Nurse Practitioner - Palliative Care
Visiting Nurse Association of Southeast Missouri
- Kennett, MO
- Permanent
- Full-time
- Works collaboratively with the Palliative Care Director and other team members to ensure smooth day-to-day operations within the teams, ensure the care provided to patients meets agency and regulatory standards, quality patient care, and effective and efficient resources utilization.
- The Nurse Practitioner plays an integral part in the development of a patient's comprehensive care plan by identifying symptoms of suffering, managing patient and family-centered care holistically in establishing realistic goals of care. Management of goals includes working with the patient's primary care physician as well as with local hospitals, nursing facilities, hospice & home health providers and other residential facilities.
- Provides clinical expertise and oversight in conjunction with other clinical providers.
- Conducts visits on existing and new patients under the supervision of the Physician.
- Ensures appropriate multidisciplinary communication, collaborative working relationships, and a customer-oriented environment responsible to the needs of external/internal customers. Is readily available to visit with staff for consultation, problem solving, and support.
- Participates in orientation of new staff, training of staff and is a resource to team members.
- Provides physician back up and coverage responsibilities where appropriate.
- Prescribe medications (non-narcotic) to the extent delegated and licensed.
- Order treatments and durable medical equipment as indicated.
- Consult with physician or designees as needed, collaborate with other physicians as needed.
- Prepare and maintain accurate patient records, charts, and documents to support sound medical practice.
- Discharges patients as condition indicates and/or patient requests. Completes discharge summaries.
- Comply with applicable laws and regulations with respect to Collaborative Agreements.
- Participates in the development of the Plan of Care on all patients in conjunction with the Inter-disciplinary team.
- Re-evaluates the patient's physical, psychosocial, and spiritual needs and notifies the appropriate member of the Interdisciplinary Team.
- Refers to and consults with other disciplines as indicated by patients' and family needs and Plan of Care.
- Supports, understands and educates patients and their families on the patient's diagnosis.
- Provides cost-effective care within the fiscal parameters allotted.
- Informs the physician and other members of the interdisciplinary team of changes in the patient's condition and needs.
- Counsels with patient and family regarding physical and emotional needs.
- Able to determine the appropriate level of care to meet the patient's needs.
- Maintains a professional relationship and uses good communication skills with nursing home staff.
- Provides education and mentors staff, when requested.
- Performs supervisory visits, when required.
- Assist Branch Office Manager with scheduling tasks.
- Provides AIM administrative coordinator availability at least two weeks in advance.
- The NP will be expected to see patients during their scheduled timeframe.
- Will follow all scheduling expectations documented in this section.
- Completes documentation for each visit, including assessment tools, and submits within 7 days of visit.
- Assure necessary referrals are placed based on assessment results (social worker, chaplain, NP visit, etc.). Contact coordinator via email or text with details by secure messaging methods.
- Attend IDT meetings to discuss care and future plans of patients on the service, as requested by Program Director.
- Complies with department and regulatory requirements for documentation.
- Accounts for activities performed and submits documentation for billing to be processed within the allotted timeframe.