Nurse Practitioner Primary Care Mount Sinai Doctors Full Time Days

A Nurse Practitioner is certified under section 6910 of the New York State Education Law and licensed as a registered nurse. A nurse practitioner in a specialty provides acute/primary health care in accordance with written policies approved by nursing and medical administration and manage a clinical program throughout the hospital continuum.

Responsible For

Patient care as outlined within collaborative practice agreement.

Principal Duties and Responsibilities

1.Clinical Practice

a. Develops and implements a collaborative practice agreement in the specific clinical area and performs a periodic review of the collaborative agreement.

b. Assesses the health status of patients/families by means of comprehensive health history and physical examination.

c. Initiates selected therapeutic and diagnostic procedures consultations and laboratory examination prescribes and alters medication regimens interprets findings and alters plan of care according to collaborative practice agreement and protocols in designated area.

d. Provides teaching and counseling in the areas of health promotion maintenance disease prevention and management of acute/chronic illnesses.

e. Documents findings and plan of care in the patients medical record.

f. Consults with physician as established in the collaborative practice agreement.

g. Initiates referrals to specialty services and fosters continuity of care.

h. Participates in team meetings and conferences to enhance an interdisciplinary approach to acute/primary health care delivery.

i. Performs a patient record review with the collaborating physician in a timely fashion but not less than every three months

j. Manage a clinical specialty program for a select patient population across the hospital continuum and provide outcome data for program evaluation and performance improvement.

2.Professional Development:

a. Supports the mission vision philosophy and goals of the Department of Nursing and the Medical Center.

b. Demonstrates accountability for own nursing practice.

c. Advocates for patients/families and supports patients rights.

d. Considers ethical issues of professional nursing practice and adheres to the code of ethics.

e. Demonstrates a humanistic kind and caring attitude in the delivery of health care.

f. Serves as a resource person to nurses and other health team members.

g. Participates in peer review.

h. Incorporates research findings in clinical practice.

i. Participates in approved nursing and medical research studies.

j. Keeps knowledge current by self-directed learning literature review and attendance at educational programs.

k. Participates in defining maintaining and interpreting standards of nursing practice.

l. Contributes to the maintenance of a positive image of advanced practice nursing in the medical center and in the local community by implementing programs which recognize nursing as a profession.

m. Participates in departmental and interdisciplinary committees which influence and/or determine policies affecting nursing practice and patient care delivery.

n. Seeks opportunities to enhance professional nursing practice and influences outcomes.

o. Treats co-workers patients and families with dignity and respect.

COLLABORATIVE PRACTICE AGREEMENT

1. The establishment of Collaborative Practice Agreement Chapter 257 of the Laws of 1988 of New York State which took effect April 1 1989 authorizes Nurse Practitioners certified by the State Education Department to use the title Nurse Practitioner for Nurse Practitioner job description see appendix and engage in the expanded practice of nursing which may include the performance of primary health care services and the issuance of prescriptions. Practice agreements and practice protocols must be established and maintained in the practice settings of the Nurse Practitioner and collaborating physician where they shall be available to the Department for inspection.

2. Practice Protocols

Practice protocols shall identify the area of practice to be performed by the Nurse Practitioner in collaboration with the physician and shall reflect accepted standards of nursing and medical practice. Protocols shall include provisions for case management including diagnosis treatment and appropriate recordkeeping by the Nurse Practitioner; and may include such other provisions as are determined by the Nurse Practitioner and collaborating physician to be appropriate. These protocols will be determined by area of specialty.

3.Practice Agreements

Practice agreements shall include provisions for the following:

a. Patient Assignment

Patients are assigned to the Nurse Practitioner or physician according to the needs of the patient.

b. Diagnostic Tests

Laboratory tests may be ordered according to the initial work-up guidelines found in the reference protocol. Collaboration is not necessary for routine diagnostic procedures. However consultation and documentation should be completed before more extensive tests are ordered e.g. nuclear medicine tests MRI CT scan IVP etc.

c. Consultation

Nurse Practitioners consult with and refer patients to subspecialty clinics as needed.

d. Prescriptive Practice

Nurse Practitioners prescribe medications according to the New York State Laws and Regulations for prescription writing and record-keeping (see Appendix).

e. Charting

Nurse Practitioners are responsible for documenting findings consultations and plans of care in the patients medical records.

.

Masters degree program designed to prepare a registered nurse to provide acute/primary health care services or the successful completion of an approved supplemental education program i.e. post-Masters NP certificate

Previous progressive experience relevant to the area of clinical practice