Advanced Practice Provider - PRN - Observation

**Advanced Practice Provider- PRN (Observation)**

Primary Purpose

Responsible for providing health care for patients in designated primary or specialty areas, including patient diagnoses, treatment, education, and referrals. Serves as a resource and role model for clinical practice, training, evaluation, and direct management of practitioners and students in all areas encompassed by the service line to ensure optimal patient care quality. Assist leadership in assessing, planning, organizing, and implementing designated advanced practice provider activities.

Minimum Specifications

Education

Physician Assistant

• Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.

Advanced Practice Registered Nurse (APRN)

• Master's Degree in Nursing accredited through the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing, Inc. (ACEN).

Experience

• 2 plus years of clinical experience as an Advanced Practice provider (APP) in any field.

Equivalent Education and/or Experience

• Current employees hired at Parkland before March 1, 2014, may have an equivalent combination of education and experience.

Certification/Registration/Licensure

Must have a current healthcare provider BLS for Healthcare Providers certification from one of the following

• American Heart Association
• American Red Cross
• Military Training Network

Must have a current certification from one of the following

• Current certification in Advanced Cardiac Life Support (ACLS) must be attained within 90 days of being hired and maintained throughout employment
• Current certification in Advanced Trauma Life Support (ATLS) must be obtained within 90 days of hire and maintained throughout employment.
• Current certification in Pediatric Advanced Life Support (PALS) must be attained within 90 days of being hired and maintained throughout employment
• Current certification in Satori Alternative to Managing Aggression (SAMA) must be attained within 90 days of being hired and maintained throughout employment
• Current certification in the Neonatal Resuscitation Program (NRP) must be obtained within 90 days of hire and maintained throughout employment.

Physician Assistant

• Current, valid Physician Assistant licensure from the Texas Board of Physician Assistants.
• Current certification as a Physician Assistant by the National Commission on Certification of Physician Assistants.

Advanced Practice Registered Nurse (Nurse Practitioner)

• Current RN licensure from the Texas Board of Nursing, or a valid Compact RN license.
• Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Neonatal, Psychiatric Mental Health, or Women's Health Nurse Practitioner.
• Current valid prescription authorization number from the Texas Board of Nursing

Must have an active certification as a Nurse Practitioner by one of the following

• Family Nurse Practitioner (FNP) by the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners Certification Program (AANPCP)
• Adult Nurse Practitioner (ANP) by ANCC or AANPCP, OR Gerontology Nurse Practitioner (GNP) by ANCC or AANPCP
• Adult-Gerontology-Primary Care Nurse Practitioner by ANCC or AANPCP, OR Adult-Gerontology-Acute Care Nurse Practitioner by ANCC or American Association of Critical-Care Nurses Certification Corporation (AACNCC)
• Acute Care Nurse Practitioner (ACNP) by ANCC or AACNCC
• Pediatric Nurse Practitioner Primary Care (PNP-PC or PPCNP) by the Pediatric Nursing Certification Board (PNCB) or the ANCC
• Pediatric Nurse Practitioner Acute Care (PNP-AC) by PNCB
• Neonatal Nurse Practitioner (NNP) by NCC
• Psychiatric Mental Health Nurse Practitioner (PMHNP) by the ANCC, OR Women's Health Nurse Practitioner (WHCNP) by the National Certification Corporation

Advanced Practice Registered Nurse (Certified Nurse Midwife)

• Current RN licensure from the Texas Board of Nursing, or a valid Compact RN license.
• Current licensure as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Nurse Midwife by the Texas Board of Nursing.
• Current valid prescription authorization number from the Texas Board of Nursing.
• Must have an active certification as a Certified Nurse Midwife (CNM) by the American Midwifery Certification Board (AMCB) or its predecessor.

Advanced Practice Registered Nurse (Clinical Nurse Specialist)

• Current RN licensure from the Texas Board of Nursing, or a valid Compact RN license.
• Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Clinical Nurse Specialist. Current valid prescription authorization number from the Texas Board of Nursing.

Must have an active certification as described below by one of the following

• Adult Clinical Nurse Specialist (CNS) by ANCC or AACNCC
• Psychiatric Mental Health Clinical Nurse Specialist (CNS) by ANCC or AACNCC

Skills or Special Abilities

Provides care to the assigned patient population in accordance with the current Texas Nursing Practice Act or Texas Medical Board Rules, as applicable to licensure, established protocols, a multidisciplinary plan of care, and clinical area-specific standards.

• Must demonstrate leadership ability through both superior clinical skills and as a practice development resource.
• Must have effective verbal and written communication skills.
• Must have effective leadership skills to include motivation, recruitment, retention, and change management.
• Must demonstrate knowledge of Parkland policies, structure, procedures, and mission.
• Must demonstrate patient-centered behaviors.

Responsibilities

• Performs clinical practitioner duties in the designated specialty area. Obtains histories, performs physical exams, makes assessments, and orders tests to adequately assess and determine diagnoses and plan of care.
• Records health history, findings, treatment, and recommendations accurately, clearly, and concisely.
• Manages time effectively to ensure optimal use of patient and provider resources.
• Consults appropriately with supervising physicians and refers patients as necessary to ensure optimal patient outcomes.
• Includes patients and/or families in determining the plan of care, when appropriate.
• Educates patients and their families to ensure self-management, follow-up, and adherence to established treatment.
• Supports interdisciplinary collaboration to ensure continuous quality care and to promote positive health outcomes with a focus on good customer service and patient satisfaction.
• Stays abreast of the latest developments, advancements, and trends in the practice field by attending seminars/workshops, reading professional journals, and actively participating in professional organizations.
• Participates in PHHS education activities.
• Maintains and implements knowledge of all applicable rules, regulations, policies, laws, and guidelines that impact the respective APP fields.
• Develops effective internal controls that promote adherence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans.
• Maintains current professional certifications and licensure as required by the organization and the APP's governing body.
• Seeks advice and guidance as necessary to ensure proper understanding. Timely completion of all assigned modules and yearly PHHS obligations as defined by the corporate compliance department.
• Identifies work processes and flows for the assigned department. Suggests appropriate changes to improve work effectiveness, productivity, and efficiency that support the overall goals of PHHS or the area. Consistently provides quality customer service to internal and external PHHS customers.
• Assists in developing, implementing, and monitoring annual goals and objectives for the department that support the mission and objectives of PHHS and the department.
• Attends regular staff meetings.