Atrium Health Seeking Urology APP Kenilworth- Charlotte, NC

The Nurse Practitioner/Physician Assistant functions as an independent healthcare provider who, working in collaboration with collaboratively within a multidisciplinary health team, is responsible for providing comprehensive care to both well healthy and ill patients in the outpatient/inpatient setting. . He/she demonstrates a high degree of clinical expertise in working with patients with acute and chronic illnesses commonly encountered in Urology. He/she is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination for patients and families with acute and chronic health needs. The NP/PA practices as a member of the Department of Urology provider team. This position will participate in weekly urology academic conferences. The Nurse Practitioner/Physician Assistant demonstrates an advanced level of medical/nursing clinical knowledge, communication and interdisciplinary collaboration, professionalism and systems-based practice. He/she works with administrative, nursing, physician, and faculty to assure safe, effective, quality patient care and to promote Atrium Health educational and research missions. 

The Nurse Practitioner/Physician Assistant will provide care within his/her scope of practice as outlined by applicable state law, licensing, regulations, institutional policy and practice agreements. The Nurse Practitioner/Physician Assistant is eligible to begin practice after he/she is credentialed and privileged by Atrium Health and Clinics Medical Staff. Active hospital privileges will be required to begin and to maintain employment within this Department. The Nurse Practitioner/Physician Assistant will need to be credentialed and obtain and maintain professional privileges required for employment within this department. 

Major Responsibilities:

Clinical Knowledge 

• Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions. 
• Performs history and physical assessments of patients that are accurate, complete, concise, relevant and appropriate for age, gender and clinical problem. 
• Orders appropriate diagnostic studies and correctly interprets the results. 
• Utilizes critical thinking to synthesize and analyze collected data. 
• Develops, implements, evaluates and alters the plan of care as needed. 
• Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities. 
• Counsels and educates patients and families. 
• Demonstrates proficiency in procedural skills pertinent to practice area. 
• Maintains accurate, complete, concise and timely documentation in the electronic medical record. 

Patient Care 

•  Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan. 
• Facilitates consistent, coordinated care and clear communication among all members of the healthcare team. 
•  Incorporates the patient and family in care planning and treatment across settings. 
• Serves as an advocate for patients and families in navigating the health care system. 

Practice Based Learning and Clinical Improvement 

• Demonstrates insight into own strengths, limitations and knowledge deficits. 
• Demonstrates initiative to meet identified learning needs using multiple resources. 
• Actively participates in self-evaluation by seeking and utilizing guidance and constructive feedback in a professional manner. 
• Continuously seeks opportunities for clinical advancement and knowledge and skill attainment. 

Communication and Interdisciplinary Collaboration 

• Communicates and collaborates effectively with physicians, other health professionals and health related agencies. 
• Works effectively with multidisciplinary team members. 
• Promotes mutual respect and trust working within a team model. 
• Communicates effectively with patients and families, incorporating gender, age, culture, race, religion, disabilities and sexual orientation. 

Professionalism 

• Follows ethical principles regarding patient confidentiality, informed consent and unanticipated adverse outcomes. 
• Demonstrates the highest level of accountability for professional practice. 
• Participates in education of students and other health care professionals. 
• Maintains effectiveness where circumstances and priorities are changing. Is flexible, resilient and change oriented. 
• Welcomes and participates in opportunities to advance the mission of Atrium Health through service, scholarship, science and social responsibility. 
• Participates in organizational and departmental meetings, educational opportunities, committees and workgroups as necessary. 

Systems Based Practice 

• Considers cost effectiveness and risk/benefit analysis when making decisions about patient care. 
• Uses evidenced-based medicine to systematically analyze and improve patient care practices. 
• Participates in quality initiative/performance activities. 
• Participates in development, evaluates and implements standards of care within area of specialization (policies, protocols, etc). 

Position Description:

• Urology Department 
• Outpatient setting 
• No call. No nights. 
• No weekends/Holiday call. 
• Eligible for overtime, differential pay, PTO and Performance incentive bonuses 
• $2500/5 days of CME 

Roles and responsibilities specific to area of clinical practice: 

Outpatient Specific Responsibilities

• Conduct comprehensive or episodic health history and physical assessment of patients with acute, chronic and/or potential health problems. 
• Establish medical diagnosis. 
• Provide medical management. 
• Accurately and appropriately transcribe or execute standing orders at the direction of the supervising physician. Write specific orders within the limits of the practice agreement/scope of practice. 
• Discuss proposed surgical procedures with attendant risks and potential complications to obtain proper patient informed consent. 
• See patients in follow-up for routine post-operative care and manage complications related to surgery. 
• Provide appropriate direction to clinic staff regarding patient care issues. 
• Communicate effectively with referring health care providers. 

Procedures:

Performs routine clinical procedures independently as outlined in practice agreements/scope of practice including, but not limited to, the following: 

- Catheter insertion 

- Catheter changes 

- Complex bladder irrigation 

- Cystoscopy with foreign body removal 

- Cystoscopy with complex foley catheter placement 

- Prostate transrectal ultrasound 

- Prostate transrectal ultrasound with biopsy 

- Interstim interrogation 

- Tibial Nerve stimulation 

- Urethral dilation 

- Bedside Incision and Drainage 

- Suturing 

- Visicoil Placement 

- Pessary fitting and placement 

- Chemotherapy bladder instillation 

- Potential for additional procedures independently as outlined in the collaborative practice agreement/scope of practice while under the direction and supervision of the responsible physician 

Position Qualifications: 

• Graduation from an accredited NP or PA program. Current license to practice as a NP or PA in North Carolina. Current prescriptive privileges and DEA license required. BLS for healthcare provider from AHA required.? 
• Nurse practitioners are required to have a master’s degree or doctorate in nursing practice. Certification as an Acute Care NP will be required for any inpatient nurse practitioner. Family and Adult NP certifications will be accepted for outpatient only positions. Certification must be from a nationally recognized certifying body.  
•  Physician Assistants with certification from the National Commission on Certification of Physician Assistants preferred.
• +1 years of experience preferred  
• Demonstrates appropriate critical thinking and interpersonal skills when working in a fast paced, high acuity work environment. Able to perform thorough history and physical assessment. Also, able to evaluate, assess, and monitor other co-morbid medical conditions secondary to mental illness.? 
• NC/SC Licensure