Hospitalist - Advanced Practice Provider - NP/PA

Practice Based Learning and Clinical Improvement

• Demonstrates insight into own strengths, limitations and knowledge deficits.
• Demonstrates initiative to meet identified learning needs using multiple resources
• Actively participates in self-evaluation by seeking and utilizing guidance and constructive feedback in a professional manner
• Continuously seeks opportunities for clinical advancement and knowledge and skill attainment. 

Communication and Interdisciplinary Collaboration

• Communicates and collaborates effectively with physicians, other health professional and health related agencies.
• Works effectively with multidisciplinary team members.
• Promotes mutual respect and trust working within a team model.
• Communicates effectively with patients and families, incorporating gender, age, culture, race, religion, disabilities and sexual orientation. 

 Professionalism

• Follows ethical principles regarding patient confidentiality, informed consent and unanticipated adverse outcomes.
• Demonstrates the highest level of accountability for professional practice.
• Participates in education of students and other health care professionals. 
• Maintains effectiveness where circumstances and priorities are changing. Is flexible resilient and change oriented.
• Welcomes and participates in opportunities to advance the mission of the hospital through service, scholarship, science and social responsibility.
• Participates in organizational and departmental meetings, educational opportunities, committees and workgroups as necessary. 

Systems Based Practice 

• Considers cost effectiveness and risk/benefit analysis when making decisions about patient care.
• Uses evidenced-based medicine to systematically analyze and improve patient care practices.
• Participates in quality initiative/performance activities.
• Participates in development, evaluates and implements standards of cared within areas of specialization (policies, protocols, etc.).

Clinical Knowledge

• Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions.
• Performs history and physical assessments of patients that are accurate, complete, concise, relevant and appropriate for age, gender and clinical problem.
• Orders appropriate diagnostic studies and correctly interprets the results.
• Utilizes critical thinking to synthesize and analyze collected data.
• Develops, implements, evaluates and alters the plan of care as needed.
• Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.
• Counsels and educates patients and families.
• Demonstrates proficiency in procedural skills pertinent to practice area.
• Maintains accurate, complete, concise and timely documentation in the electronic medical record.

Patient Care

• Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan.
• Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.
• Incorporates the patient and family in care planning and treatment across settings.
• Serves as an advocate for patients and families in navigating the health care system.

Inpatient Specific Responsibilities (100%)

• Conducts comprehensive health history and physical assessment of patients with acute health problems.
• Performs admission history and physical, develops, manages and modifies treatment plans. 
• Participates in daily rounding and collaborates with attending or consulting team in order to adjust plans of care as appropriate.
• Manages or independently performs evaluative and treatment procedures necessary to provide an appropriate response to life-threatening emergency situations until the arrival of emergency response teams. 
• Facilitates referrals to appropriate community health facilities, agencies and resources.
• Discharges hospitalized patients in collaboration with the attending physician.
• Prepares and dictates discharge summaries of patients' hospitalization and clinic care.
• Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.
• Ability to independently perform medical consultation as indicated.

Procedures

• Performs routine clinical procedures independently once appropriately trained and credentialed, as outlined in practice agreements/scope of practice.

Education Requirements

• Master's Degree

Experience Requirements

• Two (2)years of relevant experience. 

License and Certification Requirements

• Active DEA license or ability to apply for such license prior to or upon hire
• CPR certification and advance life support certifications if relevant to practice area (ACLS, PALS, NRP)

If Nurse Practitioner

• Active RN and APNP license in Vermont
• Active board certification as an NP in Adult/Gerontology Acute Care or Adult/Gerontology Primary Care with clinical experience in the hospital or previous ICU experience as Nurse or Nurse Practitioner

If Physician Assistant

• Active PA license in Vermont and Active PA Board Certification  

Skill Requirements

• Excellent verbal and written communication skills
• Professional demeanor
• Ability to work as a member of a multidsciplinary team
• Ability to prioritize tasks
• Ability to critically think and make independent decisions