Job Summary: The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The NP performs physical examinations, confers with patients in person and by phone/electronically, collaborates with others in the department to assure smooth flow of patient care consistent with established quality indicators and participates in the overall coordination of patient care. The NP reports to the Chief of the designated service and to the Department Manager. Essential Responsibilities: Practices under the standard procedure established for the NP role consistent with Kaiser Permanente policy and in accordance with requirement set forth by the California Board of Registered Nursing. Conducts age appropriate assessments of patients, including history taking and physical examination consistent with department protocol. Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; patient/family education, family involvement and patient advocacy. Consults with supervising physician or other clinicians as dictated by patient need and assessment findings. Participates with physicians and other clinicians in the department to assure effective patient care consistent with quality indicators for patients cared for in the designated service. Reviews medical record for follow up or ordering of diagnostic studies under established protocols. Establishes and maintains communication with other health care providers and departments to ensure operational efficiency and effectiveness and to promote consistency and continuity of care. Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs. Delegates appropriately and coordinates duties/activities of health care team members. Evaluates effectiveness of care given by team members. Demonstrates knowledge of and applies safety principles as identified by the institution. Performs efficiently in emergency situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. Participates in unit and department Performance Improvement activities. Participates in nursing research activities as requested. Identifies and solves problems effectively. Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Demonstrates proficiency in the use of computers and telecommunication modalities to document, track and convey information. If practicing in a specialty role, fulfills the expectations established for the particular role. Perform other related duties as necessary.
Job Summary: Independently manages the care of low-risk women during antepartum, intrapartum and postpartum periods. Co-manages higher risk patients when determined appropriate by CNM and MD. Provides standard maternity care and counseling to women, adhering to the standards of the American College of Nurse Midwives, procedures and instructions regulated by the State Nurse Practice Act and The Permanente Medical Group. Essential Responsibilities: ANTEPARTUM Evaluates patients general and obstetrical health status Determines pregnancy status, duration of gestation, presentation, and position of fetus, fetal heart rate, and determines whether all statistics are within normal limits. Obtains an accurate medical, obstetrical, gynecological and social history and an account of the course of the present pregnancy. Observes signs of the members general and obstetrical health status. Performs all appropriate physical examinations appropriate to CNM care needed, including the pap smear, breast examination, and pelvic examination. Records all findings of examinations, histories and significant observations on patients chart. Consults with appropriate MD regarding any abnormal findings. Orders appropriate lab and medical imaging studies as needed. Institutes preventative measures and detects abnormal conditions. Obtains consultation and assistance from ancillary services as needed. Teaches, counsels, and guides individual members regarding their individual health care. Teaches antepartum classes as needed in individual facilities. Evaluates maternal general health status and well being. INTRAPARTUM Performs medical screening exam to diagnose labor. Independently manages the care of low risk women during labor and delivery, under the supervision of a physician. Co-manages higher risk patients when determined appropriate by CNM and MD. Performs facility specific standardized procedures. Evaluates patient for appropriate pain management. Includes requesting epidural for women in labor. POSTPARTUM Provides health supervision, care, teaches family planning, and prescribes contraception to women during the postpartum period. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
