Nurse Practitioner


Mary Washington Hospital
Fredericksburg, VA



7 days on 7 days off

Job Summary:
The Nurse Practitioner provides clinical services to the appropriate programs and its patients/in both the inpatient and outpatient setting.  The Nurse Practitioner is actively involved in providing formal and informal care, education and participates in the review and development of specific policies, procedures, and practice guidelines. The incumbent in this position must be able to demonstrate effective interpersonal skills and an understanding of the interdependent roles of various allied health professions. 
This individual will assess physical, psychosocial, cognitive, and functional components, develop a treatment plan, order and interpret diagnostic components of the plan, and prescribe non-pharmacological and pharmacological agents.

The Nurse Practitioner functions professionally under a practice agreement with the supervising physician and operationally under the Vice President Nursing Services and/or the designee. 
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.
Essential Functions & Responsibilities:
In collaboration with physician, demonstrates ability to consul patients and family members about diagnosis, testing, surgery and risk of procedures.
Performs comprehensive health assessments for the purpose of diagnosing and treating individuals.
Formulates appropriate differential diagnosis, develop treatment plan to include appropriate diagnostics; identifies non-pharmacological interventions, appropriate pharmacological agents and education. The plan is based on mutually established priorities to maximize the heath potential of the patient.
Provides relevant patient and family education; makes appropriate referrals to other professional and community agencies.
Orders and provides preliminary interpretation of diagnostic studies.
Prescribes non-pharmacological therapies and pharmacological agents within the defined scope of service and according to guidelines established by the supervising physician.
Demonstrates the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.
Provides emergency treatments and initiates emergency life saving measures per ACLS guidelines.
Meets all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.

1.  Delineation of Privileges:
Obtain, record and dictate medical histories
Perform, record and dictate physical examinations
Make daily rounds, record progress notes, write routine comfort and diet orders, order laboratory tests and non-invasive examinations, write approved routine orders, and change dressings
Prepare patients for discharge from the hospital
Dictate discharge and transfer summaries
Evaluate patients who require a surgical consult
2.   Clinical procedures:
Apply and change dressings
Remove sutures and staples
Perform venipunctures
Insert IV needles and catheters
Catheterize urinary bladder
Pass nasogastric tubes
Place and remove chest tubes and monitoring lines
Irrigate chest tubes and catheters
Remove intra-aortic balloon pump
Debride, irrigate and pack surgical wounds
Remove drainage catheters
3.  Communication:
Educate patient/family regarding disease, procedures, medication, nutrition, healthcare, and post-discharge care
Dictate letters to physicians, patients
Act as liaison between patients and physicians
Act as liaison between nursing and physicians
Request consults from health agencies and act as liaison
Make and receive phone calls to/from patients, physicians and nurses for information, advise, triage
4.  Other
Maintain statistics
Complete insurance forms and home health forms
Maintain written material; teach devices and special equipment for use of personnel and patients.