NURSE PRACTITIONER - Head & Neck in San Diego, CA at Scripps Clinic - Torrey Pines

Date Posted: 9/6/2018

Job Snapshot

Job Description

PLEASE DO NOT COMPLETE THE APPLICATION PROCESS FOR THIS POSITION.  FOR CONSIDERATION, PLEASE FORWARD YOUR RESUME TO: Mulvey.Jim@scrippshealth.org
 
JOB SUMMARY
The Nurse Practitioner functions as an independent healthcare provider who, working collaboratively within a multidisciplinary health team, including 7 Otolaryngologists, is responsible for providing comprehensive care to both well and ill patients in an outpatient setting. He/she demonstrates a high degree of clinical expertise in working with patients with acute and chronic illnesses commonly encountered in Adult Otolaryngology. He/she is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination for patients and families with acute and chronic health needs. The Nurse Practitioner demonstrates an advanced level of medical/nursing clinical knowledge, communication and interdisciplinary collaboration, professionalism and systems-based practice. He/she works with administrative, nursing, and physicians to assure safe, effective, quality patient care and to promote Scripps’ missions.
The Nurse Practitioner will provide care within his/her scope of practice as outlined by applicable state law, licensing, regulations, institutional policy, credentialing, and practice agreements.
The Nurse Practitioner will need to be credentialed and obtain and maintain professional privileges required for employment within this Department.
 

MAJOR RESPONSIBILITIES

Clinical Knowledge
  1. Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions.
  2. Performs history and physical assessments of patients that are accurate, complete, concise, relevant and appropriate for age, gender and clinical problem.
  3. Orders appropriate diagnostic studies and correctly interprets the results.
  4. Utilizes critical thinking to synthesize and analyze collected data.
  5. Develops, implements, evaluates and alters the plan of care as needed.
  6. 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.
  7. Counsels and educates patients and families.
  8. Demonstrates proficiency in procedural skills pertinent to practice area.
  9. Maintains accurate, complete, concise and timely documentation in the electronic medical record.
Patient Care
  1. 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.
  2. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.
  3. Incorporates the patient and family in care planning and treatment across settings.
  4. Serves as an advocate for patients and families in navigating the health care system.
Practice Based Learning and Clinical Improvement
  1. Demonstrates insight into own strengths, limitations and knowledge deficits.
  2. Demonstrates initiative to meet identified learning needs using multiple resources.
  3. Actively participates in self-evaluation by seeking and utilizing guidance and constructive feedback in a professional manner.
  4. Continuously seeks opportunities for clinical advancement and knowledge and skill attainment.
Communication and Interdisciplinary Collaboration
  1. Communicates and collaborates effectively with physicians, other health professionals and health related agencies.
  2. Works effectively with multidisciplinary team members.
  3. Promotes mutual respect and trust working within a team model.
  4. Communicates effectively with patients and families, incorporating gender, age, culture, race, religion, disabilities and sexual orientation.
Professionalism
  1. Follows ethical principles regarding patient confidentiality, informed consent and unanticipated adverse outcomes.
  2. Demonstrates the highest level of accountability for professional practice.
  3. Participates in education of students and other health care professionals.
  4. Maintains effectiveness where circumstances and priorities are changing. Is flexible, resilient and change oriented.
  5. Welcomes and participates in opportunities to advance the mission of UW Health through service, scholarship, science and social responsibility.
  6. Participates in organizational and departmental meetings, educational opportunities, committees and workgroups as necessary.
Systems Based Practice
  1. Considers cost effectiveness and risk/benefit analysis when making decisions about patient care.
  2. Uses evidenced-based medicine to systematically analyze and improve patient care practices.
  3. Participates in quality initiative/performance activities.
  4. Participates in development, evaluates and implements standards of care within area of specialization (policies, protocols, etc).
Roles and responsibilities specific to area of clinical practice:
Outpatient Specific Responsibilities (100%)
  1. Conduct comprehensive or episodic health history and physical assessment of patients/families with acute, chronic and/or potential health problems.
  2. Establish medical diagnoses.
  3. Accurately and appropriately transcribe or execute standing orders at the direction of the supervising physician. Write specific orders within the limits of the practice agreement/scope of practice.
  4. Discuss proposed surgical procedures with attendant risks and potential complications to obtain proper patient informed consent.
  5. See patients in follow-up for routine post-op care and manage complications related to surgery.
  6. Provide appropriate direction to clinic staff regarding patient care issues.
  7. Communicates effectively with referring health care providers.
  8. Run independent clinics
  9. Complete pre-operative work-ups and post-operative visits and discharge planning.
  10. Share coverage responsibilities with Otolaryngology physicians for office day call. 
  11. Share coverage responsibilities with Otolaryngology physicians for after-hours calls
Inpatient Specific Responsibilities (100%)
  1. Perform inpatient rounds, discharges, and appropriate EMR charting on otolaryngology patients and consults
Procedures
1. Performs routine clinical procedures independently as outlined in practice agreements/scope of practice including, but not limited to, the following:
  • Binocular Ear Microscopy
  • Removal of Cerumen Impaction
  • Nasal Cautery
  • Rigid and Flexible Nasal Endoscopy
  • Flexible Diagnostic Laryngoscopy
  • Tracheostomy Changes
ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE PERFORMANCE STANDARDS OF SCMG AND SC.
PLEASE DO NOT COMPLETE THE APPLICATION PROCESS FOR THIS POSITION.  FOR CONSIDERATION, PLEASE FORWARD YOUR RESUME TO: Mulvey.Jim@scrippshealth.org
 
 
 
 

Job Requirements