RN Advanced Practice, PRN, Lincoln

Madonna Rehabilitation Hospitals; Lincoln (NE); On-site; USD 110,000 - 140,000; Full time

Job summary

Madonna Rehabilitation Hospitals in Lincoln, NE, seeks an RN Advanced Practice Nurse Practitioner to provide independent clinical care under physician supervision, including history and physicals, rehab planning, medical management, and discharge summaries. The role emphasizes quality care, interdisciplinary collaboration, and adherence to hospital policies.

Requires Nebraska NP license, CPR, ACLS preferred, and 2 years rehab or medical nursing experience; day-to-day duties include rounds,

Qualifications

• Master's degree in nursing required.
• Nebraska NP license required.
• CPR certification required; ACLS preferred.
• Two years of rehabilitation or medical nursing experience.

Responsibilities

• Completes initial history and physical within defined time parameters.
• Reviews discharge summaries on the day of discharge with comprehensive history, exam, diagnosis, and plan.
• Documents data using Sunrise clinical system or equivalent.
• Participates in interpretation, program evaluation, and quality assurance initiatives.
• Evaluates labs and clinical data and initiates appropriate follow-up actions.
• Performs comprehensive history and physical exam for admission or reassessment.
• Orders diagnostic tests as clinically indicated.
• Develops rehabilitation goals and care plans in collaboration with the physician.
• Treats medical problems within scope of practice, consulting the physician as needed.
• Provides inpatient care and may staff an outpatient clinic as assigned.

Education

Master's Degree in Nursing

Advanced Nurse Practitioner License (Nebraska)

CPR Certified

ACLS preferred

Tools

Sunrise clinical system

Job description

JOB DESCRIPTION

Job Title: RN Advanced Practice

Job Code: 100052

Immediate Supervisor: Chief Medical Officer

Status: Exempt

DEPARTMENT FUNCTION/JOB OVERVIEW

The nurse practitioner functions as an independent practitioner under the supervision of a physician. The nurse practitioner assists assigned medical staff using discretion and independent judgment with clinical duties to include history and physicals, ongoing clinical assessments, rehabilitation treatment planning, medical management, and discharge summaries. Administrative and management functions include participation in interdisciplinary team meetings and assigned program development committees. Work will be performed in an ethical and legal manner following organizational policies, processes, protocols and procedures. Responsible for quality service delivery and internal/external customer relations for Madonna as a whole, including upholding the mission and values for the department and facility.

ESSENTIAL FUNCTIONS

(INFORMATION)

• Completes initial history and physical within defined time parameters.


• On day of discharge, reviews patient's chart and dictates discharge summary to include brief summary of history, physical exam, diagnosis, treatment course, pertinent laboratory and radiology, discharge medications, condition on discharge and disposition of patient.


• Uses direct entry and/or EHR system for documentation of pertinent clinical data.


• Actively participates with interpretation, analysis, and program improvement initiatives utilizing program evaluation and quality assurance data.


• Evaluates laboratory and other clinical data and takes appropriate action for medical follow-up. (PEOPLE)


• Performs detailed complete history and physical examination to include health history and current reason for admission.


• Order diagnostic tests.


• Completes assessment and recommendation of rehabilitation goal and plan.


• Evaluates and treats medical problems in accordance with established protocols, using discretion and consulting assigned physician to deal with issues outside the nurse practitioner's scope of practice


• Consults with physician in all emergencies and/or potentially life threatening conditions.


• Makes daily rounds of assigned patients.


• Writes orders for medications consistent with scope of practice, therapy orders, laboratory, radiology, or other medical follow-up.


• Provides care for patients on an outpatient basis as assigned.


• May participatein the staffing of an employee clinic.


• Follows instruction from supervisor to perform other functions as assigned in order to achieve the goals within the department and/or system. (THINGS)


• Ability to access clinical information using Sunrise clinical system.


• Maintain and ensure a safe working environment. Handles and operates all necessary equipment and performs required duties according to established safety standards to maintain compliance with regulations and prevent injury.

PHYSICAL DEMANDS AND ENVIRONMENTAL CONDITIONS

• Medium work with frequent lifting. Manual patient transfer or reposition does not exceed the equivalent of 35 pounds of force to lift, push or pull. Requires sufficient strength to produce 50 pounds of force to push a wheelchair with a 300-pound individual on level surfaces.


• Constant walking with a maximum duration of up to 30 minutes sustained walking on tile, carpet, and other surfaces. Must tolerate frequent standing with sustained periods of up to 1 hour on tile, carpet, and shower surfaces. Must tolerate frequent sitting with sustained periods of up to 1 hour. Frequent reaching with both arms at low, waist, and high levels. Frequent grasping of both hands for transfers and repositioning requiring normal grip strength based on national averages. Frequent stooping, bending, and twisting are required for patient care.


• Constant near visual acuity to evaluate and monitor patients.


• Ordinary hearing and speaking skills.


• May be potential exposure to biohazardous materials.


• Protective clothing – frequently wears gloves, gowns, and eye protection.

QUALIFICATIONS

Requires Master's Degree in Nursing from an accredited school of nursing or university. Current Advanced Nurse Practitioner License from Nebraska. Must be CPR Certified, ACLS preferred. Two years of rehabilitation or medical nursing required.

Background checks are conducted. When specific authorization forms are requested so that full background and history can be obtained, employees/applicants must sign the form(s) requested.

Requirements

The following are requirements in addition to any stated in the above description.

Licenses

You must have the following licenses to apply:

NURSE PRACTITIONER, NURSE PRACTITIONER, CPR, REGISTERED NURSE, NURSE PRACTITIONER, and CPR

Education

You must have the following education to apply: