Director of Advanced Practitioners

Patient & Workplace Safety:

• Employee has knowledge and understanding of patient and workforce safety as it relates to job duties.

Patient Population:

• Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.

Principal Duties and Responsibilities:
* Assumes responsibility for the initial evaluation and treatment of patients in assigned areas.
* Performs initial history and physical as evidenced by appropriate documentation
* Initiate referral to appropriate health care professional or physician of problems that exceed the NP/PA scope of practice.
* Monitor and manage stable chronic illnesses of the adult population.
* Obtain and perform medical/social histories and perform physical examination as indicated.
* Order diagnostic testing and therapeutic modalities(medications,IV fluids,etc)
* Perform acts of diagnosis and treatment as determined by established written protocols.
* Write appropriate standard and medication orders
* Discuss with attending physician and nursing staff, physical or emotional findings that impact patient care.
* Evaluates patient progress on a continuing basis and, in collaboration with the attending physician, alters treatment modalities.including:
* Evaluates nursing, medical, social, and educational needs on assigned patients.
* Initiates referral to appropriate ancillary departments and community resources based on patient need and documents on the progress note.
* Writes progress notes daily, documenting pertinent information regarding patient progress and treatment regime.
* Writes orders appropriate to the patient's care requirements in compliance with hospital policy.
* Establishes medical diagnoses in compliance with standard accepted medical practice.
* Refers to the attending physician or designee those problems, which require consultation and documents it on progress note.
* Makes immediate referral of acute and/or life threatening patient conditions to attending physician or designee. Documents physical findings and treatment plan pertaining to same.
* Performs technical functions as covered by the job description and delegation agreement submitted to BPQA in accordance with hospital policy including:
* Documents results of technical functions performed and patient response.
* Reports to physician or designee any abnormal findings related to it.
* Monitors patient response related to technical function performed and documents it.
* Actively supports and participates in nursing and/or hospital performance improvement initiatives.
* Apply, remove, change dressings and bandages
* General care for superficial wounds
* Perform venipuncture for blood sampling, cultures, and IV catheterization
* Remove sutures
* Reports any abnormal findings to physician.
* Acts as a clinical resource.
* Actively participates in hospital PI initiatives.
* Performs activities to meet patient/family education needs.
* Counsel and instruct patient and significant others as appropriate.
* Participates actively in health teaching of patient and family to include preventative health care, as well as current medical condition and treatment regime. Evidence of same by documentation on progress note and/or established flow sheet.
* Plans and reviews home care instructions with patient and family if needed. Includes needs for service provided by community resources and hospital based ancillary services.
* Maintains continual communication with health team members regarding patient education and discharge planning.
* Assists in managing the Departmental budgets (Cost Centers 764, 703) and in preparing the operating budgets. Maintains expenditures within approved budgets and prepares variance reports as required.
* Coordinates NP/PA services with other Hospital departments to ensure quality patient care.

Human Resource functions:
* Manages human resources within established productivity guidelines and the personnel budget.
* Facilitates training and development efforts.
* Maintains and monitors employee hospital and clinical competencies.
* Monitors and reviews work performance of the staff.
* Interviews and selects personnel.
* Develops and implements appropriate staffing patterns for the work schedules of mid-level practitioners to ensure coverage.
* Participates in hospital committee work, HR mandatory training and PI initiatives.

Other Administrative Duties:
* Strategic planning representative to coordinate with hospital programs and initiatives, as needed
* Represent Advanced Practitioners in Medical Staff Meetings
* Development and implementation of Professional Development/Career Development and/or educational program for Advanced Practitioners
* Play a major role in candidate pipeline development through community outreach with local PA, NP, Certified Nurse Midwife, and RNFA Training Programs (i.e. Towson University, etc.)
* Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continued certification as well as attending mandatory inservice as required.