Nurse Practitioner - School Based Health (35hrs/wk)

This part-time position will work in the Silver Spring schools.

This position follows the Montgomery County school schedule.

The Nurse Practitioner works independently with collaborative supervision using intuitive skills when problem solving in complex clinical situations.
He/She demonstrates a highly skilled analytical ability in novel circumstances. He/She is credentialed to function in an expanded nursing role. He/she
is responsible for assessment and management of patients, including diagnostic and therapeutic interventions and the implementation and evaluation
of an appropriate plan of care. All activities are performed within the guidelines of protocols agreed upon by the Medical Director and under medical supervision. He/She participates in clinical research and/or the utilization of its results. He/She is involved in multidisciplinary consultation for the delivery of patient care. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNH Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. CNH supports the development of RN relationships within the community; specifically, those relationships associated with the health and well being of the community at large.

Minimum Education
MSN Graduation from an approved education program for Nurse Practitioners. (Required)

Minimum Work Experience
0 years Clinical experience with two years experience in the care of children (Required)
2 years Clinical experience with two years experience in the care of children (Preferred)

Required Licenses and Certifications
Advanced Practice Registered Nurse (APRN) Licensure in the state(s) of clinical practice (Required)
Meets credentialing requirements
of Children's National Medical
staff office. (Required)Basic Life Support for Healthcare Provider (BLS) (Required)
Certified Pediatric Nurse Practitioner (CPNP) (Required) Or
Family Nurse Practitioner-Board Certified (FNP-BC) (Required)

Functional Accountabilities
Clinical/Practice

• Assess individual patient clinical status and well-being by obtaining complete medical history and examination; developmental assessment; ordering appropriate laboratory tests, and x-rays as indicated.

• Gather and maintain patient medical records including lab, MRI, EEG results, and abnormal lab findings; interpret results and plan interventions accordingly.

• Collaborate with other health care team members, clinics and community agencies; address patients care needs.

• Develop and implement individualized plans of care, based on existing protocols and individual patient and family needs, including continuity of care issues.

• Perform minor procedures when indicated (e.g. ear irrigation, suture removal).

• Independently prescribe legend drugs according to guidelines.

• Provide clinical expertise for patients, families, and team members.

• Serve as a role model in clinical practice for complex patient care issues.

• Direct management of patient in emergency situations

• Enhance professional nursing by participating in professional organizations and committees.

• Participates in on call rotation for individual practice as needed

Communication/ Consultation

• Act as a consultant in areas in clinical expertise to other health care professionals and to the community.

• Utilize both written and verbal means to thoroughly document and communicate patient status.

• Manage conflict constructively.

• Communicate needed system changes effectively .

• Identify needs for professional growth of staff and communicate these effectively .

Management/ Administration

• Actively participate in the development of standards of care.

• Provide input and feedback to others for individual patients and their families to evaluate the quality of care.

• Organize workload in order to set priorities to facilitate short and long term goals.

• Consult with other health care providers regarding policies of patient care.

• Interpret the intent of the policies of the company in an understandable and non-biased manner to staff and families.

Quality Assurance

• Monitor and document effectiveness of patient care interventions.

• Participate in QA monitoring with the department or Practice.

• Propose and participate in the development of patient care programs to improve the delivery of care.

Patient and Family

• Assess learning needs of the patient and family.

• Implement teaching strategies using appropriate tools/resources/research.

• Evaluate patient and family level of understanding following implementation of teaching.

• Communicate patient and family learning needs and response to teaching to other members of the health care team.

• Develop educational materials directed at patients and families in area of clinical expertise.

Research

• Disseminate information pertaining to the research of other professionals in order of specialization.

Professional Education

• Participate in development of NP role and practice within organization.

• Participate in NP certification maintenance program.

• Attend continuing education conferences/lectures.

• Hold membership in specialty organizations.

• Develop and present educational programs to hospital and community health care professionals by

• Identify learning needs of staff.

• Develop appropriate in-services/projects to address identified needs.

• Meet periodically with clinical educators, services directors, departmental chairs, to assess staff needs.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Professional Practice/Research

• Participate in Shared Leadership.

• Contribute to CNMC's Magnet Journey .

• Ensure nursing practice is based on evidence of best practice.

• Accountable for participating in the Division of Nursing's Performance Improvement process (division or unit level).

• Participate in community activities.

Organizational Commitment/Identification

• Partner in the mission and upholds the core principles of the organization

• Committed to diversity and recognizes value of cultural ethnic differences

• Demonstrate personal and professional integrity

• Maintain confidentiality at all times

Customer Service

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things