Advanced Provider Nurse Practitioner

PRIME Occupational Medicine's Mission:

PRIME's mission is to provide employers worldwide with the best tools to optimize the efficiency necessary to maximize improvement in each worker's health and safety.

PRIME is committed to providing the highest quality medical care for a multitude of businesses through various methods of service. PRIME is able to serve the corporate and industrial sectors with 24/7 availability. The role of the Occupational Nurse Practitioner is a multi-faceted and diverse one, as these advanced nursing professionals serve as healthcare providers, safety inspectors, educators, and architects of new health and safety measures and programs.

Objectives of this role

• Provide treatment and physicals, to sick or injured patients. Document and report observations and any treatment provided.

Credential:

• The NP shall possess an appropriate nursing degree.
• The NP shall be licensed through the Louisiana or Texas State Board of Nursing and maintain active certification with the AANP.
• If the NP provides any direct medical care to a patient outside of the state of Louisiana, then the NP shall first obtain the same license from the respective state nursing board in the state where the patient is physically located, at the time of medical service is rendered.

Other requirements:

• The NP shall be available to other medical providers by telephone on a 24/7 basis.
• If the NP shall not be available for a duration of more than one day, then the NP shall make arrangements for availability coverage and notify the medical provider coordinator or the operation manager prior to the lack of availability.
• The NP shall ensure the maintenance of professional liability insurance at all time with an insurance carrier acceptable by Prime Occupational Medicine.
• The NP will have privileges at all Prime Occupational Medicine facilities as approved by administration.
• NP shall ensure that he/she has the collaborating physician (CP) relationship with all active full time physicians of Prime, as approved by LSBN.
• Clinical Practice Guidelines are mutually agreed upon by the CP and the NP. A copy will be maintained on site in the administrative offices of Prime Occupational Medicine. This agreement will be revised as necessary.
• Both the NP and SP acknowledge their mutual obligations and responsibilities to comply with all Professional and Occupational Standards as outlined by the State Board of Nursing.

Duty Locations:

• NP shall provide outpatient services at locations assigned by Prime management.
• The locations shall be in compliance with the NP's state license

NP Clinical Function

The NP will function within the scope of practice with appropriate NP direction on an as needed basis. Including but not limited to the following functions:

• Take pertinent histories and perform examinations relevant to patient complaint and presentation along with performing routine human resource functions such as physicals, return to work, and fitness for duty evaluations.
• Order and interpret results of routine laboratory tests, including CBC's, Blood chemistries, UA's and any other pertinent diagnostic labs deemed necessary for evaluation.
• Order and interpret routine radiological studies, pulmonary function tests and audiograms.
• Establish medical diagnoses and determine a plan of care and treatment.
• Refer patients for appropriate follow up care when indicated.
• Deliver and document all aspects of patient care according to standards set forth by Prime Occupational Medicine
• Provide patient healthcare teaching and counseling relevant to presenting problems.
• Document discharge instructions and summarization.
• Other clinical services deemed to be appropriate for the services of the patients under the NP's care, within the NP's scope of practice.

Description of Other Duties:

NP will function within the scope of practice for his/her training and as governed by the LSBN or the applicable board within the state where the NP is practicing.

The functions include but are not limited to the following:

• The NP will practice with the supervision of an approved SP, which involves either being on site or readily available via telecommunications at all times.

• Reviewing the NP histories of patients with problems or a complicated encounter.
• Personally, diagnosing or treating patients requiring NP direction.
• Verifying that treatment and acts of delegated prescriptive authority are provided and documented in accordance with agreed upon clinical practice guidelines.

• Functions of the NP will include but not limited to those outlined by the supervising physicians or as indicated per patient's needs.
• The NP's authority to prescribe medication and / or medical devices under the supervision of a SP shall be limited to the extent such authority is delegated to the NP by the SP and shall be in accordance with the clinical practice guidelines established. Only NP's with prescriptive authority and a DEA can prescribe medications scheduled II (narcotics), IIN (stimulants), III, IV, and V. No NP working for Prime Occupational Medicine will prescribe Schedule I medications. With regards to the prescribing of medical devices, the NP is authorized to prescribe all orthopedic medical devices including but not limited to: Physical Therapy if indicated, splints, crutches, walkers, wheelchairs, fabricated and non-fabricated slings, bandages, home nebulizers, oxygen, spirometers, metered dose inhalers, glucometers and associated equipment. The NP shall not prescribe medication or medical devices if the supervising physician, or in his absence an approved locum tenens physician, is neither physically present nor available by telephone or other telecommunication device.
• Diagnostic tests will be ordered as deemed appropriate to the patients care, treatment and diagnosis, i.e. laboratory, radiology, cardiology.
• If the advent facility is closed, all patients must go to the emergency department for follow-up care. NP's of all Prime Occupational Medicine entities do not have admitting privileges to hospitals and thus NP's will not have any admitting privileges.
• Documentation will include history of presenting illness, detailed review of systems, physical examination, assessment & plan, discharge instruction and summarization and prescriptions for medications or medical devices. Orders, test results and interpretation, and consultations requested will also be documented as appropriate.
• The NP, if needed, will always have on staff during shift hours a licensed Medical Doctor or Doctor of Osteopathy, who is also the SP, and registered with the LSBN, either on site or via immediate telecommunications.
• The NP and SP are in agreement that it is the mutual obligation and responsibility of all parties to comply with all requirements of the rules and regulations set forth by the LSBN as well as the Clinical Practice Guidelines. This includes, but is not limited to, the review of the NP's written entry in the patient records, the record of written prescriptions, or record of prescriptions for medical devices.
• May be required to work holidays and the ability to take callouts.
• May be required to work out other PRIME locations.

Required skills and qualifications

• Master's degree from an accredited nursing program
• RN licensure in the state employed or a compact party sate and board-certified by with ANCC or AANP
• Prescriptive authorization
• A sound understanding of all pertinent federal and state regulations, including HIPP and OSHA
• Proven experience as a nurse practitioner
• Teamwork
• Empathy
• Situation awareness
• Decision-making
• Triage
• Physical stamina
• Mental toughness
• Ability to prioritize decision and act quickly in the best interest of of the patient
• Focus
• Organizational skills
• Self-disciplined
• Knowledge of medical procedures, terminology and medications
• Ability to stay calm and make the right decisions in adverse conditions
• Adaptable with a great deal of stamina
• Excellent working knowledge of medical equipment and devices
• Integrity and compassion towards human pain
• Valid driver's license
• Excellent communication and interpersonal skills, ethics, and cultural awareness
• Aptitude for problem-solving and thorough knowledge of a clinic procedures and policies
• Advanced knowledge of occupational medicine and or a clinic setting and ability to learn new technical systems, when necessary

Preferred skills and qualifications

• Resourceful mindset and strong attention to detail
• Knowledge of local, state and national laws and regulations related to employment

Physical Demands: Standing and walking long distances for prolonged periods of time, lift, carry push, pull or otherwise move objects up to 75 pounds. Good vision. Kneel, bend, or work in awkward positions. Must be physically coordinated to perform required tasks to precision. Repetitive motion. Extensive use of computers and keyboard. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards. Must have the ability to lift patients, packages and other items, to walk and stand for long distances, and drive a vehicle.

Mental Requirements:Learn new tasks, remember processes, maintain focus, complete tasks independently, make timely decisions in the context of a workflow, ability to communicate with employees and visitors, ability to complete tasks in situations that have a speed or productivity quota. Position Unit: Various PRIME locations