Nurse Practitioner

Staff hospital service, office clinics and satellite clinics as assigned. All PEs wont be involved with all activities and clinics. Individuals will be assigned to areas of special interest for which they have gained expertise.

Extenders may be assigned to PRACTICE committees.

Work-up new patients. These include hospital admissions, inpatient and outpatient consults including Established Patient Consults in Same Day Services, at the Heart Center or other sites as needed.

Present case to attending cardiologist

Write orders as appropriate under direction of attending cardiologist

Dictate H&P or Consult Note after review of case with attending cardiologist

In general, dictations should be completed on the day the patient is seen. This must be completed if the patient is to undergo an invasive procedure that day or the next. In all cases this must be completed by the next morning at the latest.

Round on assigned patients until they are discharged, unless otherwise directed by supervising MD (PRACTICE PEs are not expected to round on post- HOSPITAL patients).

Progress notes should be written on each patient daily unless the attending cardiologist has already done so. In that case, the PE should still round on the patient sure he / she knows the patient's clinical course and notifies the attending cardiologist of any important interim changes.

Attending cardiologist should indicate any priorities he / she has regarding which patients to see first.

Often PE's will deal with phone calls from RN's regarding assigned patients.

• Responsible for actively recruiting patients for Research projects;

Help with education and communication for patients and families as appropriate during the hospitalization regarding cardiac catheterization, PCI, other procedures, medications, etc.

Write prescriptions as directed by the attending cardiologist.

Dictate discharge summaries See protocol for specific details and guidelines.

Share weekday call with other hospital based PEs

Share weekend and Holidaycall with other PEs

Check-in patients for Same Day Procedures confirming :

H&P is done and on chart

labs, ECG, etc. are acceptable

Patient is stable, procedure and risks explained, questions answered

Short admit note is written documenting above and patients RN knows patient is ready for planned procedure.

Attending cardiologist knows of any findings, which might alter plans or procedure.

Review schedule to determine the status of each MD and PE

Review physician patient census and determine number of procedures for each MD

Check hospital mailboxes for consults

Check with Nursing Supervisor regarding admissions, transfers, bed situation, etc.

Assign incoming patients / consults to PEs and MDs as equitably as possible based on above data

Assign PE to help at MEDICAL CENTERif needed and if HOSPITAL service requirements allow.

PEs should not call referring hospitals to arrange transfers. This is left to the Nurse Supervisor, unless specifically directed otherwise by a cardiologist.

• Hours :

Hours are approximate depending on workload

PEs should be in the hospital or office beginning rounds, seeing patients, etc. at or before 8 : 00 a.m. unless arranged otherwise.

If not on call, a PE's day will end when their responsibilities are fulfilled for that day. This is usually around 6 : 00 p.m. but this is not guaranteed.

Weekend hours start at 9 : 30 a.m. and should end around 6 : 00 p.m.

Prior to leaving, the PE should check with their attending cardiologist.

If on call, responsibilities usually extend until about 8 : 00 p.m.

PEs receive an afternoon off in weeks when they have weekend call. This will commence when the PE has completed his / her responsibilities and checked with attending cardiologist. This will probably occur sometime between noon and 2 : 00 p.m. but times are not guaranteed.

• Priorities :

Hospital based PEs have several responsibilities, which at times may present conflicts as to which of the responsibilities to address first. Following are our priorities regarding work-ups and rounds in the order they should be addressed :

or new admissions and consults

Check-in of Same Day Procedure patients

Work-up of New Patients for Same Day Procedures

Work-up of new patients admitted to our service

Work-up of non emergent consults

Rounds and follow-up care on assigned patients

• ACCURACY :
• A high level of accuracy is expected in maintaining medical records and PRACTICE records with specific emphasis on patient history, physical findings and plan of evaluation / treatment.
• CONTACT AND COOPERATION :
• Physician Extenders represent the Practice and will display a high level of professionalism at all times. They are expected to develop a good rapport and working relationship at all levels of contact in the hospital, office, satellite clinics and any other work related areas or functions.
• PHYSICAL DEMANDS

HEARING : Normal or corrected to near normal range.

SPEAKING : Clear and intelligible.

VISION : Normal or corrected to near normal range.

WALKING : Mobility is required in the office and hospital setting in the delivery of patient care.

REACHING : To the extent necessary to perform adequate physical assessment of a patient and deliver patient care.

OTHER : Provide personal transportation to assigned work site.

Job Type : Full-time

Pay : $108,654.16 - $130,852.32 per year

Education :

• Master's (Preferred)

Ability to Commute :

• Lufkin, TX 75904 (Required)

Ability to Relocate :

• Lufkin, TX 75904 : Relocate before starting work (Required)

Work Location : In person

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