Division:Eskenazi Medical Group

Sub-Division: EMG -Employee

Req ID: 26030

Schedule: Full Time

Shift: Varied

FLSA Status

Exempt

Job Role Summary

The APP-OB/GYN manages and coordinates nursing and patient care management for in collaboration with physicians/interdisciplinary team. This position provides diagnostic, as well as therapeutic intervention and day-to-day evaluation, including diagnostic and pharmacologic intervention under the direction of a physician. The APP implements and coordinates plans of care to address the physical, emotional, and psychosocial needs of patients and families and serves as the informational resource to patients, families, and staff. The APP also makes appropriate physician and allied health care referrals.

Essential Functions and Responsibilities

Evaluate and manage uncomplicated Obstetrical patients, including prenatal and postpartum care. {Does not include labor and delivery, admitting, or operating room privileges.)
• Monitor fetal well-being with fetal Doppler and blood tests at office visits.
• Order and evaluate fetal surveillance with ultrasound and non-stress testing.
• Maintain professional skills and knowledge of guidelines to manage care of pregnancies with associated conditions such as gestational diabetes, chronic hypertension, obesity, prior cesarean, anemia, substance abuse, and conditions of comparable complexity.
• Recognize and refer high-risk patients according to established policies.
• Provide group prenatal care for cohorts of patients with similar social or educational concerns.
• Evaluate and treat Gynecologic patients including attention to all systems, with focus on breast and cervical health. Treatment of vulvo-vaginitis, cervicitis, etc.
• Evaluate and manage referred patients for gynecologic conditions such as abnormal uterine bleeding, polycystic ovary, peMc pain, menopausal symptoms, and urinary incontinence. Recognize conditions requiring referral to gynecology physician for surgical or medical treatment.
• Provide family planning care, including counseling all available methods of temporary and permanent birth control.
o Prescribe and manage oral, transdermal, injections, and vaginal hormonal methods.
o Insert and remove Nexplanon
o Insert and remove IUDs and implants.
o Counsel and refer for surgical permanent methods.
• Evaluate patients by ordering and reviewing gyn ultrasounds to determine diagnosis and plan of care and microscopic exam of bacterial and fungal smears .
• Procedures which may be performed by some Women's Health Nurse Practitioners are:
o Endometrial, vulvar and punch biopsies
o I & D of abscess
o Pessary placement
o colposcopy

Job Requirements

TBD

Knowledge, Skills & Abilities
• Ability to assess system and patients' needs and function autonomously to develop and implement programs to improve patient care
• Ability to collaborate with other health care team members to enhance patient care across the continuum
• Demonstrates leadership abilities by serving as a mentor to influence patient outcomes
• Ability to conduct product, program and/or process value analysis including complete financial implications involved in implementation of the product or program
• Ability to review/critique pertinent research literature related to specialty areas and promotes evidence based practices to improve patient care
• Demonstrates excellent communication skills related to team development, group process, conflict management and negotiations
• Possesses knowledge and skills necessary to provide care appropriate to the age of patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data/interpret appropriate information needed to identify each patient's requirements relative to age-specific needs
• Ability to use age-appropriate and cognitive skills detailed in the department/area/unit job specific/age specific competencies

Minimum Qualifications, Training, and Experience
• Graduation from an accredited school of nursing with a Master of Science degree
• Current Indiana license as a Registered Nurse or current registration with another State Board of Nursing followed by immediate registration with the Indiana Board of Nurse Examiners for license endorsement
• Collaborative agreement with affiliated physician group
• Current Indiana Controlled Substance and Drug Enforcement Registration