This position serves as a Family Nurse Practitioner that performs comprehensive diagnostic, primary health care services, physical examinations (i.e. sports physicals, employment physicals, school physicals for entrance, uranium screenings) to patients by providing a full range assessment of needs. Maintains collaboration with Director of Outpatient department, manages medical needs of patients and provides care according to treatment plan. Responsibilities also include providing continuity of care between visits according to treatment plans for patients. This position is a grant funded position.
Provides comprehensive diagnostic, preventative, and therapeutic health care services to patients either on the Mobile Van, or the Outpatient Clinic.
- Obtains a history, examines, and assesses patients to determine their physical condition and type of medical services needed, and orders initial diagnostic studies appropriate for the patient’s medical condition.
- 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, schools, etc.
- Adheres to clinical guidelines to stabilize chronically ill persons.
- Documents visits in the medical records of patients including updating problem lists
- Makes decisions concerning medical care needs of patients consulting with physicians as appropriate.
- Works collaboratively with the physician in management of selected complex medical problems.
- Provides health care and preventive services to healthy individuals including immunizations, guidance in nutrition, common illnesses, accidents, child growth and development, 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, administers medications; observes and documents changes in patient’s condition, reactions to medications and treatments.
- Responsible for prescribing medications including computation of doses.
- Proper PPE is worn inside assigned Clinics or Units. NIOSH- approved N95 Masks filtering face piece respirator or higher, if available, Eye or Face shields, Gloves, and Isolation Gowns.
- Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. Training well be provided.
- 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
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 long periods of regular and recurring seating, standing, walking, climbing, kneeling, crouching, twisting, maintaining balance, reaching and bending. Using appropriate body mechanics and proper lifting techniques is required as assistance may be needed to take items off mobile medical unit daily if schedule to be on the mobile medical unit. Must be able to lift, push and pull up to 34lbs frequently and occasionally over 100lbs as needed. Work requires extensive driving between communities, ability to seat for long periods of time on RV unit- Mobile Medical unit. Must have ability of prolonged near vision, seeing fine details, hearing normal speech, telephone use, frequent far and color vision, depth perception and occasional hearing overhead pages. Must have ability of bilateral hand manipulation- simple and firm grasping, fine manipulation and prolonged use of a keyboard.
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. Family Nurse Practitioner must be able to cope and manage stressful situations such as chronic or terminal illnesses, child or elderly abuse, and social issues or concerns among patients and families. Must be able to continuously concentrate, work alone, work in areas that are close and crowded, frequently cope with high levels of stress, make decisions under high pressure, manage altercation, handle multiple priorities in stressful situation, demonstrate high degree of patience, adapt to shift work, and occasionally cope with anger/fear/hostility of others in a calm way and handle high degree of flexibility. Must accept a flexible schedule to meet unit needs.
Work is performed in a clinic setting where exposure to infectious disease is common. May also frequently be exposed to chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, and occasional exposure to unprotected heights and loud noises
Master of Science in Nursing or Doctor of Nursing Practice
- 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
- Certificate from the American Association of Nurse Practitioners
Must meet additional requirements for credentialing and privileging for membership to the Medical Staff
- Two (2) years of experience as a nurse practitioner evaluating and treating patients
- Basic computer skills used in performance of their duties are essential
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
- Possession of high ethical standards and no history of complaints
- Reliable and dependable; reports to work as scheduled without excessive absences
- Ability to work under conditions of frequent interruptions and willingness to work flexible schedule
- Must possess excellent communication and interpersonal skills to optimize the care of patients
- Excellent clinical skills and judgment
- Successful and positive working relationships, seen as a team player
- Basic computer skills used in performance of their duties are essential
- Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
- Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
- Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
- Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC.