Advanced Practice Registered Nurses / Physician Assistants
Internal Number: R1010976
ST. CHARLES HEALTH SYSTEM
TITLE: SCMG APP - Pulmonary Clinic
REPORTS TO POSITION: SCMG Clinical Division Director
DEPARTMENT: SCMG Pulmonary Clinic
DATE LAST REVIEWED: October 3, 2019
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENTAL SUMMARY: The SCMG Pulmonary Medicine clinic addresses the diagnosis, prevention, and treatment of pulmonary disorders. The clinic serves patients impacted by many conditions, including but not limited to: ARDS (acute respiratory distress syndrome), asthma, COPD (chronic obstructive pulmonary disease), cystic fibrosis, pulmonary hypertension, interstitial lung disease, and lung cancer. The clinic providers work closely with other specialties within SCMG, external referring and consulting providers, and with hospital departments.
POSITION OVERVIEW: The Advanced Practice Provider (APP) works as part of the pulmonary team. The APP has a strong foundation in evidenced based practice and ensures an environment of safe quality care. The APP demonstrates an advanced level of medical knowledge, clinical/technical competence, solid clinical decision making and critical thinking skills, professional communication skills, timely and compliant documentation, and is responsible for personal and professional development and competency validation. Provides quality patient and family centered care as a member of the health care team in accordance with SCHS mission, philosophy, policies, and procedures. Provides primary or specialty medical care within defined scope of practice under the supervision of a licensed physician . This position provides pulmonary medicine services to patients. Such care includes evaluation, diagnosis, treatment, and documentation. Coordinates ancillary, and other services to achieve the best and most cost-effective outcomes for patients under his/her care.
Work schedule: APP will work 30 hours per week. This will generally be three, 10-hour days scheduled as clinic visits.
Work location: APP's primary work location will be the SCMG pulmonary clinic in Bend, Oregon. APP may be required to participate in outreach rotation to SCMG clinics in Redmond, Prineville and Madras. Other outreach locations may be added as patient and business needs dictate.
ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)
Participates in departmental meetings and initiatives and other performance metrics established by SCMG/SCPC/SCHS.
Engages and implements effective team building, trust development, creative problem solving and conflict resolution processes as it pertains to clinic function.
Practice and role model excellence in the pulmonary care domains of diagnosis, aligning treatment goals to patient values, definitive treatment, supportive care treatment, follow-up care, promote good health and prevent illness.
The NP/PA will see clinic follow-up patients and hospital follow up patients. Assignment may include adolescent, adult and geriatric age groups.
Assess, diagnose and develop treatment plans; implement treatment, follow-up and evaluate patient within the scope of practice protocols as outlined by the American Thoracic Society.
Performs patient examinations, obtains and records pertinent medical history, subjective and objective findings.
Orders and interprets appropriate laboratory, imaging, and other diagnostic procedures.
Interprets and integrates data to determine diagnosis and therapeutic plan.
Administers and prescribes medications in compliance with state law and practice guidelines.
Orders and performs appropriate medical procedures in accordance with State law and practice guidelines.
Instructs patient and family regarding prescribed medications and treatments.
Educates patients and/or families regarding health and illness prevention.
Recommends community resources to meet patient and family needs.
Collaborates with physicians and other caregivers to manage the acute and long-term health needs of patients.
Provides monitoring and supports continuity of care between physician visits.
Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely.
Charts tests, examination results, and other appropriate clinical data.
Triages patient telephone calls, providing consultation as needed.
Communicates effectively with colleagues, patients, physicians, and administration.
Maintains quality of clinical practice by selecting appropriate avenues for professional growth.
Participates in and supports quality and performance improvement activities; identifies areas and functions where patients, staff, and physicians need information.
Under physician supervision, may participate in care and management of inpatients, including medical services and specified procedures.
Participate in SCMG provider meetings and assist in policy formation for SCMG and provider practice.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Participates in creating intentional relationships, and put a high level of focus on attitudes and behaviors that enhance the care experience.
Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.
Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.