Full-Time Advanced Practice Hospitalist
Job Description
The Advance Practice Professional (APP) Hospitalist is an individual with clinical skills in the care of hospitalist patients. The APP completes comprehensive patient health evaluations in collaboration with the appropriate clinical/faculty team. The APP assesses, and coordinates the educational and psychosocial needs of the patient and caretakers. The APP develops and reviews the plan of care with the other members of the clinical team, participates in directing that care, and coordinates discharge planning (as applicable). The APP participates in the education of residents and medical/nursing students and performs diagnostic procedures and therapeutic procedures.
Provide healthcare services consistent with state law and the requirements of the professional licensing or certification authority and/or hospital privileges, where applicable. Such services may include, but are not limited to:
1.0 Manages comprehensive and individualized care for patients and their families in the inpatient phase of hospitalization (as applicable).
Completes daily rounds and/or pre-procedure evaluations, and integrated assessments. With the collaboration of hospitalist faculty or by following established clinical Guidelines and Protocols, orders additional tests or consults. Performs, interprets and communicates results of common diagnostic tests in the clinic and hospital setting. Consults and communicates with hospitalist service clinic and hospital staff regarding abnormal findings in the evaluations of patients. Performs history and physical examinations and documents findings in medical record. Facilitates patient discharge be coordinating appropriate services and tests prior to scheduled outpatient follow-up appointments in the clinic (as applicable). Performs necessary procedures following established clinical guidelines and Protocols and scope of practice (SOP).
2.0 Manages comprehensive and individualized care through the inpatient and immediate post-discharge phase of the patient’s hospitalization experience (as applicable).
Develops a comprehensive individualized plan of care for patients, which includes teaching, discharge planning and necessary referral to other members of the health care team as necessary. Demonstrates expertise in caring for patients across the age continuum of their educational experience and certification. Participates in physician rounds, as applicable Identifies unstable or complex patient care situations and facilitates appropriate intervention in the clinic and/or hospital setting. Facilitates patient discharge by coordinating appropriate services and tests prior to scheduled outpatient follow up appointments (as applicable). Evaluates patients in the outpatient setting. Acts as a coordinator for follow up procedures and tests in the outpatient setting (as applicable). While in the clinic setting, assists in the collection of outcome measures (as applicable). Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.
Demonstrates the ability to utilize basic equipment in a safe manner. Recognizes emergency situations and initiates effective emergency care. Bases decisions made/actions taken on relevant scientific principles, established standards of care and/or research findings.
3.0 Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families, and the community.
Promotes an environment that facilitates learning by responding to appropriate Patient/family preferences, priorities and readiness to learn. Evaluates the effectiveness of patient/family teaching and collaborates with the nursing and clinical staff in the completion of education plan. Updates own knowledge base throughout the year. Completes all identified clinical competencies. Serves as a resource person for staff caring for the patient. Provides educational programs to professional and paraprofessional personnel in area of expertise. Mentors nursing personnel in all levels of clinical practice. Participates in community programs, distribution of literature, as appropriate in your area of expertise.
4.0 Communicates effectively with patients/families, physicians and ancillary services at all levels to assure coordinated efficient patient care.
Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient’s medical record following approved hospital/UHA policies and compliance standards. Documents all interventions in the patient’s medical record following approved hospital/UHA policies and compliance standards for documentation. Collaborates with other leaders and staff to effectively achieve needed change. Provides leadership in the development and implementation of changes in practice that positively impact patient outcomes. Works collaboratively with medical and nursing staff to facilitate creative problem solving and provide professional support. Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model. Promotes and practices innovation of the expanded role in the delivery of care to patients and families throughout the inpatient hospitalization. Participates and provides leadership for committees and task forces. Documents hours and submits billing reports, as appropriate.
