Brigham and Womens Hospital - Boston, MA

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The Nurse Practitioner is an advanced practice registered nurse who has acquired

specialized knowledge and skills through completion of a nurse practitioner program.

The practitioner has the credentials to function in an expanded nursing role and is

responsible for the daily management of selected patients. The practitioner has

responsibility for assessment and management of patients including diagnostic and

therapeutic interventions, and continuous implementation and evaluation of an

appropriate plan of care. The Nurse Practitioner works with her/his collaborating

physician in accordance with mutually developed practice guidelines, members of the

care team and is responsible to the Nursing Director or Executive Nursing Director for

the area for issues specific to the discipline of nursing.

A. Patient Care Organization

1. Provides direct care, counseling, and teaching to a select patient population.

2. Performs physical examinations and provides preventive health measures

appropriate to patient needs.

3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess

patients clinical problems and health care needs.

4. Arranges for appropriate plan of care and follow-up based on outcome of

diagnostic, lab, and physical assessment findings.

5. Performs laboratory tests appropriate for specific patient population.

6. Orders medications and writes prescriptions according to organizational and

regulatory policies and procedures.

7. Records pertinent patient care findings in the medical record.

8. Sets priorities for appropriate and efficient management of patient care that

reflects cost effective management of time, available human resources,

supplies and equipment

9. Maintains interdisciplinary approach to planning and communicating patient

care information by discussing patient data with appropriate physicians and

other health care professionals.

10. Incorporates the concepts of health maintenance, prevention, and promotion

into daily practice through patient education and counseling.

11. Demonstrates awareness of community resources and assists staff, patients,

and families to effectively utilize them.

B. Quality of Care

1. Assists in the development, implementation and revision of nurse practitioner

guidelines and monitoring requirements for prescription writingin

collaboration with their designated physician and Nursing Director or

Executive Nursing Director .

2. Evaluates outcomes of own patients care and makes necessary revisions in

care plans.

3. Seeks and provides consultative services as required.

4. Participates in departmental and organization quality improvement program.

5. Utilizes quality improvement data and research findings to enhance patient


C. Coordination

1. Demonstrates appropriate collaborative and consultative relationships with

other providers within the institution and community.

2. Serves on Nursing and Hospital Committees and assumes responsibility for

disseminating and communicating information to staff.

D. Budget

1. Participates in setting productivity metrics and in cost effective management

of personnel, time, supplies, and equipment in his/her area.

2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing

Director in the recommendation of appropriate staffing patterns for their

clinical areas.

E. Personnel Management

1. Participates in selection process of new employees in group or team practice

as requested.

2. Provides input into evaluation of other staff as appropriate.

F. Education

1. Acts as preceptor for nursing students and staff as requested.

2. Participates in orientation of new staff.

3. Participates in

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