Advanced Practice Nurse Job in Lafayette, Colorado US
Advanced Practice Nurse
Practices professional nursing by the performance of both independent nursing functions and delegated medical functions in accordance with accepted practice standards. Such functions include the initiation and performance of nursing care through health promotion, supportive or restorative care, disease prevention, diagnosis and treatment of human disease, ailment, pain, injury, deformity, and physical or mental condition using specialized knowledge, judgment, and skill involving the application of biological, physical, social, and behavioral science principles. Essential Functions: (Portions adopted from Colorado State Nurse Practice Act) Evaluating health status through the collection and assessment of health data Examines and treats patients, orders and interprets diagnostic tests and makes diagnosis. Collects subjective and objective data. Analyzes, reports, and records data. Uses data to identify health care problems and create plan. Prioritizes patient's needs. Triages patients either in person or via telephone and implements proper course of action. Patient assessment and plan of care will be reviewed by attending physician. Provide ongoing evaluation and treatment of admitted patients in association with attending physician. Participate in hospital rounding activities with physician and other treatment team members, including but not limited to nursing, therapy and case management. Discharge patients from the hospital, including creating a follow up plan of care, ordering new medications, determining outpatient follow up. Provide evaluation and management of hospitalized patients for medical issues arising when the primary treating physician or APN/PA is not available, such as during evening and night time hours. ( Cross cover') Review in-basket results of laboratory and imaging studies on patients who are discharged from the hospital prior to studies resulting and take appropriate follow action as indicated. This may include forwarding important results to ordering physician, changing patient therapy and informing primary care physician of necessary follow up action. Conducts telephone call backs to patients requiring follow-up care. Evaluates emergency situations and initiates appropriate interventions. Practices within scope of practice perimeters as inferred by licensure, standard nursing practice, knowledge, skill level, sound clinical judgment, and KP guidelines. Accurately documents patient data, actions or interventions, responses, and plans for care/follow-up according to guidelines and/or standard nursing practice. Health teaching and health counseling to patients and/or their families. Executing delegated medical functions which deliver aspects of care that implement and are consistent with the medical plan as prescribed by a licensed or otherwise legally authorized physician or person acting under the physician's delegated authority. Providing therapy and treatment that is supportive and restorative to life and well being either directly to the patient or indirectly through consultation with, delegation to (per Colorado State Board of Nursing rules and regulations for delegation), supervision of, or teaching others. APN specializing in surgery may provide preoperative and postoperative care. As first or second assistants during major surgery Refers to medical or community agencies per Kaiser Permanente guidelines those patients who need further treatment, evaluation, or assistance. Review and monitor therapy and treatment patient plans. Initiate appropriate consultations and/or actions accordingly. Facilitates the coordination and integration of care between health care services; manages populations of patients to ensure appropriate utilization of health care resources. Leads health care team by influence and role modeling integrated effective nursing practice, exemplary service, innovation and providing outstanding support for physician practices. Patient advocate. Maintains clinical competence through attending staff development programs, is responsible for maintaining professional certification. Participates in planning for the delivery of clinical service Participates in monitoring quality of care according to professional standards and established criteria Carries out clinical and administrative procedures that may be promulgated by the Health Plan Participates in training of students and precepting of newly hired APN's/PA's Makes members/patients and their needs a primary focus of one's actions; develops and sustains productive member/patient relationships Actively seeks information to understand member/patient circumstances, problems, expectations, and needs Builds rapport and cooperative relationships with members/patients Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems Participates in the peer review process of not only your own professional qualifications but those of your colleagues. Participates and cooperates with colleagues both other Advanced Practice Nurses and Physicians in evaluating professional qualifications Collaborates with articulated plan physician, and follows Health Plan policy around annual chart review and discussion between APN and physician Performs other related duties as directed including but not limited to attendance of departmental meetings. Collaborates effectively with all members of the care team. Will be expected to work shifts extending throughout the 24 hour day, and will include weekends and Holiday work. Adverse work hours will be consistent with work expectation of physicians. Perform patient education and home environment assessments COMPLIANCE: Makes members/patients and their needs a primary focus of one's actions; develops and sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems. Demonstrated customer service skills, customer focus abilities and the ability to understand Kaiser Permanente customer needs. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. Qualifications: Basic Qualifications: Currently licensed as a Registered Nurse in the State of Colorado. Listed on the Advanced Practice Registry and is in compliance with those requirements. Must be a graduate of a RN program that meets Colorado State Board of Nursing curriculum requirements. Masters Degree in Nursing Graduation from a NLN accredited Nurse Practitioner program BLS required within 90 days of employment and and must be maintained as current. National Provider Identifier (NPI) and Taxonomy code required at time of hire. Prescriptive authority required or in progress. Must be obtained within 2 years of hire date if a newer graduate DEA Registration (or actively working to obtain this registration if new graduate) Must obtain and maintain credentialing and/or privileges both internally and externally by the affiliated hospital. Ongoing c