Physician's Assistant / Nurse Practitioner - Wythe Family Care (Req #640)
Wythe County Community Hospital - Wytheville, VA

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The midlevel provider is directly responsible to the physician and has the responsibility for overall direction, utilization, supervision, instruction, treatment and evaluation of patients assigned.

Supervision - To supervise the activities of their area including:
  • Formulates treatment plans and works with patients on an individual basis under the direct supervision and responsibility of the attending physician.
  • Has an understanding and knowledge regarding the total aspect of a patient's illness or injury and the ability to assess the needs of the patient and plan accordingly to ensure the patient receives the highest level of care and time efficient discharge.
  • Elicit detailed patient histories and make complete physical examinations. Reach tentative diagnosis and order appropriate laboratory tests.
  • Any services offered by the midlevel provider, directly or under arrangement, are to be provided by a qualified midlevel provider who assists the attending physician by evaluating the level of function, helps develop the plan of treatment (revising as necessary), prepares progress notes, advises and consults with the family and other personnel, and participates in inservice programs.
  • Performs follow-up visits and maintains continuity of care during hospital stay.
  • Appropriately order all labs, tests and consults regarding patient care.
  • To practice consistent with the American Medical Association Code of Ethics and Standards of Practice and Standards of Practice policy as developed.
  • To maintain a patient treatment schedule consistent with the needs of the hospital
  • To confer with the person(s) most closely associated with the management of the patient and to keep them informed of any additional patient needs, treatment modification and/or progress
  • To treat patients and function as a midlevel provider as necessary
  • To treat patients of any age (e.g., infants, children, adolescents, adults, geriatrics, elderly, ages 0-120 years), race, creed, gender and disability without bias or prejudice
  • To respect and understand the patient's right to treatment and right to involvement in treatment decisions
  • To practice ethical responsibility based on the cultural, ethnic and religious beliefs of the patients' served and applicable law.
Records and Reports
As per facility guidelines, to be responsible for the authentication, preparation and submission of hospital reports, ensuring confidentiality of all records, including:
  • Evaluation reports/summaries
  • Discharge reports/summaries
  • Progress reports to referring physicians and agencies
  • Special reports as requested by the physician
Meetings and Conferences
  • To attend Facility Provider Meetings as required
  • To see that all hospital routines and procedures are carried out as outlined
Professional Status and Public Relations
  • To keep abreast of new techniques and trends in the field of medicine
  • To attend conventions, meetings or special courses whenever possible and to share with personnel information gained thereby
  • To maintain good public relations with all community sources
Delegation of Responsibility
  • To delegate portions of the above listed duties to other personnel, with approval of the physician and/or the director and in line with the best use of time and experience of such personnel
New Personnel
  • To assist with recruitment of applicants for positions
  • To orient new personnel to the program and procedures
Facility Personnel
  • To evaluate, and report at regular intervals, the work of other employees or volunteers within their area of the hospital
  • To assist the physician and or the director in planning of any new programs to be developed within the hospital
Policies and Procedures
  • To keep current and adhere to policies and procedures as enumerated in the Policy and Procedure Manual
  • To assist the physician with the revision of any procedures with personnel as necessary
  • To actively participate and adhere to all policies and procedures as enumerated in the risk management program
  • Responsibility for interpreting and carrying out the prescription of the physician; good public relations; protection of confidential data; economic use of time, equipment and supplies; and safety and welfare of patients and other employees.
  • Must know the principles and practice of medicine; be familiar with the American Medical Association Code of Ethics; hospital policies, procedures, and regulations; layout of the hospital; be aware of hospital communications; and exercise supervision and management techniques.
  • Must be able to apply the theory of medicine, have the ability and competency to operate the equipment of his or her position; perform technical procedures, speak intelligently and in a professional manner before others; and exercise supervision and management skills.
  • Must be able to instill confidence in patients, doctors and personnel; determine proper procedures and methods and evaluate results; make decisions on his or her own; adapt to emergency situations; be alert to changes in the patient's condition; and be alert to all activities of the hospital.
  • Must have coordination of sight and body movements in various applications of procedures, techniques of assisting and handling patients and ability to handle the tools and machines of the profession.
  • A high degree of accuracy is required in carrying out prescriptions, in receiving and translating information and in charting and reporting.
  • Graduate of a school or program accredited by the American Medical Association, The Council on Medical Education and Hospitals of the American Medical Association, The Council on Medical Education of the American Medical Association or The American Nurse Practitioners Association.
  • Must have State Licensure, Certification or Registration as applicable.
  • Appropriate Board Certification with experience preferred but not required.

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