APP, CLINICAL DECISION UNIT (EMERGENCY MEDICINE)

Division:Eskenazi Medical Group

Sub-Division: EMG -Employee

Req ID: 26884

Schedule: Full Time

Shift: Days

EMG is affiliated with Eskenazi Health and employs physician and advanced practice providers who support the Eskenazi Health system. A multi-specialty provider group, it strives to be a leading primary care provider serving all patients regardless of ability to pay or condition of health while advancing medicine through teaching and research.

Eskenazi Health is one of Americans largest safety net health systems with more than 1 million outpatient visits each year. Partnering with the Indiana University School of Medicine, Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County, Indiana. In addition to the 327-bed hospital located on its downtown Indianapolis campus, Eskenazi Health provides services at 10 federally qualified health care centers and multiple mental health sites and residential facilities located throughout Indianapolis. Eskenazi Health is accredited by The Joint Commission and has been highlighted as one of the nations 150 best places to work by Beckers Hospital Review for four consecutive years.

Indianapolis offers affordable housing, excellent schools and a wealth of entertainment options, including a variety of amateur and professional sports teams, dynamic museums, live theater productions, symphony and opera concerts, a wide variety of shopping options and restaurants, and numerous outdoor festivals, as well as the famous Indy 500 race each May.

FLSA Status

Exempt

Job Role Summary

The Advanced Practice RN (APRN) Nurse Practitioner in Emergency Care works as an educator, advocate and care provider and is responsible for the care and well-being of patients in the Michael and Susan Smith Emergency Department by functioning as a direct provider of emergency services.

Essential Functions and Responsibilities

• Assess and triages a patient's condition by obtaining a focused and pertinent history, identifying risk factors, performing an appropriate focused/complete physical examination, and by ordering and/or providing preventive or diagnostic procedures.
• Develops a differential diagnosis and/or diagnoses of both life threatening and non-life threatening conditions by utilizing critical thinking while simultaneously synthesizing and

analyzing patient data. ENPs establish a differential diagnosis based on the patient's medical history, physical exam findings, interpretation of diagnostic studies, while continually establishing priorities to meet the needs of the patient, their family, and or the community.

• Utilize critical thinking during medical screenings and diagnostic processes by synthesizing and analyzing the data to execute a plan of care including stabilization, resuscitation of unstable conditions and the transfer of care when appropriate.
• Provides medical screening evaluations in accordance with the EMTALA. This includes:

o Documentation of the chief complaint and pertinent history incorporating health risk factors

o Physical exam findings

o Interpretation of diagnostic data including the rationale for the medical necessity of tests

o Medical decision making with differential diagnosis

o On-going evaluation of patient progress and response to treatment to determine the plan of care.

• Collaborates with staff of affiliated institutional facilities to provide care for patients receiving care in the Michael and Susan Smith Emergency Department
• Collaborates with transitional support team, inpatient teams, physical therapy and other health care providers to ensure a seamless transition to inpatient units or care within the community.
• Determines most appropriate patient disposition
• Confers with patient's primary care provider as needed
• Communicates via Epic outstanding patient problems and issues requiring follow up care
• Management of patient health/illness status

o Triages patients' health needs/problems

o Completes EMTALA-specified medical screening examinations

o Responds to the rapidly changing physiological status of emergency care for the assessment, treatment, and disposition of acute and chronically ill and injured emergency patients.

o Specifically assesses and initiates appropriate interventions for violence, neglect and abuse.

o Specifically assess and initiates appropriate interventions and disposition for suicide risk

o Participates in internal and external emergencies, disasters, and pandemics.

o Maintains awareness of known causes of mass casualty incidents and treatment modalities required for emergency care.

Job Requirements

TBD

Knowledge, Skills & Abilities

TBD

Minimum Qualifications, Training, and Experience

• ACLS certification
• Additional privileging as requested to perform procedures independently:

o Arterial line placement

o Arthrocentesis

o Nerve block

o Fracture reduction

o Lumbar puncture.

o Cast and splint

o Chest tube placement/removal

o Chest x-ray review

o Digital, hematoma, and intraarticular blocks

o Central and femoral venous catheter placement/removal

o Joint aspiration

o Joint injection: tendon sheaths, ligaments, trigger points, ganglion cysts, bursa

o Paracentesis

o Taping and bracing

o Fracture reduction

• Maintains competency in area of expertise
• Specialty certification if available/eligible

Eskenazi Health has been named to Beckers Hospital Reviews 2018 list of "150 Great Places to Work In Health Care." This is the 3rd year in a row now that EH has received this honor.

https://www.beckershospitalreview.com/lists/150-top-places-to-work-in-healthcare-2019.html