Provides patient care to patients for both pediatric and adult patients during hospitalization in accordance with National Jewish Health Policies and Procedures through regular health assessments, diagnosis, and management of common acute medical conditions. The Hospitalist *APP* evaluates the patient and formulates plans that include treatment, psychosocial support, health education, and counseling. The provider will collaborate with other health professionals in assessing and managing health care problems, to maintain continuity of care, and to coordinate community services.
1. Provides quality care for both pediatric and adult patients, families, and significant others.
2. Performs and documents the physical exam, takes patient history, gathers data from the medical record, reviews outside medical records, and makes contact with referring providers. Develops and documents a plan of care in collaboration with patients, families, and other team members identifying actual and potential patient care needs. Updates the plan of care and documents in the approved format.
3. Acts as a consultant to nursing staff, medical staff, and other support services in identification of and implementation related to specific patient problems or needs.
4. Monitors progress of each patient and revises orders and care plans as needed, including making daily patient work rounds during hospitalization. Analyzes data to determine actual or potential problems and issues. Prioritizing a focus on wellness, health promotion, chronic disease management, and disease prevention.
5. Writes progress notes and works with the attending physician to facilitate the review and approval of the clinical documentation for individual patient encounters. Keeps problem sheets up today. Maintains communication with referring physicians and other healthcare providers as necessary. Updates family members throughout admission as necessary.
6. Performs competencies as identified through the departmental competency program.
7. Contributes to the education of others by performing the following: (a) assists in the development and/or updating of approved teaching materials; (b) regularly participates in the Skills Review competency program as a reviewer; (c) participates in the presentation of one approved educational program, assuming a leadership role; (d) precepts undergraduate/graduate students or visiting professionals as requested; (e) participates in the development, data collection, and analysis of team-based quality improvement projects, utilizing results to improve patient care.
8. Supports research or process improvement projects that will contribute to improved patient-care standards, staff development, and the mission of the institution.
9. Actively seeks out and shares current research and/or clinical practice guidelines to direct current practice.
10. Represents unit and/or department on appropriate committees and interacts with community, regional, and national organizations related to specialty practice.
1. Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
2. Ethics: Practices ethically; Integrates the ANA Code of Ethics for Nurses with Interpretive Statements to guide practice; demonstrates compassion and respect for the inherent dignity, worth and unique attributes of all people; advocates for healthcare consumer’s rights to informed decision-making and self-determination; maintains therapeutic relationships and professional boundaries; safeguards privacy and confidentiality of healthcare consumers, and their data and information [Standard of Professional Performance (SPP) 7].
3. Informing and Communicating: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message [SPP 9].
4. Collaboration/Teamwork: Cooperates with others to accomplish common goals; works with employees and across his/her department to achieve shared goals; treat others with dignity and respect and maintains a friendly demeanor; values the contributions of others [SPP 10].
5. Leadership: Encourages innovation in practice and role performance to attain personal and professional plans, goals, and vision; manages change and conflict; retains accountability for delegated nursing care; contributes to the evolution of the profession through participation in professional organizations. [SPP 11].
6. Professional Development: Actively identifies in new area with preceptor learning opportunities and unit specific competencies; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill to enhance contribution to the organization [SPP 12, 15].
7. Evidence-based Practice and Research: Integrates evidence and research findings into practice; Articulates the values of research and its application relative to the healthcare setting; identifies questions in the healthcare setting and practice that can be answered by nursing research; uses current evidence-based knowledge, including research findings, to guide practice; incorporates evidence when initiating change in practice [SPP 13].
8. Quality of Practice: Contributes to quality nursing practice: Ensures practice is safe, effective, efficient, equitable, timely, and patient centered; identifies barriers and opportunities to improve safety, effectiveness, efficiency, equitability, timeliness, and patient centeredness; recommends strategies to improve nursing quality [SPP 14].
Supervisory or Managerial Responsibility
1. Be available to work as scheduled and report to work on time.
2. Be willing to accept supervision and work well with others.
3. Be well groomed, appropriately for your role and wear ID Badge visibly.
4. Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
5. Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
6. Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures.
7. Wears appropriate PPE as outlined by the infection control policies and procedures.
8. Demonstrates compliance with all state, federal and all other regulatory agency requirements.
NP: Must have current Certification by a national certifying body as a nurse practitioner. Graduate degree preferred, but also required for all NPs who were not already on the Colorado Advanced Practice Registry as of June 30, 2008.
PA: Graduate of approved Physician Assistant Program.
A minimum of two (2) years of recent and related experience as a *APP* required.
Special Training, Certification or Licensure
NP: Current Colorado RN license required, APN license required. Provider level ACLS and PALS required.
PA: Physician Assistant Certificate required. Colorado State Board of Medical Examiners License required. Provider level ACLS and PALS required.