Emergency Room Advanced Practice Provider (PRN) (26386)

POSITION SUMMARY:

Performs direct patient care in the Emergency Department under the supervision of the Medical Director.

ESSENTIAL FUNCTIONS:

1. Performs and documents physical examinations on all patients, neonate through the geriatric population, urgent and non-urgent in the Emergency Department.
2. Obtains and documents patients' medical histories.
3. Assesses and documents patients and/or families psychosocial issues.
4. Performs and/or orders diagnostic tests; radiology and laboratory.
5. Interprets subjective and objective data to formulate a diagnosis.
6. Interprets laboratory and diagnostic test results to formulate a diagnosis.
7. Discusses patients diagnosis and plan of care with ED physician before implementation of said plan of care.
8. Documents physicians approval of plan of care and obtains necessary physicians signature on the patients medical record and physicians order sheet.
9. Evaluates the effectiveness of patients plans of care and makes revisions as necessary always consulting the ED physician.
10. Formulates diagnoses and treats illnesses within scope of practice.
11. Formulates patient treatment plans within the PA's scope of practice.
12. Implements therapeutic interventions when appropriate within scope of practice.
13. Refers patient to other healthcare professionals as appropriate, i.e., psychiatry, physical therapy, Social Service.
14. Provides counseling/education for patients and families on preventive healthcare, disease processes, potential medication side effects, etc. Advises patient of need to follow up with primary care physician.
15. Always defers to the physician with difficult cases or when a case is out of the scope of practice for a physician's assistant.
16. Orders, prescribes and administers drugs and medical devices within scope of practice. (See individual state laws)
17. Able to manage patients on ventilators; endotracheal tubes, nasogastric tubes; performs venipuncture, venous cutdown, inserts central venous lines, arterial punctures; administers parenteral fluids, blood/blood products; performs wound care, suturing, cast application and removal; cares for soft tissue injuries; performs lumbar punctures and other procedures under the supervision of the ED physician.
18. Able to perform minor surgical procedures.
19. Writes progress notes and discharge summaries.
20. May prescribe medications per state law.
21. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
22. Supports and maintains a culture of safety and quality.
23. Communicates appropriately and clearly to supervising physician, nurses, staff.
24. Maintains a good working relationship within the Emergency Department.
25. Consults other healthcare professionals and facilities as appropriate to provide for an interdisciplinary approach to patients needs.
26. Treats patients and their families with respect and dignity.
27. Demonstrates the ability to be flexible, organized and function under stressful situations.
28. Teaches students, residents and interns Emergency Department specific procedures, techniques.
29. Participates in Emergency Medicine research studies when appropriate. Reviews and compiles patient data for research studies and reports as requested.
30. Attends all Emergency Department and medical staff meetings as appropriate to the facilitys rules and regulations.
31. Stays current with new developments in emergency medicine through continuing education, seminars and affiliations with professional societies.

Must obtain State Nurse Practitioner or Physician Assistant License