Conduct procedures (under direction and appropriate level of supervision of the attending physician), including but not limited to: management of closed fractures including casting and splinting and aspiration/injection of bursae and/or joints.
Develop and implement plan of care with attending supervision.
Complete appropriate documentation of all evaluations, care and services rendered to the patient in their medical record in a timely fashion.
Make appropriate referral for consultations when indicated.
Provide both pre and post operative patient education to patients and their families.
Respond to telephone inquiries of patients and provide appropriate medical care, referral for consultation or counseling.
Communicate with referring or primary care physicians, athletic training and physical therapy staff regarding patient care and treatment.
Provide follow up and health maintenance care including the appropriate adjustment of medications in accordance with established protocols or in response to specific instructions from the attending physician.
Prescription of medications to accomplish the plan of treatment as delineated by attending physician.
Organization and task assignment to other healthcare team members (RN’s, MA’s and technicians) to facilitate flow of patients.
Must have a basic understanding of current CMS guidelines for E&M coding of medical services rendered.
Must have a basic knowledge of electronic medical record (EMR) usage and basic computer skills.
Inpatient Care
Complete records on all inpatients as directed by attending physician in accordance with hospital policy and standards.
Notifies attending physician on call, house physician on call or supervising physician regarding any unusual or unexpected events or problems requiring direct physician consultation.
Provide routine medical management of inpatient care including ordering of diagnostic tests, labs, x-rays, medications (within the scope of the PA license) nutrition and managing adjunctive care.
Participate in multidisciplinary rounds and communication of treatment plans with orthopedic physician, nursing staff, and families.
Manage discharge of patients with appropriate disposition, follow up planning, adjunctive therapy management and education.
Make assessment of emergency conditions in conjunction with attending physician and implement appropriate management.
On –Call or Special Requirements
Responsibilities of the nurse practitioner to be available after hours or on weekends will vary by physician and circumstance. An NP may be requested and/or required to attend sports physicals, sporting events or clinic coverage on nights or weekends at the discretion of their attending physician.
An NP may also be required to remain available or called to assist their attending physician for hospital call responsibilities.
An NP may on occasion be requested to assist the attending physician by triaging, evaluating or assist in management of an emergency department patient or after hour call from a patient of the practice. It is expected that this type of special requirement would not be a routine clinical practice.
An NP may be requested to be an informal educator or formal clinical preceptor for a number of various students ranging from ATC students, physician assistant students and fellows.
Education/Experience Required:
Licensure or eligible for licensing as a Nurse Practitioner in the State of Ohio and other appropriate states. Graduate of an accredited NP program.
If prescriptive authority is requested as part of practice privileges, the NP must provide evidence of prescriptive authority eligibility as approved by the State Medical Board of Ohio.
Maintains CME hours for recertification (50 hrs CME category 1 and 50 hrs CME Category II) every two year period, and successful completion of their recertification examination every six years. Also maintains State of Ohio licensure per guidelines.
Supervisory Responsibilities
This position does not have any positions reporting to it. However, the incumbent provides training and guidance to clinic support staff and others as appropriate.
Working Conditions
Generally busy clinical environment including office, clinics, operating room and hospital. Will be required to travel to various clinic and hospital based locations. There is requirement for prolonged standing and walking and moderate physical activity. Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment. Will work with blood or blood borne pathogens and will require OSHA training.
Success Factors
Good organizational skills needed to manage multiple tasks in a busy clinical environment.
Demonstrated ability to work independently while making autonomous and medically sound decisions
Above average oral and written communication skills
Ability to effectively communicate and work with physicians, residents, nurses, patients, families, staff, other healthcare professionals, and management
Ability to work with and maintain confidentiality of patient, patient account and personnel data
Flexibility in work schedule needed
Exceptional customer service skills
The ability to work as a team member is necessary for this position
Adherence to Allied Health bylaws and regulations
Seeking continuously to improve the quality of care provided by the Orthopaedic Associates of Zanesville
Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor
Physical Requirements:
Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs.
