Description

Tomah Memorial Hospital

EOE

POSITION DETAILS Part-time with benefits; 40-50 hours per two week pay period, day shift with variable start and end times could vary based on clinic schedules.  JOB SUMMARY The Advanced Practice Provider (APP) is responsible for delivering comprehensive patient care within the Specialty Clinic. This includes assessing, diagnosing, treating, and/or referring patients in accordance with established medical protocols, Wisconsin Statutes, and applicable Federal Regulations. The APP functions independently while maintaining collaborative practice with the supervising physician to ensure high-quality, patient-centered care. MAJOR JOB FUNCTION

Performs initial and follow-up evaluations and examinations and records findings.  Obtains complete medical history data on patients, including pre-operative history and physicals (H&Ps). Reviews patient records and dictates articulate and concise information into the medical record. Perform comprehensive History & Physical (H&P) assessments for new patients and prior to procedures requiring anesthesia or moderate sedation, ensuring compliance with Joint Commission and CMS standards. Interprets and integrates data to determine appropriate diagnostic and therapeutic procedures. Orders appropriate laboratory and diagnostic procedures. Administers injections, medications; performs minor procedures such as joint injection, aspiration, removal and application of casts and splints in the clinic. Orders prescription medications as needed. Writes pre-operative orders on surgical patients.
1. Assess, diagnose, and manage acute, chronic, and complex wounds (e.g., diabetic ulcers, pressure injuries, surgical wounds).
2. Perform wound care procedures including:

• Debridement (sharp, enzymatic, autolytic)
• Dressing selection and application
• Negative Pressure Wound Therapy (NPWT)
• Compression therapy

Order and interpret diagnostic tests relevant to wound care (labs, imaging).

Prescribe medications and advanced wound care products under state prescriptive authority.

Collaborate with physicians, nurses, and interdisciplinary teams for coordinated care. Sees patient in follow-up post-op visit without physician directly present and generates a continuing treatment plan. Interpret x-rays, CT scans, MRI’s as needed and discuss finding with patients, therapist and staff. Instructs patient and family regarding medications and treatment instructions.  Provides patient education. Performs hospital rounds on an as needed and requested basis.  Writes chart notes in hospital record. Provides monitoring and continuity of care between physician visits. Consults and collaborates with other professionals; makes referrals when appropriate. Functions as a resource person in health matters. Participates in professional development activities and maintains professional certification and affiliations. Maintains excellent personal relations and communication with all members of the clinic and hospital staff. Demonstrates proficiency in regards to the computer documentation of patient cares and any other related computerized patient information/documentation. Participate in quality improvement initiatives and evidence-based practice updates. Performs related work as required. STANDARDS OF BEHAVIOR

WORK ETHICS STANDARD: Affirm a commitment to making the Tomah Health work environment better through: patient advocacy, continuing education, and valuation of each individual person. COMMUNICATION STANDARD: Affirm a commitment to use open and honest communication with all Tomah Health customers (in-house & community-wide) through: basic customer courtesy (phone, written, face to face) and active listening. TEAMWORK STANDARD: Affirm a commitment to be a proud, dependable Tomah Health TEAM member through: basic customer courtesy, patient advocacy, flexibility, and valuation of each individual person. QUALITY STANDARD: Affirm a commitment to provide respectful, compassionate, quality care with integrity to all Tomah Health customers (in-house & community-wide) through: job excellence, patient advocacy, and self-dignity. PROFESSIONALISM STANDARD: Affirm a commitment to professional conduct towards all Tomah Health customers (in-house & community-wide) through: collaboration, teamwork, appearance, environment, and valuation of each individual person. ATTITUDE STANDARD: Affirm a commitment to maintain a positive, professional perspective towards all Tomah Health customers (in-house & community-wide) through: honest feedback, confidentiality, basic customer courtesy, and valuation of each individual person.

EDUCATIONAL REQUIREMENTS

Minimum Education requirements: Master’s degree in nursing AND Current licensure as APNP and RN in State of WI -OR- Graduation from an accredited Physician Assistant Program, with current State of WI and National Certification (NCCPA). DEA Certification. Current certification in BLS and ACLS, ANA and/or AANP required. Current wound care certification or ability to obtain certification within three (3) years of hire. 3 years of professional nursing, general medicine, wound care, family practice, or orthopedics is desired but not required.

QUALIFICATIONS/SKILLS

Excellent verbal and written communication skills. Excellent human relation skills as demonstrated by the ability to interface positively with all customers and employees. Must acquire the knowledge and maintain established competency levels to perform essential professional practice. Must have proficient computer skills with the ability to operate within a Windows environment. Must have the ability to work with frequent interruptions, under stress, with minimal supervision, and to exercise initiative and judgment in analyzing, organizing, planning, prioritizing, scheduling and coordinating work with others. Needs to possess as high level of intelligence, integrity, sense of responsibility and ability to comprehend and analyze details. Knowledge of theory, principles, techniques and practice of scientific principles and research; of preparation, administration, and actions of medications; of treatments and medical procedures; of counseling and teaching techniques; of medical equipment as it relates to patient care. Ability to operate and handle many kinds of complex equipment. Ability to demonstrate clinical competence and maintain current knowledge in caring for adult through geriatric patients.

JOB REQUIREMENTS

Regularly required to use hands to finger, handle or feel objects, and talk and hear.  The Advanced Practice Provider is frequently required to stand, walk and reach with hands and arms.  The Advanced Practice Provider is occasionally required to sit, climb or balance, stoop, kneel or crouch. The Advanced Practice Provider must occasionally lift and/or move up to 50 pounds. Good hearing is necessary to receive detailed information through oral communication and to make fine discriminations in sound. Visual acuity is needed to assess color changes, to verify accuracy of written materials. Computer/keyboard skills required.  Must have the ability to operate in a Windows environment.

PI279953674