Job Overview :
This position provides assessment and initial treatment plan, oversight of treatment process, assessment for medication needs, medication monitoring and provides an evaluation of clients for medical and emotional / behavioral problems as needed for patients in the Child and Adolescent Outpatient Program at Trinitas.
Qualifications :
- Graduation from an approved Clinical Nurse Specialist or Nurse Practitioner Program,
- Current NJ licensure and certification as an Advanced Practice Nurse and experience with the Child / Adolescent population.
- ACLS and BLS required
Scheduling Requirements :
- Ful Time
- 37.5 hours
Essential Functions :
- Administers injections, immunizations and oral medications, starts IV.
- Assists physician by recording patient progress notes, issues diagnostic orders, and transcribes orders.
- Assists with various counseling and education functions.
- Billing for patient services based on CMS and NJ State Board Regulations.
- Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients.
- Develops plan of care for patients in coordination with multidisciplinary team and completes appropriate reports to physicians and family.
- Documents and maintains patient records of services provided according to facility and nursing standards.
- Establishes a collaborative relationship with other medical providers.
- Examines patients to determine presence of illness, utilizing physical findings, laboratory results, medical history, ascertains nature and extent of illness and prescribes treatments as indicated.
- Interviews, instructs and advises patients regarding health and illness prevention. Instructs patient and family regarding medications and treatment instructions.
- Issues prescriptions to patients based on Federal & State Regulations.
- Orders and reviews appropriate laboratory and diagnostic procedures. Reviews all lab data and documents.
- Participates in the development of protocols.
- Performs and obtains a completed medical history and physical data on patients with appropriate documentation and findings.
- Performs independent evaluations and treatment procedures in emergency situations.
- Provides monitoring and continuity of care between physician visits.
- Responsible for coordinating nursing and training programs on compliant for policies such as HIPAA, OSHA, Code of Conduct.
- Responsible for maintaining the quality and adequacy of nursing practice.
- Reviews and audits charts routinely.
- Sutures wounds, incise and drains wounds, repairs lacerations.
- Works in collaboration with a physician to diagnose conditions as necessary.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.
Duties, responsibilities and activities may change at any time with or without notice.
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