Advanced Practice Provider - Emergency Department - PRN/Casual - Rotating

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Jennie Edmundson Emergency Department
Address: 33 E Pierce Street, Council Bluffs IA

Work Schedule: Rotating 12 hour shifts. M-S, Weekends and Holidays. 9a-9p or 12p-12a. At least one shift per month required. Casual/PRN employees work on an ‘as needed’ basis to meet the needs of the business.  Work days/hours will often vary from week to week.


Provides quality of care and safety to our patients and employees.

Responsibilities:

Essential Job Functions

Performs primary health care for patients by utilizing the processes of assessment and diagnosis of health status.

• Obtain patient's medical and history information, data collection is prioritized according to immediate condition or needs.
• Perform physical exam and determine patient's mental status.
• Develops and implements treatment, follow-up and evaluation plans for patient outcomes.
• Collaborates with physicians and other disciplines as appropriate and provides regular and consistent feedback.
• Uses appropriate assessment techniques & diagnostic information.
• Performs tests relevant to patient condition and record findings.
• Order appropriate ancillary tests.
• Derives diagnosis from the assessment data and diagnostic information as data becomes available.
• Uses new or additional data to form a treatment plan.
• Performs telephone triage to determine patient condition and provides appropriate consultation scheduling appointments when needed.
• Incorporates research into clinical practice as appropriate.

Implement interventions consistent with the established plan of care in a safe and appropriate manner.

• Apply established therapeutic practices to patient's problem.
• Administer medications and immunizations using the appropriate method and with physician oversight if applicable.
• Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
• Generates referrals to appropriate services as needed to further diagnose and/or progress of care.

Evaluates patient care to determine response to care/interventions for optimal patient outcome.

• Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions.
• Recognizes and addresses patient and family capabilities and limitations (physical and mental).
• Return patient telephone calls.
• Monitors outcomes and documents patient response to interventions.
• Seeks out new treatment methods necessary to ensure patient progress.

Provides patient and family teaching and education specific to the patient's health care.

• Proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
• Interviews and advises specific to patient needs.
• Demonstrates sensitivity to family regarding need for patient information on a timely basis.
• Works collaboratively with the physician to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
• Uses adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.
• Recommends references and resources such as printed materials, online, community and other information sources to fulfill the family's need for education.

Maintains a professional behavior in attitudes, demeanor, and interactions to achieve organization's mission.

• Communicates effectively with physicians, staff and patients.
• Is approachable and professional in working with other health professionals, patients and their family.
• Maintains a professional appearance, behavior, and work environment.
• Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e. falls, needle sticks, patient concerns).
• Communicates to appropriate personnel regarding unresolved issues.
• Serves as a role model in the provision of emerging care.
• Serves as a reliable/knowledgeable resource for staff.
• Participates in meetings, research on special projects and professional organizations.

Complies with the bylaws, rules and regulations of the organization as they pertain to Nurse Practitioners.

• Knows and follows organization policy & procedures.
• Follows Medical Protocols for Nurse Practitioners.
• Maintains certification/licensure.
• Follows guidelines of regulatory bodies (FDA etc.).

Maintains complete patient records.

• Documents data appropriately.
• Documents treatment plan of care that is individualized, appropriate and reflects patient's needs.
• Documents interventions.
• Documents consultations with other practitioners/physicians.

Participates in performance improvement and outcome management.

• Meets regularly with medical director for chart reviews.
• Identifies concerns in patient care & follows up according to hospital policy.
• Participates in patient satisfaction and other quality improvement initiatives.
• Participates in tracking of variances in care.

Provides appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Right Task
• Right Person
• Right Communication (clear, concise, correct, complete)
• Right Feedback

Schedule:

Work Schedule: Rotating 12 hour shifts. M-S, Weekends and Holidays. 9a-9p or 12p-12a. At least one shift per month required. Casual/PRN employees work on an ‘as needed’ basis to meet the needs of the business.  Work days/hours will often vary from week to week. 
 

Job Description:

Job Requirements

Education

• Graduate of Master of Science in Nursing (MSN)/Doctor of Nursing Practice (DNP) program.
• Satisfactory completion of annual mandatory education requirements.
• Must be a graduate of an accredited Advanced Registered Nurse Practitioner (ARNP) program.
• NIH Stroke Scale training required at hire or within 6 months of hire.

Experience

• Prior experience working in an emergency environment preferred.

License/Certifications

• Current valid Registered Nurse (RN) License, valid compact multi-state license, or a temporary permit while awaiting licensure required.
• Advanced Registered Nurse Practitioner (ARNP.IA) required.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Maintain current American Heart Association Pediatric Advanced Life Support (PALS) Certification required.
• Maintain current American Heart Association Advanced Cardiac Life Support (ACLS) certification required.
• Advanced Trauma Life Support (ATLS) required within first year of hire.
• Must stay current with Continuing Medical Education (CME) requirements to maintain Advanced Registered Nurse Practitioner (ARNP) licensure.

Skills/Knowledge/Abilities

• Strong leadership, problem-solving and nursing judgement skills required.

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Climbing
  • Crawling
  • Kneeling
  • Sitting
• Frequently Performed (34%-66%):
  • Balancing
  • Crawling
  • Crouching
  • Distinguish colors
  • Keyboarding/typing
  • Lifting
  • Pulling/Pushing
  • Repetitive Motions
  • Stooping/bending
  • Twisting
• Constantly Performed (67%-100%):
  • Grasping
  • Hearing
  • Reaching
  • Seeing/Visual
  • Speaking/talking
  • Walking

Job Hazards

• Not Related:
  • Electrical Shock/Static
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
• Occasionally (34%-66%):
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
• Frequent (67%-100%):
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.