Nurse Practitioner

Job Summary :

The role of the Hospitalist Service Nurse Practitioner (HSNP) is to functionally support and extend the role of the Hospitalist Physicians by providing excellent bedside evaluation and communication and by directing patient care under the supervision of Hospitalist Physician.

At all times, the HSNP will function in accordance with the applicable articles of I.C. 25-23 and supportive regulations of the I.A.C., including sub-sections of 848 (2-2-1,2-2-2, 2-3-1, 2-3-2, and 2-3-3). As changes to I.C. or I.A.C. are advanced, the HSNP will comply with those requirements as well.

Under current Medical Staff Rules and Regulations, all chart entries and/or orders written by HSNP require later Hospitalist Physician authentication. Additionally, all patients must be seen and evaluated by the physician of record at least once every 24 hours.

Procedures, other than venipuncture, peripheral intravenous catheter placement, foley catheter placement, and peripheral arterial blood gas sampling, will directly supervised by a hospitalist physician.

Job Description

Essential Responsibilities: 

1. Operates with a high level of autonomy through use of excellent critical thinking and problem solving skills as applicable to general internal medical patients in the acute care setting.

a. Conducts appropriately detailed bedside evaluations;

b. Interprets lab, radiographic, bedside records, and other clinical data sources in the context of the patients diagnosis(ses) and condition;

c. Arrives at clinically sound diagnoses;

d. Initiates appropriate orders;

e. Documents historical, physical, assessment and plan information to the medical record.

2. In conjunction with the hospitalist physician, nursing and other health care disciplines, the HSNP is responsible to evaluate and help direct the care of assigned patients on a daily basis throughout the acute hospitalization.

3. Performs and dictates results of History and Physical examination for admission, observation or consultation for assigned patients.

4. Performs daily, pertinent bedside evaluation and records appropriate progress note for physician review and authentication.

5. Prepares discharge paperwork, including discharge summary dictation, for assigned patients on the day prior to or day of discharge.

6. Writes admitting, daily, and discharge orders appropriate to the patient’s condition and plan of care.

7. Works collaboratively with Hospitalist Physician(s) in an environment that engenders teamwork to be certain that care is rendered efficiently and workload is distributed fairly.

8. Communicates regularly and effectively with patients and their families.

9. Communicates regularly and effectively with referring physicians and support staff (such as nursing, rehabilitative services, etc.)

10. At least daily and as needed for appropriate clinical input, meets with Hospitalist Physician(s) to review results of evaluation and planned care.

11. Supports and participates in focused quality, safety and utilization studies as requested to improve quality and cost-effectiveness of patient care.

12. Alerts Hospitalist Physician(s) to acute declines in patient status, critical lab values and/or radiographic findings to review planned treatment or request bedside evaluation by Hospitalist Physician.

13. Complies with applicable medical staff rules and regulations and health information management policies to support an accurate and complete medical record.

14. Prepares required billing materials and submits to Hendricks Physician  Billing via QRM Department in a timely manner.

15. Shares in on-call rotation for Hospitalist Service with physician back-up available.

Education and Experience Required: 

Minimum of three years experience in bedside care of hospitalized acute care patients as an R.N. or N.P.  Experience in general medical or intensive care unit is strongly preferred.

Mandatory Licensure/Certifications: 

1. Registered Nurse holding a current, unrestricted license to practice in Indiana, and Fulfill one or more of the following requirements:

a. Successfully completed or be within 4 months of completion* of a graduate program offered by a college or university accredited by the Commission on Recognition of Postsecondary Accreditation, or

b. Successfully completed a certificate program offered by a college or university accredited by the Commission on Recognition of Postsecondary Accreditation and have received and maintained certification by a national organization that requires successful completion of a certifying examination.

*Job description is not meant to cover or include all the tasks, duties or responsibilities the employee may be required to perform. Job duties and responsibilities can change at any time, with or without notice due to business need

Work Shift :

1st Shift (United States of America)

Scheduled Weekly Hours :

40