ER Nurse Practitioner (NP) or Physician Assistant (PA)

Position Summary

The Emergency Department Nurse Practitioner or Physician Assistant (ER NP/PA) will provide comprehensive, timely, and evidence-based care to patients presenting to the Emergency Department with acute illnesses, injuries, and other emergent or urgent medical conditions. Working collaboratively with emergency physicians, nursing staff, and other members of the healthcare team, the ER NP/PA will perform patient assessments, develops treatment plans, orders and interprets diagnostic studies, initiates appropriate interventions, and coordinates patient disposition.

Essential Duties and Responsibilities 

Clinical Assessment and Patient Care

• Obtain comprehensive and focused patient histories and perform physical examinations.
• Assess, diagnose, and manage acute illnesses, injuries, and other emergency medical conditions within the provider’s scope of practice.
• Establish differential diagnoses and develop appropriate treatment and management plans.
• Order, perform as authorized, and interpret diagnostic tests, including laboratory studies, imaging, and electrocardiograms.
• Prescribe medications and treatments in accordance with applicable laws, prescriptive authority, and hospital policies.
• Perform approved procedures within demonstrated competency and granted clinical privileges.
• Recognize patients requiring immediate intervention, escalation of care, specialist consultation, or transfer to a higher level of care.
• Initiate emergency interventions as appropriate to training, competency, and assigned responsibilities.
• Determine appropriate patient disposition, including discharge, observation, admission, or transfer, in collaboration with the supervising or collaborating physician as required.

Collaboration and Care Coordination

• Collaborate with emergency physicians and healthcare delivery team to coordinate patient care.
• Communicate clinical findings, treatment plans, and changes in patient condition effectively.
• Provide appropriate patient and family education regarding diagnoses, treatment, medications, discharge instructions, and follow-up care.
• Coordinate referrals, consultations, and transitions of care to promote continuity and patient safety.
• Support efficient Emergency Department operations, including patient throughput and timely disposition.

Documentation and Regulatory Compliance

• Complete accurate, timely, and thorough documentation in the electronic health record.
• Comply with applicable federal and state laws, Ohio Board of Nursing requirements, prescribing regulations, hospital bylaws, and credentialing and privileging requirements.
• Follow organizational policies related to patient safety, infection prevention, medication management, confidentiality, and quality assurance.
• Participate in peer review, clinical documentation improvement, utilization review, and quality improvement activities as assigned.
• Maintain required licensure, certifications, continuing education, and clinical competencies.

Professional Responsibilities 

• Demonstrate professionalism, sound clinical judgment, accountability, and effective communication.
• Participate in department meetings, staff education, and interdisciplinary initiatives as appropriate.
• Identify opportunities to improve clinical processes, patient experience, and operational efficiency.
• Maintain confidentiality and adhere to organizational standards of conduct.
• Perform other related duties consistent with the position’s scope and qualifications.

Required Knowledge, Skills, and Abilities

ER - PA: Graduate of a Physician Assistant program certified by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).  Licensed and in good standing in the State of Ohio.   Must have national certification (PA-C) and must have or be eligible for a DEA number.

ER -NP: Nurse Practitioner Master’s Level prepared with a focus on Emergency Room medicine.  Current Nurse Practitioner license in good standing in the State of Ohio.  Requires Advanced Registered Nurse Practitioner (ARNP) or Certified Registered Nurse Practitioner (CRNP).

Current Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications.

A minimum of five years of APP experience working emergency medicine or another relevant clinical setting required.

Demonstrated experience with emergency procedures, acute diagnostic evaluation, and management of patients with complex or time-sensitive conditions required.

Knowledge of emergency medicine standards, evidence-based clinical guidelines, and emergency department workflows required.

Experience with electronic health records and interdisciplinary care coordination.

Must be focused and observant to evaluate and treat patients properly.  Must have the ability to evaluate patients’ symptoms and administer the appropriate treatments. 

Must be diligent when investigating complicated medical issues in order to determine the best course of treatment for each patient.