This is an Advanced Practice Provider (Nurse Practitioner) role within the Johns Hopkins University Department of Physical Medicine and Rehabilitation. This is a clinical role which primarily provides evaluation & management, testing, and other assigned clinical duties for patients with Postural Orthostatic Tachycardia Syndrome. This position reports to the program director.
Specific Duties and Responsibilities
Provides comprehensive, age appropriate and episodic care to patients as a member of the multi-disciplinary health care team.
Obtains patient history; Performs patient care and physical examinations; Prepares patient summaries; Develops care/treatment plan; Attends outpatient clinics and assists with patient management.
Provides information to staff regarding patient's care plan and condition.
Consistently develops effective care/treatment plan for assigned patients according to established protocols and procedures
Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age
Consistently provides relevant patient care information to the appropriate staff member according to department guidelines
Follows daily progress of patients, including history and physical exam, ordering, performing, and interpreting laboratory and radiological data and establishing and implementing a plan of care based on those interpretations and observations.
Makes referrals to appropriate specialties.
Follows long-term progress of patients including history and physical examination, orders and interprets tests, and assesses status.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Performs, but is not limited to the following advance procedures:
Performs routine laboratory procedures.
Performs advanced procedures such as skin biopsy and other procedures as necessary.
Provides Emergency Care:
Maintains CPR certification.
Maintains airway, breathing, circulation.
Starts and provides basic CPR.
Orders and administers anti-anaphylactic and supportive medications.
Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
Prescribes Schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.
Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients.
Participates in rounds and meetings for consultation.
Assumes fiscal responsibility with working knowledge of evidence based medical model.
Effectively uses resources of the patient and the institution.
Is aware of and adheres to specific capitations and limitations of the patient’s insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
Has knowledge of and utilizes all available resources in the event that the patient’s resources are limited or unavailable in order to provide medical care and social well-being.
Works in collaboration with the physician and is able to detect those deviations from normalcy or from established protocols that require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psychosocial, and other resources.
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Additional experience may substitute for master’s degree. Approval of the Maryland Board of Nursing for the written signed delegation agreement. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis.
Preferred Qualifications: Three years of related clinical nursing experience.
Additional Knowledge, Skills, and Abilities:
Advanced clinical skills in specialty area or equivalent.
General computer knowledge and capability to use computer.
Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members.
Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care.
Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem solving.
Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel.
Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
Specific Physical Requirements:
Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
Classified Title:Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Competitive; Commensurate with experience Employee Group: Full Time Schedule: Monday - Friday, 8:30am - 5:00pm; Essential staff, telecommuting may be possible. Travel between sites required. Exempt Status: Exempt Location: School of Medicine, East Baltimore Campus Department Name: PMR Physical Medicine and Rehabilitation Personnel Area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at firstname.lastname@example.org. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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