Description
The Department of Pulmonology and Critical Care at MUSC Health - Florence Medical Center is seeking an Advanced Practice Provider to join a rapidly growing practice in Florence, SC. The Nurse Practitioner or Physician Assistant will work under the general direction of the supervising/collaborating physician, and will assist with direct patient care, supervision of treatment plans, practice development, and implementation of policies and procedures to increase the continuity of care for all patients.
Fair Labor Standards Act Status: Salaried
Hours per week: 40
Scheduled Work Hours/Shift: 8:00am-5:00pm, Monday through Friday. Weekend availability required.
Patient Population Focus
Inpatient, Outpatient, Procedural Unit, Infusion Suite, Emergency Department Management/Consultation.
Patient Population Age Range
13 years-death
Required Minimum Training and Experience
Training: Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible as an AGACNP/ACNP
APRN License Type/Certification:
- AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)
- FNP (Family NP): (birth to death) Stable chronic disease state management, primary care across the lifespan.
Preferred Training and Experience
Training: Physician Assistant (PA) or if APRN, License Type/Certification identified below
APRN License Type/Certification:
- AGACNP/ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)
Experience: Two years' experience preferred, but new graduates will be considered.
Degree of Supervision
APRN or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.
Required Licensure, Certifications, Registrations
- Currently licensed (or eligible) in the state of South Carolina as a Physician Assistant by the South Carolina Board of Medical Examiners or as an AGACNP/ACNP with the SC Board of Nursing
- Basic Life Support (BLS); If BLS is not current, provider must enroll and have received certificate by start date
- Advanced Cardiovascular Life Support (ACLS); If ACLS is not current, provider must enroll and have received certificate by start date
- DHEC and DEA license applications must be submitted prior to first day
Job Duties
Provides direct care to patients through the following activities:
- Takes comprehensive history and performs physical examinations
- Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
- Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
- Documents and bills for direct care provided
- Utilizes current research and evidence-based decision-making in all clinical practice
- Performs and participates in quality/performance improvement activities and clinical research
- Participates in and supports accreditation, compliance, and regulatory activities of the organization
- Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
- Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
- APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law
Routine Duties
- Collaborate with the client/family to establish physical, mental, cultural and environmental factors that facilitate or impede realistic goals and activities.
- Conduct and document findings on initial, periodic, episodic, and/or annual health histories and physical examinations on patients seen in the clinical setting.
- Determine potential needs for therapeutic changes, diagnostic workups or subspecialty consultation and so order.
- Order and/or interpret appropriate laboratory tests, x-rays and chest imaging, EKG's, pulmonary function testing and report of other diagnostic studies and procedures.
- Provide follow-up for evaluation of outcomes of x-rays and chest imaging, laboratory tests and diagnostic procedures. Detect and evaluate any significant change in patient's condition, treating as indicated with current evidence-based practice.
- Review medications for clinical need, simplification and possible drug-drug interactions and adjust as indicated.
- Prescribe, administer and review/evaluate patient's response to pharmacological and non-pharmacological treatment excluding narcotics and controlled medications.
- Evaluate outpatients and manage acute and chronic illnesses according to the usual scoped of care to include attention to maintenance of stable conditions, preventive health care and screening.
- Formulate diagnostic plans and therapeutic regimen, including possible hospitalizations.
- Make referrals to and collaborate with home health services to provide and maintain continuity of care.
- Plan, provide and evaluate care that promotes wellness and prevents disease/injury and disability.
- Assist patient to maintain or improve their current state of health when disability already exists.
- Assist patients to regain or improve their abilities to cope with states of health and illness.
- Provide education and counseling of the patient and the patient's family in preventive care, medical conditions and the use of prescribed treatments and drugs. Maintain phone contact with patients, families and home care agencies as indicated.
Emergency Duties
- Treat respiratory distress and/or emergent conditions in the absence of a physician or until a physician arrives.
- Initiate basic life support/First Aid to the extent that training supports following current AHA guidelines. Maintain current BLS certificate.
Program-Specific Duties: Pulmonary
Serves as the clinical coordinator for the MUSC Florence Division Lung Screening Program:
- Organize and lead in-services to educate and share information about the lung screening with clinical staff
- Facilitate follow-up referrals to smoking cessation care.
- Optimize patient-centered care practices through patient education, care management and appropriate utilization of system processes.
- Ongoing monitoring and scheduling of patient screening exams, procedures, clinic appointments; monitors and assist with fol
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