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The Advanced Practice Nurse (APN) is a registered nurse with master’s preparation in an expanded role who will provide direct care to individuals, families, and/or groups in a Primary Care Practice. This APN provides direct care to patients (all ages, from newborn to elderly or ADULT only, Pediatric only)This care includes conducting physicals, follow up exams and urgent care visits; ordering lab and imaging tests and consults; and prescribing medications
In collaboration with the physician and other staff, (s)he is responsible for the diagnoses, treatment, and provision of care for patients during all phases of wellness and illness. (S)he holds his/her own outpatient sessions, and within the scope of practice is expected to initiate and arrange the patient’s outpatient care plan with the involvement and consideration of other health disciplines within and outside the hospital. S(he) coordinates the care a patient may need in the community with Visiting Nurses or case managers. Advanced Practice Nurses place a marked emphasis on patient teaching and education, and promote competent, compassionate nursing care for patients and families.
The Primary Care NP understands the position is an important part of the care team and promotes partnership between patient, family and team.
The APN has appropriate knowledge of nursing, medical, and scientific principles, and appropriately applies those principles to practice of family care.
PROFESSIONAL CONDUCT
PRINCIPAL DUTIES AND RESPONSIBILITIES:
CLINICAL PRACTICE
Participates in daily huddles and shares information with the team that is necessary to enhance the patient office experience, delivery and coordination of care and incorporates the patient as an active team member.
Provides independent, direct, and indirect nursing care; performing physical examinations, ordering diagnostic studies, evaluating results and prescribing treatment as appropriate. Follows patients appropriately, within Advanced Practice Role as delineated within the state of Massachusetts and MGH.
Patient/Family Care
Establish the diagnosis (es) and determines a plan of care including; order laboratory and radiology test and treatments for
Discuss with patients or their delegates: end of life issues, chronic disease management, and educational materials regarding patient’s health
Refer patients to appropriate physicians, clinics, or other health care providers, including community providers for management or consultation.
Write prescriptions according to Massachusetts Authority to Prescribe laws and consistent with the NP’s and supervising physician’s scope of practice.
Use the Electronic Medical Record in timely and competent manner per practice guidelines
Diagnostic studies : Order, interpret and communicate results
Perform therapeutic measures but not limited to, the following;
Team Care
The NP will be an integral member of the team. He/She will:
Transfer to MGH emergency department
Urgent/emergent or complex patient problems – in office or phone
Indirect Work Management
Academic Practice
Quality Initiatives
Preceptor
Professional Development
FISCAL RESPONSIBILITY (if applicable):
Responsible billing per MGH Billing Compliance, Federal and State billing regulations
SKILLS/ABILITIES/COMPETENCIES REQUIRED:
LICENSES, CERTIFICATIONS, and/or REGISTRATIONS (if applicable): Specify minimum credentials and clearly indicate if preferred or required
EDUCATION: Specify minimum education and clearly indicate if preferred or required
EXPERIENCE:
Minimum of 2 years nursing experience required
Minimum of 1-year NP experience required
WORKING CONDITIONS:
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