Location

SAINT LOUIS, MO 63110

Position Summary

This PRN position is for an Emergency Medicine Nurse Practitioner/Physician Assistant (NP/PA) that provides direct patient care in the Emergency Department and will be assigned to at least one site. Providers may also be credentialed to practice at additional emergency departments within the system, including Barnes-Jewish Hospital, Barnes West County Hospital, Missouri Baptist Medical Center, Christian Hospital Northeast, Christian Hospital Northwest Healthcare, Barnes-Jewish St. Peter's Hospital, and Progress West Hospital. Emergency Medicine Physicians are available on-site 24 hours a day, 7 days a week, at all locations.

Our clinical sites are a mix of academic and community settings that allow for vast learning opportunities from diverse patient populations.

Variable work schedule which includes day, night, and weekend shifts.

Job Description

Primary Duties & Responsibilities:

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient-centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition.
• May bill for services covered by collaborative practice agreement.
• Provides counseling and education of patients and their families/caregivers concerning disease management, complication prevention, disease prevention, and quality of life improvement measures, and outcome management activities.
• Monitors/ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc.
• Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards.
• Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations.
• Champions the safety and quality of care for patients using ITB therapy and serves as an expert in the care and management of ITB pumps. Helps develop a detailed educational program for the patients and lead the quality and safety initiative for the program.
• Serves as clinical expert regarding rehabilitation nursing while demonstrating a high level of autonomy and expert skill in complex clinical nursing situations.
• Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education.
• Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards.
• Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care.
• Enhances professional growth and development through educational programs, current literature, in-service meetings and workshops.
• Contributes to the advancement of the rehabilitation nursing profession as a whole through research, publications, and presentations.
• Performs other duties as assigned.

Working Conditions:

Job Location/Working Conditions

• May require working shifts at all clinical sites (Barnes-Jewish, Missouri Baptist, Barnes West County, Christian Northeast Hospital, Christian Northwest Healthcare, Barnes-Jewish St. Peter’s Hospital and Progress West hospitals)
• May require caring for a broad range of patient acuity, from low to moderate acuity, with the potential for complex or higher acuity patients
• Variety of shift times including days, evenings, nights, weekends and holidays. 

• Normal office environment
• Exposure to blood-borne pathogens
• Exposure to chemicals
• Requires protective devices
• Dust, dirt, grease or other disagreeable elements
• Patient care setting
• Direct patient care setting

Physical Effort

• Typically sitting at desk or table
• Typically standing or walking
• Typically bending, crouching, stooping
• Using tools requiring high dexterity
• Occasional lifting (25 lbs or less)

Equipment

• Office equipment
• Lab/research equipment
• Clinical/diagnostic equipment

T