Advanced Practice Registered Nurse - Executive Medicine

The Advanced Practice Registered Nurse (APRN) delivers medical care to a wide variety of patients. The APRN also examines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care.

• Performs and documents complete physical examinations and comprehensive health histories.

• Functions independently to perform age-appropriate history and physical for patients.

• Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.

• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.

• Implements interventions to support the patient to regain or maintain physiologic stability.

• Assists with the provision of care in accordance with facility, state, and federal regulations.

• Monitors the effectiveness of interventions.

• Facilitates the patient’s transition within and between health care settings, e.g., admitting, transferring, and discharging patients.

• Collaborates with multidisciplinary team members by making appropriate referrals.

• Facilitates staff, patient and family decision making by providing educational tools.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities, as necessary.

CORE QUALIFICATIONS

Education:

Master’s degree in relevant field

Certification and Licensing:

Valid State of Florida APRN License

Experience:

Minimum 2years of relevant experience

Knowledge, Skills and Attitudes:

• Ability to exercise sound judgment in making critical decisions.

• Skill in completing assignments accurately and with attention to detail.

• Ability to analyze, organize and prioritize work under pressure while meeting deadlines.

• Ability to work independently and/or in a collaborative environment.

• Ability to communicate effectively in both oral and written form.

DEPARTMENT ADDENDUM

Department Specific Functions

The Executive Health Department provides convenient and personalized attention to patients in our care. The APRN is responsible for assessing physical and psychosocial status of patients in an outpatient clinic setting by means of interview, health history, physical examination, and diagnostic studies. Assist physicians in performing medical procedures, up to and including blood drawing, vital signs and nursing assessments, history, and physical. This position requires travel to multiple clinic locations.

• Collaborates with physicians regarding patients to assess, plan, implement and evaluate patient care.

• Provides direct care, counseling, and teaching to patients. Performs physical examinations and provides preventive health measures appropriate to patient needs.

• Develops, implements, and communicates plans of care in a timely manner to patient and family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines.

• Facilitates staff, patient and family decision making by providing educational tools.

• Triages patient calls as needed to determine if patient needs to be seen or can provide guidance over the phone.

• Assess severity of patient's condition, determining and directing patients to appropriate medical providers.

• Administers nursing assessments to include performing examinations, giving injections, and assessing a patient's health status.

• Orders appropriate laboratory tests according to practice guidelines and in collaboration with physicians.

• Performs appropriate patient tests and safely prescribes and administers medications within the scope of the practice. Maintains accurate records related to medications and treatments as per regulatory bodies, policies, procedures, and physician orders.

• Manages refills and referrals for all providers that come in via fax, call or in basket as needed.

• Performs phlebotomy, ear lavage, EKG, skin check, vaccine immunizations, and injections.

• Responds to patient inquiries and requests and communicate results to patients in coordination with physicians and clinical staff.

• Provides telemedicine consultations or in person visits for established patients when provider is unavailable.

• Conducts pre-visit planning by reviewing schedule, charts, and outside medical records in preparation for next day visits.

• Actively participates in quality assurance programs and conducts peer-to-peer reviews with insurance carriers in support of patient’s medications.

• Maintains EMR inbox and closes encounters in a timely fashion according to department guidelines.

• Provides in basket message coverage for Providers as needed.

• Serves as a preceptor and assists new staff in the provision of care to help them acclimate to the healthcare environment, and a direct patient care role. Provides concise and constructive feedback when needed.

• Adapts to changing work demands and environment. Anticipates potential problems and assists nurse leader in the development of contingency plans.

• Interact with high profile patients in a professional demeanor.

• Operates appropriate medical equipment used in practice.

• Assists with clinical equipment and supply orders as needed.

• Participates in the development of policies, procedures, protocols, and standards of care.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

• Must be willing to travel/float between sites as needed.