Nurse Practitioner or Physician Assistant - Cardiothoracic Unit
Mary Washington Healthcare
Location: Fredericksburg, Virginia
Advanced Practice Registered Nurses / Physician Assistants
Internal Number: R-8688
Start the day excited to make a difference...end the day knowing you did. Come join our team.
The Nurse Practitioner/Physician Assistant provides clinical services to the appropriate programs and its patients/in both the inpatient and outpatient setting. The Nurse Practitioner/Physician Assistant is actively involved in providing formal and informal care, education and participates in the review and development of specific policies, procedures, and practice guidelines. The incumbent in this position must be able to demonstrate effective interpersonal skills and an understanding of the interdependent roles of various allied health professions.
This individual will assess physical, psychosocial, cognitive, and functional components, develop a treatment plan, order and interpret diagnostic components of the plan, and prescribe non-pharmacological and pharmacological agents.
The Nurse Practitioner/Physician Assistant functions professionally under a practice agreement with the supervising physician and operationally under the Vice President Nursing Services and/or the designee.
Essential Functions & Responsibilities:
In collaboration with physician, demonstrates ability to consul patients and family members about diagnosis, testing, surgery and risk of procedures.
Performs comprehensive health assessments for the purpose of diagnosing and treating individuals.
Formulates appropriate differential diagnosis, develop treatment plan to include appropriate diagnostics; identifies non-pharmacological interventions, appropriate pharmacological agents and education. The plan is based on mutually established priorities to maximize the heath potential of the patient.
Provides relevant patient and family education; makes appropriate referrals to other professional and community agencies.
Orders and provides preliminary interpretation of diagnostic studies.
Prescribes non-pharmacological therapies and pharmacological agents within the defined scope of service and according to guidelines established by the supervising physician.
Demonstrates the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.
Provides emergency treatments and initiates emergency life saving measures per ACLS guidelines.
Meets all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.
Delineation of Privileges:
Obtain, record and dictate medical histories
Perform, record and dictate physical examinations
Make daily rounds, record progress notes, write routine comfort and diet orders, order laboratory tests and non-invasive examinations, write approved routine orders, and change dressings
Prepare patients for discharge from the hospital
Dictate discharge and transfer summaries
Evaluate patients who require a surgical consult
Apply and change dressings
Remove sutures and staples
Insert IV needles and catheters
Catheterize urinary bladder
Pass nasogastric tubes
Place and remove chest tubes and monitoring lines
Irrigate chest tubes and catheters
Remove intra-aortic balloon pump
Debride, irrigate and pack surgical wounds
Remove drainage catheters
Educate patient/family regarding disease, procedures, medication, nutrition, healthcare, and post-discharge care
Dictate letters to physicians, patients
Act as liaison between patients and physicians
Act as liaison between nursing and physicians
Request consults from health agencies and act as liaison
Make and receive phone calls to/from patients, physicians and nurses for information, advise, triage
Complete insurance forms and home health forms
Maintain written material; teach devices and special equipment for use of personnel and patients.
Masters Degree for NP or PA
AHA BLS Provider CPR required
Ability to work effectively in emergency situations and under stress
Proficient leadership skills
Ability to work cooperatively/collaboratively as part of a team, developing productive working relationships with diverse groups of people.
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
A Not-for-Profit Regional Healthcare System Dedicated to Excellence. From our humble beginnings in Fredericksburg, Virginia as an eight-room hospital to our modern not-for-profit regional system, Mary Washington Healthcare has seen enormous growth and development in the past 100 years. Today, we are made up of two hospitals and 28 healthcare facilities and wellness services. Community leaders volunteer on our Board of Trustees in order to guide the continued growth and direction of our health care system.