Per diem APC (Urgent Care - SSMC)

Job Description Summary

This is an Advanced Practice Clinician position which requires a Physician Assistant or Nurse Practitioner license. It is a per diem position and will have a varying schedule based on needs of the department. The position will assess, diagnose and treat health problems of adult and pediatric patients in an urgent care setting.

Job Description

Clinical Responsibilities

The duties and responsibilities of the Advanced Practice Clinician will include, but are not limited to:

• Collaborates with hospitalist team on co-managed patients
• Obtain, review and interpret radiology and laboratory studies and implement appropriate care plan based on the results.
• Orders necessary diagnostic tests, consultations and procedures as indicated.
• Performs routine and complex procedures, as necessary. Including but not limited to suturing, I & D, basic biopsy, etc.
• Writes orders and prescribes medications in accordance with current practice guidelines.
• Writes complete and comprehensive notes on all patients using appropriate electronic systems consistent with Hospital policy.
• Actively participates in the South Shore Health System readmission reduction efforts.
• Collaborates with the patient care team (physicians, nurses, PT/OT, case management) to develop and facilitate care plan.
• Provides urgent evaluation to patients with changes in clinical status.

Situations That Require Referral or Consultation

• Referrals and/or consultations may be obtained by the Advanced Practice Clinician when necessary and need to be obtained for any medical or surgical problem that does not fall within the scope of practice of the supervising physician.

Delegation of Supervising Physician Responsibilities

• The direct supervision of work performed by the Advanced Practice Clinician is the responsibility of the supervising physician or his/her designee (who must be another MD) in accordance with all state and national guidelines. 
• Advanced Practice Clinician will follow all state and national mandates and guidelines as they pertain to the emergency management of patients.

Scope of Prescriptive Practice

The scope of prescriptive practice will conform to the Massachusetts State Controlled Substance Act, all Department of Public Health, and Massachusetts Board of Registration for Physician Assistants/Nurse Practitioners, Massachusetts Board of Registration in Medicine and other applicable statutes and regulations.

• The prescriptive practice of the Advanced Practice Clinician will be reviewed by the supervising physician in an ongoing format, at least quarterly.

Other Responsibilities

Actively participates in meetings, including:

• Monthly Staff Meeting
• Team Meetings.
• Participate in continuing education activities to maintain or enhance knowledge and skills.
• Ensures that patient billing is submitted accurately and consistent with Hospital policy.
• Other duties and projects as assigned.

ESSENTIAL FUNCTIONS (Cont.)

1 - Technology and Learning

   a - Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.

   b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

JOB REQUIREMENTS

Minimum Education – Preferred

Bachelor’s degree

Completion of Advanced Physician Assistant training program or Nurse Practitioner training program from an accredited institution approved by the AMA.

Recertification, as required, to maintain licensure.

Minimum Work Experience

Acute Medicine experience preferred

Required Licenses / Registrations

PA - Physician Assistant or NP - Nurse Practitioner

Required Classes/Skills

BLS - Basic Life Support

Required additional Knowledge, and Abilities

• Possess the ability to care for patients with musculoskeletal conditions who may also have any range of medical problems.
• Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.
• Eligible for state and federally controlled substances registration.
• Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.
• Time Management: Exceptional organizational skills and ability to organize time and priorities effectively, asking for direction when appropriate.
• Flexibility to handle multiple tasks and deadline pressures. 
• Quality Improvement: Skills to work efficiently and effectively and strive to do so in all aspects of the position.
• Must exercise the highest degree of professional judgement under the direction and guidance of a licensed physician.
• Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork.
• Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.
• Must maintain a professional attitude toward patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.