Job Summary

Responsible for providing comprehensive patient care congruent with role and approved population foci (Family/Individual across lifespan, Adult/Gerontology, Neonatal, Pediatrics, Women’s Health/Gender Related, Psychiatric Mental Health) through systemic assessment, diagnosis, treatment, management, and follow up affecting direct patient care.Job Description

Minimum Qualifications

Nurse Practitioner / Advanced Practice Nurse

Education: Graduate of a Nurse Practitioner program approved by the State of Texas. Masters required. May encompass the following specialties:  CRNA, CNM, CNS, CNP. May encompass the following specialties:  CRNA, CNM, CNS, CNP

Licenses/Certifications:

• Licensed to practice professional nursing by the State of Texas
• Licensure by the State of Texas APRN and eligibility for full prescriptive authority by the State of Texas
• Certified by a recognized national certification by the State Board of Texas in area of population foci and/or additional specialty recognition beyond the APRN
• Eligibility for DEA licensure
• Basic Cardiac Life Certification  or Advanced Cardiac Life Certification

Physician Assistant

Education: Graduate of a nationally accredited Physician Assistant program;  Masters strongly preferred

Licenses/Certifications:

• Certified by the National Commission on Certification of Physician Assistants, Inc.
• Licensed by the Texas State Board of Physician Assistant Examiners
• Eligibility for DEA licensure
• Basic Cardiac Life Certification  or Advanced Cardiac Life Certification)

Experience / Knowledge / Skills:

• Two (2) years clinical experience preferred in area of intended practice
• First Assist and/or EVD experience preferred

Principal Accountabilities

• Provides health promotion and the assessment, diagnosis, and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic intervention, assessment, triage, and therapeutic management of patient/family needs throughout the disease process and across the health wellness-illness continuum as an integral part of an interdisciplinary team, according to the age/needs of the patient population served.
• For prescriptive authority, APRN or PA acts under the delegation of a supervising physician, maintaining an active Prescriptive Authority agreement in accordance with regulations and policy.
• Practices within approved protocols, guidelines, and clinical pathways and evidence based medicine.
• Transitions between inpatient/outpatient.
• Directs and evaluates throughput; delegates or provides backup assistance including triage.
• Ability to float, round to multiple facilities and/or take call (first call).
• External Ventricular Drain (EVD) Insertion (Mischer Neurosciences only).
• Provides accurate billing, coding and documentation.
• Completes medical records and submit charges in a timely manner.
• Responsible for overall unit performance in collaboration with physicians or other providers.
• First Assist physicians in performing surgical procedures by providing support as needed.
• Obtains medical histories; performs physical examinations/ reviews/orders/interprets diagnostic tests and radiographic results; formulates and manages patient treatment plan and outcomes; provides interventions and performs procedures within legal cope and authority that the APRN or PA is approved, delegated to and credentialed to perform including but not limited to incision and drainage, pelvic exams, lesion removal/destruction, suturing, and casting/splinting.
• Collaborates in the development and evaluation of patient care. Updates clinical guidelines/protocols/pathways; works autonomously and accepts accountability for outcomes; signs orders in accordance with institution and state board requirements; collaborates in research and teaching projects and applies research to practice. 
• Uses interpersonal and verbal communication skills to educate patient/family on care resources; participates in process improvement and multidisciplinary clinical outcome improvement activities utilizing advanced nursing expertise.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.