Responsibilities

I. JOB SUMMARY/RESPONSIBILITIES:
• An Advanced Practice Provider (APP) is a medical provider who treats, diagnoses, prescribes, and/or performs or assists in surgical procedures. APPs are licensed healthcare professionals, credentialed and privileged through the Medical Staff Office. APPs work collaboratively with physicians and the care team in all areas of the hospital and clinics to create a seamless environment of care. APPs are highly knowledgeable and serve as an essential part of the development and implementation of patients' care. The APP develops protocols for care, as appropriate, serves as a health care researcher, interdisciplinary consultant, and patient advocate.
• If licensed as an Advanced Practice Registered Nurse (APRN), (State of Hawaii Department of Commerce and Consumer Affairs, Title 16, sub chapter 14, Hawaii Revised Statues.):
o The APRN functions as an expert practitioner with educator consultant, researcher and leadership role components and functions autonomously and in collaboration with other healthcare professionals to enhance the quality of nursing practice and patient care.
o Provides health care that includes services to individuals and families, emphasizing health promotion, disease prevention, and diagnosis and management of acute and chronic diseases. Direct care services may include, but are not limited to, obtaining a patient history, providing a complete or focused physical examination, ordering, conducting and interpreting diagnostic and laboratory tests, performing procedures, patient and family education, and managing social, economic and ethical issues within the scope of a health care provider. Indirect patient care services may include, but are limited to setting standards for nursing practice and facilitating the professional practice of nursing care at the bedside.
• If licensed as Physician Assistant (PA) (State of Hawaii Administrative Rules Chapter 85, Subchapter 6):
o A PA is an individual who has been certified by the board to practice medicine with physician supervision. A PA may perform those duties and responsibilities delegated by the supervising physician.
o Under the supervision of a Physician, the PA functions as an expert practitioner. The PA provides health care that includes services to individuals and families, which includes health promotion, disease prevention, diagnosis and management of acute and chronic disease. Direct care services may include, but is not limited to, obtaining patient histories, providing a complete or focused physical examination, ordering, conducting, and interpreting diagnostic and laboratory tests, various diagnostic and/or therapeutic procedures; and performing procedures, etc., within scope of practice and licensure. The PA also provides patient and family education, and management of social, economic, and ethical issues within the scope of the health care provider.

II. TYPICAL PHYSICAL DEMANDS:
• Finger dexterity, seeing, hearing, speaking.
• Continuous: sitting, static gripping of an object for prolonged periods.
• Frequent: walking.
• Occasional: standing, stooping/bending, climbing stairs, walking on uneven ground, lifting and carrying usual weight of 1 pound up to 5 pounds, reaching above, at and below shoulder level, frequent gripping of an object.

III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
• May be exposed to communicable disease and body fluids, and chemicals.
• May be required to deal with hostile patients and/or families.

IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
• Current Hawaii State license as an APRN or Physician Assistant in good standing
• If licensed as an APRN, specialty board certification aligned with area of assignment is required.
• If licensed as an APRN, successful completion of a Registered Nurse First Assistant (RNFA) Program is required.
• Depending on area of assignment, prescriptive authority for non-controlled and controlled substances may be required.
• Depending on area of assignment, additional certification(s) may be required.
• Credentialing and privileging required if providing medical level of care.
• Current ACLS certification.
• Current BLS certification.

B. EXPERIENCE:
• If licensed as an APRN, two (2) years nursing experience or successful completion of an APRN Fellowship Program for any APRN position.
• One (1) year of clinical experience working as an APRN or Physician Assistant preferred.

APRN Scope of Service

1. Additional Requirements
   
   1. EDUCATION/CERTIFICATION AND LICENSURE:

• If licensed as an APRN current board certification in one (1) of the following:
  • Adult Geriatric Acute Care Nurse Practitioner (AGACNP)
  • Acute Care Nurse Practitioner (ACNP)
• If licensed as an APRN prescriptive authority for non-controlled and controlled substances required.