Urogynecology Nurse Practitioner or Physician Assistant

Job Summary :

Job Description

Essential Responsibilities:

Patient Care:

* Conduct detailed patient histories and perform physical exams, focusing on urogynecological conditions.

* Diagnose and manage pelvic floor disorders, urinary incontinence, pelvic organ prolapse, and related conditions.

* Prescribe medications and recommend non-surgical and surgical treatments.

* Perform in-office procedures, such as bladder installations, pessary fittings, urodynamic testing, cystoscopy, biopsies, IUD placement, posterior tibial nerve stimulation, and other urogynecologic procedures (on the job training is provided)

* Order and interpret appropriate diagnostic and laboratory tests

* Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family, and staff

* Assess patient for change in status and institute appropriate interventions

* Initiate necessary emergency interventions to stabilize patient with guidance from physician.

* Develops and participates in office and community education

* Assists physicians in surgical procedures as needed

* Home call 10 days per month to include duties such as answering after-hour patient calls, follow up on testing, addressing in-patient consults, and be available to perform direct patient care when needed.

Education and Counseling:

* Educate patients about diagnosis, treatment options, and preventative care.

* Provide pre- and post-operative counseling and support.

* Develop individualized care plans in collaboration with patients and families.

Collaboration:

* Work closely with urogynecologists, physical therapists, and other specialists to ensure continuity of care.

* Participate in multidisciplinary team meetings to discuss complex cases.

* Serve as a resource for nursing staff and assist in educating staff on urogynecological care.

Administrative Duties:

* Document patient encounters thoroughly and accurately in the electronic medical record (EMR).

* Assist with program development, including patient education materials and protocols.

* Participate in quality improvement initiatives and research efforts as needed.

* Demonstrates effective time and supply management, supports leadership in implementation of scheduling, and participates in supply change to improve cost effective care.

* Seeks assistance from resources to optimize patient care and provides assistance to patients in arranging continuity of care through utilization of community resources.

* Completes timely billing for services rendered.

Quality

• Confirms and/or establishes appropriate medical diagnosis related to patient complaint; orders, performs, and interprets laboratory tests; orders, radiological/ultrasound procedures and evaluates results; prescribes medication(s); and assesses and manages follow-up plans.
• Follows written or established protocols per agreement with sponsoring physician and collaborates with the physician as appropriate to ensure positive patient outcomes.
• Completes or directs the preparation and analysis of statistical data related to clinic quality improvement annual plan.
• Provides data to director for presentation to quality improvement council quarterly and educates colleagues through formal and informal teaching activities.

Patient Satisfaction/Customer Service

• Prioritizes and revises patient care plan/education according to patient/significant others' input, initial assessment/diagnosis/clinical response, diagnostic findings, and provides direct patient education, and provides assistance to patients when a referral to a specialty physician, health care provider or community resource is needed.
• Assesses cognitive and personal assets or limitations of patient/family.
• Provides appropriate patient education, counseling, and support.
• Represents the Hospital positively in provision of service to the community independently and at Hospital sponsored or community events.
• Meets Hospital identified customer service standards; addresses ethical issues, and promotes commitment to co-workers.
• Exhibits excellent guest relations to patients, visitors, physicians and coworkers; shows courtesy, compassion and respect; conforms to Service
• Excellence requirements. This position requires regular, effective communication and interaction with patients, families, staff and physicians, the public, co-workers, administrators, contacts from other hospitals, schools and/or other departments.

Patient Safety

• Accountable for assignment, organization, and delegated aspects of patient safety, adjusting patient safety efforts according to developmental stage.
• Assures that all aspects of care provided by self is accurate, current, and appropriate to growth and developmental stages (infancy through geriatrics as assigned), and agency policies and standards.
• Assesses and manages comprehensive care and, in conjunction with physician, nursing and other professional services, is responsible to evaluate and risk stratify both well and ill patients.
• Conducts comprehensive or episodic health assessment to include patient history, related current complaint including psychosocial, past medical/personal history, and provides care for clients appropriate to growth and development.

Professional Growth

• Participates in the peer review process, education, competency testing and evaluation, skill development and provides input to evaluation, documenting performance of staff and students in the clinic and/or lab.
• Remains informed of current knowledge and trends through continuing education, takes a self-directed approach to obtain learning activities/skills to increase professional competence and practice related to primary area of clinical work and population age, maintains educational record, and presents such for annual review.
• Provides and accepts formal/informal evaluation feedback constructively to improve workplace issues and peer performance, and offers suggestions/options for unresolved issues/problems.

Skills and Abilities:

* Excellent interpersonal and communication skills.

* Ability to manage complex cases and provide patient-centered care.

* Proficiency with EMR systems and clinical documentation.

* Commitment to ongoing education and professional development.

Work Environment:

* Outpatient clinic setting, with occasional inpatient rounding or OR support.

* May involve some travel between clinic locations or outreach facilities.

Qualifications:

* Master's or Doctorate in Nursing from an accredited program or graduation from an accredited Physician Assistant Program.

* Current Nurse Practitioner license or Physician Assistant License and certification in the state of practice (e.g., FNP, WHNP, AGNP).

* Specialized experience in women's health, urogynecology, or related field preferred.

* Strong clinical and diagnostic skills in urogynecological care.

* 5 years of direct patient care experience preferred.

Mandatory Licensure/Certifications:

1. Certification from the National Commission of Physician Assistants.

2. Licensed to practice in Indiana.

3. Current licensure by the Indiana State Board of Nurses' Registration and Nursing Education as an active Registered Nurse or Physician Assistant.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the associate for this job. Duties, responsibilities and activities may change at any time with or without notice.

Work Shift :

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