Physician Assistant/Nurse Practitioner - ER (per diem)

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POSITION SPECIFICS

Title:  Advanced Practice Provider – ER/Urgent Care

FTE: 0.0 FTE (per diem)

Schedule: Monday - Sunday; Shifts 9a - 5:30pm, 1:00pm - 9:30pm, 11:00am - 9:30pm

Holiday Rotation:  2 holidays per year

Weekend Rotation:  Per department needs

On Call Requirements: None

Per Diem

Per diem roles work as needed to cover scheduling needs and are expected to be available for a minimum of 3 shifts per month (leader may require greater availability).   Based on department need, must be available to work holidays, weekends and off-shifts.  

POSITION SUMMARY

Under the supervision of a designated licensed physician, provides health services and medical treatments to patients in the Emergency Department and Urgent Care.

POSITION TECHNICAL RESPONSIBILITIES

• See and care for patients requiring Urgent Care services as well as care for emergency department patients in collaboration with attending physician. 

• Obtain an appropriate medical history and perform a complete physical examination.  Record such information in a manner acceptable to the attending physician and the Medical Information Services Department.

• Perform health assessments by interviewing patient and family members as appropriate.

• Perform simple surgical procedures, i.e. suturing, incision and drainage, removal of skin lesions and foreign bodies.

• Sign orders, noting the name of the physician under whose direction such orders are given.

• Educate patient and/or family caregiver regarding patient's health care needs.

• Assist physician as required.

• Do appropriate dressing changes, sutures, treatment of sprains and burns, corneal foreign body removal, under the direction of the attending physician.

• Collect specimens of urine, blood and breath for drug and alcohol screening purposes.

• Write orders for diagnostic tests and procedures, therapies and consultations, as well as medications.  Write discharge orders and ensure that the patient or caregiver understands the instructions.

• Interpret diagnostic test results.

• Notify the attending physician immediately of significant condition change in the patient.

• The application of splints may be performed by the advanced practice provider as approved by the attending physician.

• Dictate examination outcomes, referral physician letters, and other records as instructed by the attending physician.  It is the responsibility of the attending physician to verify the final diagnosis and the examination outcome documentation.

• All medical orders, history and examination notes must be co-signed by the attending physician within one week.

• Prepare written prescription orders for drugs as defined in Wisconsin Administrative Code, Chapter Med 8, Med 8.08 (2).

• Delegates duties to nursing staff as appropriate.

• Demonstrates effective communication skills with coworkers, physicians, patients and patients' family members.

• Responds to life saving situations based upon medical standards, policies, procedures and protocol.

• Crisis intervention including potential for physical danger/battery to staff.

• Assist with sexual assault, abuse cases with one-on-one care. Knowledge of protocol and support.

• Provide advice for medical questions via telephone.

• Treats all patients equally, with compassion and without regard to medical condition, social status, or race.

• Protects patients' rights.

• Participates in continuing education through inservices and other programs.

• Perform other related duties as assigned by physician.

POSITION REQUIREMENTS

Education:

• Required:  Nurse Practitioner: Master or Doctorate degree from accredited Nursing Program. 

Physician Assistant: Bachelor or Master’s

• Preferred: None

Experience:

• Required: None

• Preferred: 1-3 years of clinical experience. 

Licenses and Registrations:

• Required: Nurse Practitioner: State of Wisconsin license as a Registered Nurse and Advanced Practice Nurse Prescriber (Family).

Physician Assistant: State of Wisconsin license as a Physician Assistant.

Drug Enrollment Agency (DEA) Registration or ability to apply for such license prior to or upon hire and obtain within 60 days from hire.

• Preferred: None

Certification(s):

• Required: Basic Life Support (BLS) within 3 months of hire.  Advanced Cardiovascular Life Support (ACLS) within 6 months of hire.  Pediatric Advanced Life Support (PALS) within 6 months of hire.  Advanced Trauma Life Support (ATLS) within 1 year of hire.

• Preferred: None 

BENEFIT SUMMARY

• Retirement plan with immediate vesting and employer match

• Discounted membership to our state-of-the-art fitness facility

IND #100