SHENANDOAH VALLEY WESTMINSTER-CANTERBURY
300 Westminster Canterbury Dr.
Winchester VA 22603
TITLE: Nurse Practitioner Part-Time
DEPARTMENT: Health Services
RESPONSIBLE TO: Director of Health Services
RESPONSIBLE FOR: Clinic Staff
JOB SUMMARY: Plans and provides health services within the accepted scope of practice for nurse practitioners to Shenandoah Valley Westminster Canterbury residents. The Nurse Practitioner will promote a maximum level of health and independent functioning. Services include providing primary and episodic health care including services necessary for the promotion of health, the prevention of disease, and the early detection and treatment of illness.
REQUIRED EDUCATION, EXPERIENCE, SKILLS, LICENSURE:
- Master of Science Degree in Nursing as Geriatric, Adult, or Family Nurse Practitioner.
- Professional certification consistent with the specialty area (Geriatric, Adult, or Family) of the NPs educational program and maintains certification
- Current license as RN and NP in state of Virginia.
- Prescriptive authority in commonwealth of Virginia and Federal DEA license to prescribe.
- Current CPR certification.
- Demonstrated computer literacy Microsoft Office: Outlook, Word, Excel, and Powerpoint
- Ability to facilitate billing process for SVWC NP visits and services.
SCOPE OF PRACTICE: Is detailed in the practice agreement written and signed by the NP and the Supervising Physician.
- Support the mission and purposes of SVWC.
- Support the Board of Trustees and Administration.
- Present a professional, caring image.
- Employment and annual Tuberculosis testing as required by Virginia State Licensure.
- Must attend annual mandatory inservices required by the State Licensure and all other mandatory inservices and/or meetings required by other regulatory agencies and/or by SVWC.
- Follows and supports the policies and procedures established by SVWC.
- Independently provides primary and episodic health care which includes services necessary for the promotion of health, the prevention of disease, the early detection and treatment of acute and chronic illness and emergency care. This service may require collaboration among and referral to other health professionals, including but not limited to specialty physicians, physical, occupational or speech therapists, social services. These services may be provided in the clinic, resident apartment, Assisted Living or Health Care and include taking comprehensive health history, performing physical examinations, performing or ordering appropriate lab tests, x-ray, and other tests, prescribing, and implementing therapy according to standard of practice.
- Participates in and facilitates admission, transfer and discharge of residents both within Westminster Canterbury and between Westminster Canterbury and community facilities to provide both the appropriate level of care and continuity of care.
- Performs independent assessments and treatment procedures in emergency situations.
- Assesses need for, develops educational programs and presents education on individual or group basis
- Knowledgeable in research: collection and processing, interpretation and dissemination of data
- Independently or jointly evaluates program(s), providing input for continuation or expansion of future projects
- Complete legible and accurate medical records in a timely manner on a daily basis, including completing accurate and timely chart entries on client transactions, orders, test results and progress notes summarizing client care for continuity of care between visits.
- Establish and maintain good relationships within the healthcare community.
- Develops and refines clinic operations to include appointment scheduling, work flow, medical record composition, billing protocols and all other areas pertinent to daily operation of the clinic.
- Provides emergency evaluation and treatment/referral to employees injured or ill at work.
- Works with the Director of Health Services, Administrator and other staff as appropriate to establish and maintain and implement policies in regards to influenza, TB surveillance, Hepatitis B, and other potentially infectious diseases.
- Develops and maintains practice protocols with the Medical Director to meet the Virginia Board of Nursing requirements for Nurse Practitioners.
- Independently performs complete and episodic physical assessments on adult and geriatric populations. Independently orders, performs, and interprets laboratory data, including diagnostic procedures. Independently orders radiological studies. Independently orders physical, occupational and speech therapy.
- Prescribes drugs according to an approved formulary established by the Boards of Nursing and Medicare in the Commonwealth of Virginia.
- Independently dispenses medication under direction of the supervising physician who is authorized to dispense
- Independently assesses the need for and provides counseling to patients on issues such as health promotion, disease prevention strategies, medicine administration, hormonal replacement therapy, continence management. etc.
- Independently provides wound/skin management, ostomy management and continence management services to patients
- Wound/Skin Management: debridement, complex fistula/tube management, product selection, risk assessment, complex treatment modalities, prevention strategies, topical treatments, nutritional assessment
- Ostomy Management: stoma selection sites, pre and post op teaching, product selection, treatment of stomal/peristomal skin complications, sexual counseling, dietary counseling, and vocational counseling
- Continence Management: behavioral training, bowel training, product selection, bedside cystometrogram, pelvic muscle exercise training, complex skin care intermittent self-catheterization education
- Understands when referral to physicians and other health care providers is indicated and makes such referrals.
- Provides initial emergency assessment and care.
- The Nurse Practitioner’s Medicare provider number will be the number used for reimbursement for clinic services provided by the NP and all clinic nursing staff. The NP is responsible for the following:
- Must meet and maintain professional requirements to qualify as Medicare and other insurance provider. This includes maintaining appropriate licensing, certification, collaborative and supervisory agreements with the Medical Director.
- Provides NP services and prepares appropriate level of documentation to meet requirements for correct insurance reimbursement.
- Supervises and evaluates clinic staff and provides professional oversight of clinic nursing staff, ensuring acceptable standard of care is maintained and requirements are met for insurance reimbursement.
Knowledge, Skills and Abilities
- Knowledgeable in current standard primary health care practices, treatments, tests and therapies
- Knowledgeable in current and emerging trends in technologies, techniques, issues, and approaches in areas of expertise
- Knowledgeable in scope of practice laws regarding professional licensure
- Has basic understanding about public and private health insurance and third-party reimbursement issues
- Knowledge of community resources related to specialty care and other health related services
- Has and maintain good clinical skills
To make decisions within the framework of the policies and procedures of the facility and standards of the profession.
UNIVERSAL PRECAUTION RISK CLASSIFICATION:
Category A: The person holding this position understands Universal Precautions Risk Classification categories apply to this position and the individual may be exposed to AIDS, HIV, and Hepatitis B viruses. Tasks That Involve Exposure To Blood, Body Fluids, Or Tissues. All procedures or other job related tasks that involve an inherent potential for mucous membrane or skin contact with blood, body fluids, or tissues, or potential for spills or splashes of them, are Category A tasks.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to visually identify and discern printed words on either typewritten pages or computer screen.
- Must be able to identify and differentiate colors.
- Must have depth perception within normal ranges.
- Must be able to respond to spoken words and other auditory sounds including the ringing of telephone or beepers and monitors.
- Must be able to respond and communicate orally by telephone.
- Must be able to bend, reach and lift patients with assistance to transport them to stretchers/wheelchairs.
- Heavy lifting required, over 50lbs.
- Must be able to push and maneuver carts/stretchers/wheel chairs, etc. carrying adults
TOOLS AND EQUIPMENT
- Must be able to use, operate and interpret information from equipment in work area.
- Must be able to verbally communicate in the English language directly and over the telephone and be understood.
RANGE OF MOTION
- Must be able to kneel or squat as needed
- Must be able to stand and walk as needed to access and provide patient care
- Must have mobility for all parts of the body, walking, bending, lifting, reaching above head and use of hands.
- Must have manual dexterity, fine motor skills (typing, computer, etc.)
- Some tasks may require sitting for 40% of the work day.
- Must have mental capacity to fulfill the requirements of the job including problem solving, logic, communication and numerical calculations and analysis.
- Must be able to read and understand written instructions in English.
- Accurate recall and memory.
- Must be able to use judgment in making decisions and choices.