Physician Assistant/Nurse Practitioner - Medicine Service - Part Time
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POST DATE 8/10/2016
END DATE 11/17/2016
JOB DESCRIPTIONJob Title
Physician Assistant/Nurse Practitioner - Medicine Service - Part Time
Job Location Name
Under the limited direction of the attending physician or designee, obtains and records patient medical history; performs physical examinations; orders, evaluates and monitors medical and laboratory diagnostic tests and treatment plans. Prepares, develops and initiates treatment plan in consultation with attending physician; performs routine invasive procedures; performs diagnostic and therapeutic procedures. Educates and counsels patient and family members on condition, desired results of treatment plans, expectations during illness and recovery, and other related areas. Participates in the management of patient's care, determining need for consultation to ensure the continuity and quality of care.
The Surgical Specialty areas include Neurology, Orthopedic, Urology and Vascular.
The Nurse Practitioner (NP) is an advanced practice nurse, who utilizes advanced knowledge and clinical expertise in providing primary and/or specialized health care services to individuals, families, groups and communities across the health-illness continuum. Under the limited direction of the surgeon or designee, obtains and records patient medical history. Performs physical examinations and assists with pre-admission testing for assigned surgical specialty service patients. Orders, evaluates and monitors medical and laboratory diagnostic tests and treatment plans. Prepares, develops and initiates pre/peri/post operative treatment plans for surgical specialty (eg. Neurosurgery or Orthopedics) patients in consultation with attending and consulting physicians. Develops inpatient and outpatient care and writes medication and other orders as prescribed by law. Performs routine invasive procedures; performs diagnostic and therapeutic procedures. Educates and counsels patient and family members on condition, desired results of treatment plans, expectations during illness and recovery, and other related areas. Conducts and documents patient rounds. Performs as first and second surgical assistant in the operating room, during all surgery cases. Assists the operating room staff to facilitate timely start/completion of cases. Prepares discharge summaries, as assigned. Responds to emergencies; initiates treatment until relieved of duties by a physician. Participates in clinical and experimental research. Works with medical records and billing department, as needed, to help ensure completeness and accuracy. Participates in management of patient's care, before and after surgery, by facilitating, expediting and coordinating surgical procedures, writing orders for appropriate medical care, and determining need for consultation to ensure the continuity and quality of care. Diagnostic reasoning, advanced therapeutic interventions and education are key elements in the direct provision of care using a collaborative model. The nurse practitioner works as an autonomous practitioner or in collaboration with a physician, and is directly accountable for making clinical judgments using independent and interdependent decision-making skills. The nurse practitioner also functions as a consultant, educator, researcher, resource and role model for patient, families, community, nursing personnel and other health care providers. The nurse practitioner evaluates the quality of care rendered; analyzes and promotes system changes to enhance quality of care and organizational effectiveness/efficiency; conducts/utilizes research to promote health and improve health care delivery. The nurse practitioner assumes responsibility for own professional development.
The nurse practitioner obtains privileges to practice within the Detroit Medical Center as an Allied Health Professional through the Detroit Medical Center Medical Staff Organization, according to internal and external rules and regulations.
1. Bachelor of Science Degree from an accredited program for Physician Assistants, or the equivalent combination of education and experience, including approximately one year (2000 hours) of clinical internship.
2. Certification from the National Commission of Certification of Physician Assistants, preferred.
3. License as a Physician Assistant by the state of Michigan.
4. Following successful selection/placement into the job, six to twelve months on the job training to perform specialty procedures and responsibilities.
5. Eligible to secure a DEA license upon hire as required by the particular position assignment at the Detroit Medical Center.
6. Eligible for approval of privileges to practice within the Detroit Medical Center as an Allied Health Professional through the Detroit Medical Center Medical Staff Organization.
1. Registered nurse licensure to practice in the state of Michigan.
2. State of Michigan Nurse Specialty Certification as a Nurse Practitioner.
3. Master's degree in nursing from an accredited nurse practitioner training program.
4. Two years clinical experience as a professional nurse.
5. National certification in advanced practice nursing specialty from one of the following certification bodies:
* American Nurses Credentialing Center (ANCC)
* National Certification Board of Pediatric Nurse Practitioners and Nurses (NCBPNPN)
* National Certification Corporation for the Obstetric & Gynecologic & Neonatal Nursing Specialties (NCCOGNS)
* American Academy of Nurse Practitioners (AANP)
* Oncology Nursing Certification Corporation (ONCC)
6. Eligible for approval of privileges to practice within the Detroit Medical Center as an Allied Health Professional through the Detroit Medical Center Medical Staff Organization. Application for Allied Health Professional credentialing must be submitted to the Detroit Medical Center Medical Affairs Office upon hire.
7. Prior to obtaining privileges through the Detroit Medical Center Medical Staff Organization, the nurse practitioner may:
a. See patients under the direct supervision of a nurse practitioner, who has obtained privileges through the Detroit Medical Center Medical Staff Organization, or the attending physician.
b. Prescribe medications and treatments, and order diagnostic tests as a delegated responsibility from the attending physician. The orders will be written as verbal orders and must be co-signed by the supervising nurse practitioner or attending physician within 24 hours.
8. In accordance with State of Michigan administrative rules R338.10403, Only nurses certified in a nursing specialty field may hold themselves out to the public as nurse specialists using the title nurse anesthetist, nurse midwife, or nurse practitioner. Conduct contrary to this rule is deemed a violation of sections 16221(g) of the act. Therefore, prior to obtaining national certification in an advanced practice nursing specialty and State of Michigan Specialty Certification as a Nurse Practitioner, the title nurse practitioner may not be used and newly graduated nurse practitioners will be hired under Graduate Advanced Practice Nurse job description.
At Detroit Medical Center (DMC), we are committed to maintaining an environment of Equal Opportunity and Affirmative Action. If you need a reasonable accommodation to access the information provided on this web site, please contact the DMC facility where the position is available, for further assistance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status or status as an individual disability.