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Job description
Under general supervision, accountable for the clinical management of patients, in accordance with State and National regulatory agency standards.Education
Successful completion of a Nurse Practitioner program; Master's in Palliative Care preferred.
Experience
At least five (5) years of related experience in a healthcare environment.
At least one (1) year related experience in Hospice and/or Palliative care.
Knowledge, Skills and Abilities
Skill in leading, motivating and developing others
Skill in teaching nurses, physicians and other clinical and non-clinical staff
Skill in using computer and a variety of personal productivity applications
Effective written and oral communication skills to communicate and relate effectively with staff, the public, physicians, and insurers
Analytical ability in order to problem solve, develop goals, objectives, clinical protocols, critical paths, case management practices, and policies and procedures
Able to work under varying degrees of stress and the ability to adjust to changes in the work environment
Skill in care of patients and families with serious illness and/or end of life concerns
Skill in applying principles and practices of integrative medicine and health
Personal or professional experience with integrative medicine or complementary modalities
Licensures, Certifications
Current registration with the Maryland State Board of Examiners of Nurses as a Nurse Practitioner, specializing in Adult, Family or Geriatrics; Inpatient position can include Acute Care certification.
National and State Certification as required for the relevant position (DEA, CDS)
Completion of "healthcare provider" CPR course
Certification in Hospice and Palliative Care through Hospice and Palliative Credentialing Center (HPCC), Advanced Certified Hospice and Palliative Nurse (ACHPN), or equivalent, preferred.
Center for Advancing Palliative Care (CAPC) Designation, preferred.
Principal Duties and Responsibilities
Assumes responsibility for the initial evaluation and treatment of patients in Gilchrist Inpatient Centers
Performs initial Hospice history and physical as evidenced by appropriate documentation.
Writes standard orders in accordance with hospice policy.
Writes appropriate orders related to pre-existing conditions.
Discusses with the attending physician and nursing staff physical and/or emotional findings, which may interfere with care of the patient.
Manage all aspects of the patient's symptoms, including medication/prescription management, conduct family meetings as needed and requested, coordinate care with other members of the IDT through daily rounds, and document care activities and the rationale for the GIP level of care.
Responsibility for completion of the MOLST form as required and for the completion of the death certificate of each expired patient.
Attend the weekly inter-disciplinary team meetings
Work with the hospice access team to facilitate a smooth admission process. Work with the Gilchrist Inpatient Centers inter-disciplinary team to facilitate live discharges from the Center, including completion of transfer/discharge summary, prescriptions, and other discharge related documentation.
Provide telephone and afterhours coverage via emedicall for patients at the assigned Center
Evaluates patient progress on a continuing basis and in collaboration with the attending physician, and alters treatment modalities as needed.
Evaluates nursing, medical, social and educational needs on assigned patients.
Writes progress notes for each visit documenting pertinent information regarding patient progress and treatment regime.
Writes orders appropriate to the patient's care requirements in compliance with existing contract.
Establishes medical diagnoses in compliance with contract.
Refers to the physician or designee those problems which require consultation and documents same on progress note.
Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital policy.
Documents results of technical functions performed.
Reportsto physician or designee any abnormal findings related to it.
Monitors patient response related to technical function performed and documents it.
Acts as a clinical resource.
Actively supports and participates in nursing and/or hospital performance improvement initiatives.
Leads staff wellness activities as directed by supervisor.
Performs activities to meet patient/family educational needs.
Participates actively in health teaching of patient and family to include preventative health care as well as current medical condition and treatment regime. Evidence of same by documentation on progress note and/or established flow sheet.
Plans and reviews home care instructions with patient and family if needed. Include needs for service provided by community resources and hospital based ancillary services.
Educates and supports patient and family using integrative/palliative principles to facilitate patient and family well-being
Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continue certification as well as attending mandatory in service as required.
Performs activities to facilitate personal growth and professional development
Participates in clinician wellness activities as directed by supervisor.
Pursues continuing education in hospice care principles and practice.
Able to articulate and carry out a self-care plan.
Self-assesses and communicates effectively regarding perceived burnout, compassion fatigue, grief and other stresses associated with caring for seriously ill patients and families.
All roles must demonstrate GBMC Values:
Respect
I will treat everyone with courtesy. I will foster a healing environment.
Treats others with fairness, kindness, and respect for personal dignity and privacy
Listens and responds appropriately to others' needs, feelings, and capabilities
Excellence
I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.
Meets and/or exceeds customer expectations
Actively pursues learning and self-development
Pays attention to detail; follows through
Accountability
I will be professional in the way I act, look and speak. I will take ownership to solve problems.
Sets a positive, professional example for others
Takes ownership of problems and does what is needed to solve them
Appropriately plans and utilizes required resources for various job duties
Reports to work regularly and on time
Teamwork
I will be engaged and collaborative. I will keep people informed.
Works cooperatively and collaboratively with others for the success of the team
Addresses and resolves conflict in a positive way
Seeks out the ideas of others to reach the best solutions
Acknowledges and celebrates the contribution of others
Ethical Behavior
I will always act with honesty and integrity. I will protect the patient.
Demonstrates honesty, integrity and good judgment
Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers
Results
I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.
Embraces change and improvement in the work environment
Continuously seeks to improve the quality of products/services
Displays flexibility in dealing with new situations or obstacles
Achieves results on time by focusing on priorities and manages time efficiently
Pay Range
$39.80 - $66.26Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.
Equal Employment Opportunity
GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.