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Family Nurse Practitioner

--Washoe Tribe Health Center--

Position Title

Family Nurse Practitioner

Job Type

Full-Time

Classification

Non-Exempt

Grade

NE12 (55.33 - 69.71)

Department

Clinic Medical

Supervisor

Position Summary

Under direct supervision the Family Nurse Practitioner is responsible for performing advance practice sessions within the scope of his/her license and training. Provides services consistent with the stated goals of assisting community members maintain or increase their level of health by various medical practices or routines. Maintains confidentiality of all privileged information.
Minimum Qualifications
  • Master’s Degree in Advanced Practice Nursing, preferably Family Practice, current license (RN and APN) to practice as an Advance Practice Nurse in the State of Nevada and certification as an Advance Practice Nurse from ANA or ANC certification agencies are required; or equivalent combination of education and experience.

  • Must possess and maintain a valid California or Nevada driver’s license or capable of obtaining one within thirty-days (30) of employment.

  • Must be able to be insurable by the Tribe’s Driving Policy.

  • Must be able to successfully pass a pre-employment drug/alcohol screen and background investigation.

  • Preference will be given to Native American Indians.

Essential Duties & Responsibilities
  • Conducts comprehensive history and physical examinations. Interviews all patients for chief complaints, history of present illness, past medical history including allergies, childhood diseases, and medications. Performs physical examinations, assesses and evaluate vital signs and functions.

  • Establishes medical assessment for acute/chronic health problems. Develops a patient care plan based on a comprehensive history and physical exam including: objective testing, medications and consultant services.

  • Orders, performs and interprets laboratory tests as follows: Laboratory study, x-ray, CT, ultrasound, and MRI.

  • Performs invasive procedures after successfully completing the didactic, instructional, and performance criteria for competence.

  • Performs, with special training, minor sutures or removal, complicated dressing changes and/or wound care.

  • Sets-up plan-of-care with the supervising physician evaluating all procedures.

  • Prescribes medications/IHS Formulary according to the following protocol:

  • Commonly prescribed drugs: Formulary – NP will prescribe.

  • Over-the-counter medications: NP will prescribe.

  • Commonly prescribed drugs: Non-Formulary: NP will need pharmacy protocol adherence.

  • Controlled substances: NP will prescribe subject to countersigning by supervising physician.

  • Psychotropic medications: NP will prescribe with consultation and co-signature of supervising physician as well as referral to Behavioral Health Unit.

  • Performs therapeutic or corrective measures and patient education. Establishes chronic care clinics and provides clinical care and patient education. Continues established care under the supervision of a specialist or supervising physician.

  • Refers patients to appropriate physicians and consults.

  • Provides emergency care. Possesses current BLS and ACLS, and provides primary intervention until EMS arrives.

  • Functions under the auspices of the supervising physician in accordance with the Nurse Practitioner Certification Act.

  • Turns over the medical management of unstable patients or designate alternative physician to the supervising physician.

  • Discusses therapeutic measures with the supervising physician.

  • Consults in person or by telephone with the supervising physician or designated alternative physician.

  • Performs other duties as required.

Knowledge, Abilities, Skills, and Certifications
  • Knowledge of modern office practices, procedures, and equipment.

  • Knowledge of business English, proper spelling, grammar, punctuation, and basic arithmetic.

  • Knowledge of records management procedures.

  • Knowledge of a Tribal community clinical setting or demonstrates the ability to be sensitive to and work with American Indians.

  • Knowledge of principles and practices of modern medicine.

  • Knowledge of applicable federal, state and local regulatory laws and regulations including established professional standards.

  • Ability to plan and conduct a medical service and health program for clinic patients.

  • Ability to instruct patients in medical care.

  • Ability to maintain effective working relationships with patients, medical staff and other personnel.

  • Ability to communicate orally and in writing.

  • Ability to make decisions.

  • Ability to plan and organize.

  • Ability to analyze and problem-solve.

  • Ability to establish and maintain effective working relationships.

  • Ability to demonstrate interpersonal sensitivity.

  • Ability to communicate effectively in the English language both verbally and in writing.

  • Ability to maintain confidentiality.

  • Ability to handle multiple tasks and meet deadlines.

  • Ability to demonstrate excellence in everything, and continually seek improvement in results.

  • Skill in operating business computers and office machines, including in a Windows environment, specifically Word, Excel, Access, and presentation software (such as PowerPoint).

Physical Demands
  • While performing the duties of this job, the employee regularly is required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to walk. The employee occasionally is required to operate a motor vehicle; stand and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment
  • Work is generally performed in a clinical setting with a moderate noise level.

  • The Washoe Tribe of Nevada & California requires a background check of each new hire for employment purposes. Therefore, all conditionally offered positions will be subject to the following:

  • Negative alcohol and drug screen

  • Meet requirements of Public Law 101-630

  • Obtain or possess a valid driver’s license for either the state of Nevada or California within 30 days

  • Must be insurable under the Washoe Tribe’s driving policy