Internal Medicine Hospitalist: Acute Care Nurse Practitioner (NP) or Physician Assistant (PA)

Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland’s health care system and community. We’re known for our prestigious expertise in innovative research and education, along with the talented staff and advanced centers that make it all possible. The R Adams Cowley Shock Trauma Center, the world’s first center dedicated to trauma, treats more than 7,500 critically injured patients a year with an incredible 97 percent survival rate. We also have one of the nation’s largest kidney and pancreas transplant programs at The Joseph and Corinne Schwartz Division of Transplantation, home to Maryland’s first steroid-free protocol and pancreas/kidney transplant. From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University of Maryland’s Children’s Hospital, one of the largest pediatric centers in the state, we are dedicated to saving and transforming lives.

This Community Position is a Rotating shift, 7am-7pm and is open an NP/PA 

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Daily clinical responsibilities include:

A. Regularly visits pre- and post-operative patients, independently or with attending physician and/or students, to monitor patient progress in accordance with Medical System policies and procedures and generally accepted professional practice and The Joint Commission standards.

· Rounds on inpatients to monitor patient progress in accordance with policies and procedures; relays any problems or concerns to physician. Writes progress notes in-patient charts indicating patient status and treatment or procedures performed.

· Orders laboratory tests, x-rays and special tests and dressing changes.

· Reviews patient records to determine health status.

· Notifies attending physician on call, house physician on call or supervising physician (or surgeon) regarding any unusual or unexpected events or problems requiring direct physician consultation.

· Writes orders, including those of narcotics, stimulants and depressant drugs as necessary.

· Assists in the preoperative planning and documentation in keeping with protocols. Duties include obtaining necessary clinical photography, measurement and construction of frame prior to surgery. Collects bone measurement data and records for future reference and research purposes.

B. Interviews patients for health history and performs physical examinations. Obtains thorough medical histories to include allergies, past medical conditions, current meds review of systems, family history, social history, present illness and performing complete physical examinations of patients according to established procedures and schedules.

C. Answers patient calls promptly; researches, investigates and resolves patient problems to the satisfaction of the patient and the physician. Alerts the appropriate medial personnel regarding patient problems as needed.

· May take call during non-routine working hours to assist attending physicians in urgent and emergency procedures.

D. Performs clinical procedures such as the application of dressings and bandages, casting and splinting, removal and adjustment of frames, suturing, and administration of medications. Performs these tasks independently, using universal precautions and following prescribed protocols of the hospital.

E. First and second assistance during surgery requires: prepping and draping patients, placing foley catheter, giving pre and post operative health care instruction to the patient, and transporting the patient from the O.R. to the PACU.

Demonstrates expert skill as an advanced practice provider in the field of specialty

A. Demonstrates excellence in clinical assessment and decision-making including diagnostic reasoning and problem solving.

B. Participates in development of evidence based practices for a specific population.

C. Takes the lead in difficult decision making, incorporating other healthcare team members as appropriate

D. Serves as interdisciplinary team leader or committee chair that leads initiatives to improve patient outcomes.

E. Uses evidence based interventions and best practice guidelines in planning patient care.

F. Participates in quality improvement initiatives in area of practice.

G. Serves as a role model and educator for PAs other healthcare personnel.

H. Provides safe patient care through compliance with National Patient Safety Goals (NGSG)

1. Master of Science Degree with completion of an appropriate primary or acute care Nurse Practitioner program.  Registered and currently recorded with the Maryland Board of Examiners of Nurses and Certified as a Nurse Practitioner in the State of Maryland.  Certified in area of specialty.  DEA and CDS eligible

2. BCLS as required.

3. Demonstrated ability to promote professionalism through involvement in professional organizations, teaching, research, publishing, and/or certification in area of specialty.

4. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served.  Ability to demonstrate knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. 

5. Highly effective verbal and written communication skills are required to interact with patient families, departmental units, medical and nursing staff on all essential matters.  Demonstrated/documented effective interpersonal skills.

6. Maintains updated hospital safety and other mandatory training.

7. Updated immunizations as recommended per practice area.

All your information will be kept confidential according to EEO guidelines.