Serves as nurse practitioner at the Tuba City Regional Health Care Corporation, Tuba City, Arizona, which involves performance of medical care services for patients in the Family Medicine outpatient clinic and Same Day appointment clinic at the main Tuba City campus.
Provides comprehensive diagnostic, preventative, and therapeutic health care services to adult patients.
Direct Patient Care Services
- Interviews, assesses, and evaluates patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition.
- Performs a basic physical assessment using techniques of observation, inspection, auscultation, percussion, palpation and diagnostic instruments.
- Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, and mental problems.
- Consults and collaborates with other health care professionals at Tuba City to establish health care plans and to review patient progress and response to therapy, including the use of written referrals to Community Health Nurses, specialty clinics, etc.
- Adheres to medical regimens to stabilize chronically ill persons and adjusts regimens as clinically appropriate.
- Documents visits in the Medical records of patients including updating problem lists, medications, etc.
- Makes decisions concerning medical care needs of patients consulting with physicians as appropriate.
- Works collaboratively with physicians in the management of complex medical problems as appropriate.
- Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, substance abuse, exercise, and depression screening.
- Teaches patients and family member’s ways to maintain or improve their health status.
- Carries out treatments and procedures as required. Observes and documents changes in patient’s condition, reactions to medications and treatments.
- Responsible for prescribing medications including computation of doses.
- Completes all electronic health record entries accurately and timely pertinent to patient care role.
- Participates in departmental workflow and or testing teams as related to electronic health record or other project initiatives.
- Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
- Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
- Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
- Performs other duties as assigned.
- Participates in planning, instituting, evaluating, and revising program plan, assists in determining conditions, resources, and policies essential to delivery of health care services.
- Participates in performance improvement initiatives which may involve chart reviews.
- Keeps abreast of the latest medical knowledge via CME as required by respective licensing agency.
- Participates in hospital committees as assigned by supervisor.
- Participates in a teaching capacity in the development of other health care workers.
- Performs other duties as assigned.
Will use a broad range of diagnostic and therapeutic skills as well as social skills to address varied problems associated with rural and cross-cultural medicine, in an Outpatient Clinic setting.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Must be able to walk several hundred yards quickly, write well, hear well (for cardiac examinations) and see well for complete diagnostic skills. Work requires prolonged ability to sit, talk or hear, repetitive movement of both hands to finger, handle, or feel; intermittent repetitive use of both hands to do simple/light grasping and use of fine dexterity. Requires intermittent periods of walking, standing, bending and reaching with hands and arms. Work is performed in a clinic setting where exposure to infectious disease is common. There may be times where work will be outdoors in all kinds of weather conditions. Noise level may be moderate in working areas. Must be able to lift, push, pull, and carry 10 pounds. Must have the ability to hear alarms on equipment, client call, overhead pages, and instructions from other physicians/department staff. Employee must be able to see up close, distantly, peripherally along with depth perception and the ability to adjust focus.
Interaction with emotionally disturbed patients is common. Also, must be able to work evenings on a regular basis and handle the stresses of rural medicine.
Master of Science in Nursing or Doctor of Nursing Practice
- Must possess a valid, current, full, and unrestricted license to practice as a nurse practitioner in any state within the United States, District of Columbia, or the Commonwealth of Puerto Rico
- Certification by the American Association of Nurse Practitioners
Must meet additional requirements for credentialing and privileging for membership to the Medical Staff
Two years of relevant clinical experience
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
- Positive working relationships with others
- Ability to work effectively in a culturally diverse environment
- Possession of high ethical standards and no history of complaints
- Reliable and dependable; reports to work as scheduled without excessive absences
- Must possess excellent communication and interpersonal skills to optimize the care of patients
- Excellent clinical skills and judgment
- Is seen as a staff member who is trustworthy
- Is a mentor to colleagues and other organizational staff
- Responds effectively to sensitive inquiries or complaints
Other Preferred Skills and Abilities:
Ability to speak Navajo