Urgent Care Provider - PRN at Crossing Rivers Health – Prairie du Chien, Wisconsin

Position Summary
The Urgent Care Provider will provide high quality, compassionate, and comprehensive health care to patients in a timely manner, utilizing current care practices. The Provider will function independently under the guidance and/or collaboration of the ER Medical Director or ER Physician on duty. May independently write prescriptions as allowed within the authorized scope of practice as defined by Wisconsin Board of Nursing. Must obtain Federal Drug Enforcement Administration (DEA) registration and current copy of DEA registration is required to be on file at Prairie du Chien Memorial Hospital in credentials file. The Provider will be taken through the medical staff/allied health professional credentialing process as outlined in the Medical Staff Bylaws Rules and Regulations approved by Medical Staff and the Board of Directors. Allied Health Providers will be evaluated under medical staff reappointment process. Age of patients cared for: infant, child, adolescent, and geriatric.

Essential Functions Statement(s)

• Analyzes and interprets patients’ histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
• Performs initial examinations and records findings on urgent care patients. Obtains medical history data on patients and documents resulting information on the patients’ medical record. If emergent condition is determined, refers care to ER physician.
• Recommends diagnostic or therapeutic interventions with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy.
• Prescribes medications based of efficacy, safety, and cost as legally authorized.
• Educated patients about self-management of acute or chronic illnesses, tailoring instructions to patients’ individual circumstances. Interviews and advises patients regarding health and illness prevention. Recommends community resources to meet patient and family needs.
• Prescribes medication dosages, routes, and frequencies based on patient characteristics such as age and gender.
• Orders, performs, or interprets the results of diagnostic tests, such as complete blood counts (CBCs), electrocardiograms (EKGs), and radiographs (x-rays).
• Maintains complete and detailed records of patients’ health care plans and prognoses.
• Recommends interventions to modify behavior associated with health risks.
• Develops treatment plans based on scientific rationale, standards of care, and professional practice guidelines.
• Detects and responds to adverse drug reactions, with special attention to vulnerable populations such as infants, children, pregnant and lactating women, or older adults.
• Reads current literature, talks with colleagues, and participates in professional organizations or conferences to keep abreast of developments in nursing.
• Counsels patients about drug regimens and possible side effects or interactions with other substances such as food supplements, over-the-counter (OTC) medications, or herbal remedies.
• Diagnoses or treats chronic health care problems such as high blood pressure and diabetes.
• Provides patients with information needed to promote health, reduce risk factors, or prevent disease or disability.
• Treats or refers patients for primary care conditions, such as headaches, hypertension, urinary tract infections, upper respiratory infections, and dermatological conditions.
• Consults with or refers patients to appropriate specialists when conditions exceed the scope of practice or expertise.
• Diagnoses or treats complex, unstable, comorbid, episodic, or emergency conditions in collaboration with other health care providers as necessary.
• Schedules follow-up visits to monitor patients or evaluate health or illness care.
• Performs routine or annual physical examinations.
• Supervises or coordinates patient care or support staff activities.
• Maintains current knowledge of state legal regulations for nurse practitioner practice including reimbursement of services.
• Provides patients or caregivers with assistance in locating health care resources.
• Maintains departmental policies and procedures in areas such as safety and infection control.
• Performs primary care procedures such as suturing, splinting, administering immunizations, taking cultures, and debriding wounds.
• Advocates or accessible health care that minimizes environmental health risks.
• Interprets and integrates data to determine appropriate diagnostic and therapeutic procedures. Orders and interprets appropriate laboratory and diagnostic procedures.
• Administers injections, immunizations and oral medications; performs minor procedures as approved and delineated by the Medical Staff and Board of Directors.
• Recognizes medical emergencies and initiates evaluation and treatment procedures necessary in life threatening situations and reports to ER physician immediately.
• Ensure Urgent Care is adequately staffed.
• Prepares and performs chart review.
• Performs follow-up phone calls.
• Performs new employee health screenings and other employee evaluations.
• Performs sport physicals.
• Reviews and sends out labs.
• Keeps abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care and private sources.
• Other job duties and responsibilities as assigned to effectively meet the needs of the patients, the department, and the organization as a whole.

Competency Statement(s)

• Active Listening – Ability to actively attend to, convey, and understand the comments and questions of others.
• Applied Learning – Ability to participate in needed learning activities in a way that makes the most of the learning experience.
• Communication – The ability to get one’s ideas across to others through oral or written means and to understand the ideas of others through effective listening skills.
• Decision Making – Ability to make critical decisions while following company procedures.
• Ethical – Ability to demonstrate conduct conforming to a set of values and accepted standards.
• Honesty/Integrity – Ability to be truthful and be seen as credible in the workplace.
• Interpersonal – Ability to get along well with a variety of personalities and individuals.
• Judgement – The ability to formulate a sound decision using the available information.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Education:

• R.N./A.P.N.P.Master's or Doctorate degree in nursing practice: Required OR
• Physician Assistant (PA) Master's degree: Required

Experience:

• 2 years experience as APNP or PA : Preferred

Certifications and Licenses:

• Urgent Care Providers hold a current Wisconsin Advance Practice Nurse Prescriber (APNP) license OR
  a Physician Assistant (PA) license.
• APNP must be certified with the American Nurses Credentialing Center or the American Association
  of Nurse Practitioners.
• PA must be certified by the National Commission on Certification of Physician Assistants.
• Must have Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) and, Advanced Trauma Life Support (ATLS).

Other Requirements:

• The Urgent Care practitioner must have a collaborative agreement with a physician(s), who is a
  member of the Crossing Rivers Health Medical Staff and has ER privileges.