NURSE PRACTITIONER, EMERGENCY

Freeman Health System; Street (MD); On-site; USD 105,000 - 140,000; Full time

Job summary

Freeman Health System in Missouri seeks an APRN who performs primary care within a collaborative practice agreement with a physician licensed in Missouri.

The APRN will diagnose, initiate treatment for acute and chronic conditions, and provide counseling based on joint protocols. This role requires licensure, prescriptive authority, and ability to work within regulatory scope.

Qualifications

• APRN must be licensed and practice under Missouri Nurse Practice Act.
• Collaborative agreement with a physician is required.
• Prescriptive authority and ability to administer drugs per protocol.

Responsibilities

• Complete medical history and perform physical assessment.
• Create and update patient problem lists at encounters.
• Order labs, imaging, and other tests as indicated.
• Interpret data to determine diagnosis and treatment needs.
• Consult with collaborating physician for non-acute cases.
• Administer, dispense, prescribe medications per protocol.

Skills

APRN license

Collaborative practice

Prescriptive authority

Education

MSN or equivalent

Job description

Job Description Summary

Performs primary care consistent with APRN's specialized knowledge, judgment, skill, training and education without medical supervision or delegation as authorized by the Missouri Nurse Practice Act.

APRN will enter into and maintain a collaborative practice agreement with a physician licensed to practice medicine in the State of Missouri. Under such agreement, the physician delegates to the APRN authority to deliver health care services and treatments, and to administer, dispense and prescribe drugs which are specific to those clinical conditions he/she is authorized to treat.

The APRN is authorized to provide health care services that include the diagnosis and initiation of treatment for acutely or chronically ill or injured persons.

Essential Functions:

• Completes medical history and performs physical assessment accurately and efficiently.
• Creates patient problem list at first patient encounter and updates as appropriate at follow-up visits.
• Orders appropriate laboratory, radiologic and special examinations or tests according to clinical manifestations, preventative and/or health maintenance standards.
• Interprets and evaluates clinical data to determine appropriate diagnosis and need for therapeutic procedures or treatment.
• Consults with collaborative physician or designee to provide health care services for conditions other than acute self-limited or well-defined problems.
• Makes appropriate specialty referrals for patient treatment outside of scope of practice.
• Establishes a process of timely review and management of abnormal test results.
• Maintains an ongoing timely process of submission of patient charts to collaborative physician or designee for review every 14 days as required by Missouri State Statute.
• Establishes a plan of care/treatment and provides counseling and clear instructions to the patient based on jointly agreed-upon protocols that are specific to the clinical conditions treated by the collaborating physician and collaborating APRN.
• Administers, dispenses, prescribes drugs and medications and/or medical supplies and controlled substances when applicable with licensure and prescriptive authority, and authorized by collaborating physician and consistent with both collaborating physician and own skill, training, education and competence and within the scope of practice of both.

Locally owned and nationally recognized, Freeman Health System is a not-for-profit health system serving communities across Missouri, Arkansas, Oklahoma, and Kansas through a network of hospitals, physician clinics, outpatient locations, and specialty services. The system includes Freeman Hospital West, Freeman Hospital East, Freeman Neosho Hospital, and the Freeman Health System facilities in Bentonville, Springdale, Willow Creek, and Siloam Springs. Freeman Health System also operates Ozark Center - the region's largest provider of behavioral health services, and offers comprehensive cancer, cardiology, neurology and neurosurgery, orthopedics, and women's and children's services. The system is supported by more than 7,000 employees and is the only Children's Miracle Network Hospital in a 70-mile radius. For more information, visit Freeman Health System.