ARNP or PA - PRN for ER/Hospitalist

ARNP or PA - PRN for ER/Hospitalist

At Adair County Health System (ACHS), we’re continually looking for highly skilled and passionate professionals to join our team. We offer competitive wages, excellent benefits, and a healthy work/life balance — but what truly sets us apart is our culture. Recognized as an Iowa Top Workplace in 2022, 2023, and 2025, we’re proud this honor is based entirely on feedback from our employees.

ACHS is seeking a PRN Advanced Registered Nurse Practitioner (ARNP) or Physician Assistant (PA) to support our Emergency Department team as needed. This position offers flexible scheduling and provides an excellent opportunity to utilize your clinical expertise while delivering high-quality emergency care alongside our experienced and dedicated healthcare team.

ESSENTIAL FUNCTIONS:

• Elicit a medical history and perform a physical examination with completed documentation within the established time requirements.
• Assess, diagnosis and treat medical or surgical problems and document the findings within the established time requirements.
• Perform or assist in performance of laboratory and related studies as appropriate for the practice setting.
• Perform therapeutic procedures such as injections, immunizations, the suturing and care of wounds, removal of foreign bodies, ear and eye irrigation and other clinical procedures.
• Perform office surgical procedures including skin biopsy, mole or wart removal, toenail removal, arthrocentesis, incision and drainage of abscesses when appropriate.
• Prenatal and postnatal care, emergency delivery if needed.
• Care of orthopedic problems including, but not limited to, strains, dislocation and simple fractures.
• Perform and screen the results of special medical exams including, but not limited to, electrocardiogram or holter monitoring, radiography, audiometric and vision screening, tonometry and pulmonary function screening tests.
• Instruct and counsel patients regarding physical and mental health on matters such as diets, diseases, therapy and normal growth and development.
• When deemed appropriate by Medical Staff and Hospital Administration, may independently admit patients, perform medical histories and physical exams, make patient rounds, record patient progress notes and other appropriate medical records, in consultation with collaborating physician.
• Refer patient to appropriate specialty and subspecialty providers as indicated by the patient’s problems.
• Implement immediate evaluation, treatment and institution of procedures essential to providing an appropriate response to emergency medical problems.
• Order lab test, x-ray procedures independently.  Refer to/order physical, speech and occupational therapy.
• Communicate, coordinate and cooperate with the nursing and administrative staffs on patient issues concerning referral, appropriate patient transfer, Medicare/Medicaid and other separate programs requiring specific documentation.
• Prescribe, supply and administer drugs and medical devices in all settings including, but not limited to, hospitals, healthcare facilities, healthcare institutions, clinics and outpatient settings.
• Conform to delineated privileges as granted by the medical staff credentialing process.
• Complete all documentation and medical records requirements within the prescribed time limits set by the hospital and/or medical staff bylaws, rules, and regulations.
• Conduct and complete hospital sponsored employee physical examinations.
• Whenever admitting a patient to ACMH the PA will notify the provider of the admission.
• Serve as a mandatory reporter.
• Maintain patient confidentiality and uses discretion in patient interactions.