Nurse Practitioner - Dearborn
Company: PACE Southeast Michigan
Posted on: January 21, 2023
The Nurse Practitioner (NP), in collaboration with the PACE
Southeast Michigan (PACE SEMI) physicians, is responsible for the
medical care of PACE SEMI participants as approved by the
Interdisciplinary Team (IDT). The Nurse Practitioner only acts
within the scope of his/her practice. The practice parameter for
the nurse practitioner is determined by the location of the
participant including but not limited to: the PACE SEMI day health
center, home visits, hospitals, nursing homes, and assisted living
- SPECIFIC DUTIES AND FUNCTIONS
The nurse practitioner assumes responsibility under physician
direction for the medical management and planning of participant
- The nurse practitioner works and collaborates with all members
of the interdisciplinary team.
- The nurse practitioner may perform all levels of practice of a
registered nurse, and in addition, the nurse practitioner can
perform the following duties:
- Periodic assessments;
- Physical examinations for acute visits;
- Assessing for pathological developments and evaluating episodic
- Making referrals to other physicians including specialists with
staff physician approval;
- Providing for and coordinating primary care services needed by
the participants, including health promotion and health
- Offering education to participants, families, and other team
- Coordinates care with other services;
- Communicates participant changes to the interdisciplinary team
in a timely manner
- Coordinates 24 hour care as indicated by the interdisciplinary
- Documents in the medical record each of the above as well as
other changes or pertinent information in a timely and accurate
- Facilitates the admission of participants to in-patient
facilities, including hospitals, nursing homes, and extended care
facilities; and participates in the care planning in those
facilities, with staff;
- Encourages all participants to have Advanced Directives and
provides education as needed; may discuss the Do Not Resuscitate
(DNR) option with the participant and/or family members and may
complete the Health Care Wishes form and write DNR orders in the
medical record, in collaboration with a physician and update
electronic medical record.
- Assessments done by the nurse practitioner will be completed
prior to the participant centered care conference and the care plan
will be completed by all interdisciplinary team members at the
conclusion of the patient centered care conference.
- In collaboration and consultation with the PACE SEMI physician,
the nurse practitioner may diagnose and treat common health
problems, which may involve:
- Initiating appropriate diagnostic studies, such as laboratory,
x-ray and other specialty procedures with physician
- Adjusting the treatment plan in collaboration with the
- Instituting emergency medical measures in life threatening
- Monitoring for changes in participants with chronic diseases or
- Transmitting to the pharmacist in writing, valid prescriptions,
including controlled substances, Schedule 3- Schedule 5
medications, that the supervising physician has delegated the nurse
practitioner to prescribe
- Following up with participants in the home or in-patient
rounding in nursing facilities to evaluate their status; conferring
with a PACE SEMI physician in regard to an actual or suspected
- The nurse practitioner participates in committees and
activities within PACE SEMI as well as throughout the Henry Ford
Health System and at state and national levels.
- The nurse practitioner disseminates knowledge and expertise
through professional activities such as conferences and
publications and maintains professional certification.
- The nurse practitioner reports administratively to the Medical
Director; the nurse practitioner provides after hours on-call
medical assistance on a rotating basis via telephone triage or
after hours home visits to participants as needed.
- The nurse practitioner must comply with hospital TB testing,
infection control, BLS and mandatory in-service
- The nurse practitioner participates in the DataPACE
- The nurse practitioner acts as a role model for professional
nursing practice among his/her peers.
- The nurse practitioner supports and contributes to the
development of nursing students as well as students of other
- Responsibility and coordination of foot care services.
- The nurse practitioner performs other duties as assigned.
KNOWLEDGE, SKILLS, AND ABILITIES
- Registered Professional Nurse, with current Michigan license,
and Masters of Science in Nursing with a clinical nursing focus and
nurse practitioner license.
- Three (3) to five (5) years of progressively more responsible
experience as an RN in a clinical setting with expertise
substantiated in the area of geriatrics is preferred, through
education, experience and credentials. Must have one (1) year of
experience with a frail or elderly population.
- The ability to establish and maintain interpersonal and
- The ability to apply principles of teaching/learning theories
in planning and implementing educational activities.
- The ability to apply principles of research in studying nursing
- The nurse practitioner participates in or facilitates QA
projects resulting from data collection results.
- The nurse practitioner participates in various committees
within PACE SEMI including, but not limited to:
- Utilization Review Committee
- Clinic/Primary Care Committee
- Morbidity and Mortality Committee
- Advising and counseling the staff nurses regarding program
- Supervision of the nurse practitioner will be provided by
- Immediate, on-site supervision by the PACE SEMI
- Telephone consultation with a PACE SEMI physician who is not on
- Conferences between the nurse practitioner and the physician
regarding medical management, review of charts or any other
situation that may arise;
- Chart audits.
- The scope of supervision will depend upon the specific
functions the nurse practitioner performs
- The nurse practitioner conducts research projects in accordance
with established institutional protocols and in collaboration with
other experts in the research or clinical area; he/she integrates
the research findings to improve the delivery of nursing care and
propose a plan for facilitating a change.
- The nurse practitioner promotes a nursing philosophy that
stresses the nursing process and encourages accountability and
professional growth of staff nurses.
- Must meet a standardized set of competencies (approved by CMS)
before working independently.
- Must be medically cleared for communicable diseases and have
all immunizations up-to-date before engaging in direct participant
- Working conditions are variable with exposure to communicable
diseases, due to patient environment.
- Driving is required within PACE SEMI catchment area, with
possible exposure to extreme temperatures, including heat and
- Frequent walking, bending, lifting of forty (40) pounds or more
may be needed in the performance of duties.
Keywords: PACE Southeast Michigan, Dearborn , Nurse Practitioner - Dearborn, Healthcare , Dearborn, Michigan
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