Nurse Practitioner - Ambulatory Care jobs in Oshkosh, WI

Nurse Practitioner - Ambulatory Care works in collaboration with physicians and other members of the healthcare team to manage care for patients in an ambulatory care setting. Orders, interprets, and records results of clinical tests and reports results to physicians. Being a Nurse Practitioner - Ambulatory Care prescribes medications and makes recommendations for other therapeutic forms of treatment. Assesses patient condition and may provide treatment using specialized medical equipment. Additionally, Nurse Practitioner - Ambulatory Care works in outpatient settings, responding to high patient volumes in short-term spans and dealing with unpredictable situations and issues. Follows established guidelines and protocols. Requires a master's degree. Requires Certified Registered Nurse Practitioner (CRNP). Requires Registered Nurse (RN). Typically reports to a manager or head of a unit/department. Nurse Practitioner - Ambulatory Care's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)

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Registered Nurse, Ambulatory Care
  • Rogers Behavioral Health
  • Elkhart, WI FULL_TIME
  • The registered nurse (RN, RN II, RN III) performs professional nursing activities in the care of patients so they may achieve or regain, and then maintain, maximum physical, emotional or social functions.

    Role functions are governed by the Nurse Practice Act, the Administrative Code (in the state of employment), as well as the professional standards for nursing practice, and the corresponding policies and procedures of Rogers Memorial Hospital (Rogers).

    The registered nurse seeks consultation with other members of the health team as the patients condition and treatment goals warrant.

    He/She, in conjunction with the Patient Accounts department, provides patient information to ensure compliance with federal and state statutes.


    Job Duties & Responsibilities:
    ~ Complete initial assessments and documents as required.

    Collect, record, and analyze, within prescribed timeframe, pertinent data for admission
    assessment according to Hospital policy, including:
    Patient strengths and limitations that can be addressed in reaching health goals.
    Cultural, spiritual, and ethnic factors that may impact on patients course of treatment.
    Patient needs that are to be addressed at discharge.
    Medical/physical status.
    History of medication compliance, reactions, and current schedule; and
    Age-specific data regarding the patients individual needs.

    Involve patients support systems (family, friends) in assessment and documentation
    Observe and document the patients interaction with family and friends as it is pertinent to the patients treatment.
    Obtain assessment data from support systems, when appropriate, regarding the patients history and individual needs.

    Act as an advocate for patients
    Explain patients rights so they can understand and obtain appropriate signatures.
    Provide the patient with information and obtain their signature on necessary consents.
    Act as a patient advocate, use knowledge of patient rights and responsibilities, and protect patients privacy and confidentiality.
    Assist in patient orientation process.

    Know and employ Hospital policies and procedures regarding unit safety, the necessity of gown/contraband search on admission, and carry out the process in a respectful manner.

    Remain sensitive to individual patient/family stressors upon admission while providing pertinent unit information.

    Initiate and update treatment plan and documentation as required
    Participate in planning and modifying the patients plan of care.
    Evaluate data obtained by others by reviewing patients treatment plan and multi-disciplinary assessment for assigned patients.

    Participate in care conferences (staffings) and represent the nursing care component of the treatment plan to others at the staffing.

    Develop and interpret plan of care with the patient/family, updating it as indicated.
    Write clear, concise, and obtainable treatment goals on the treatment plan for each problem.
    Review the treatment plan as goals are achieved, changed, or updated.

    On an ongoing basis, identify, interpret, and document information collected in nursing
    interview, observation, physical assessment and diagnostic data, and confer with other
    health care professionals, as appropriate
    Review current lab data and follow-up with doctor.
    Evaluate potential for falls and initiate fall precautions, as indicated.
    Identify potential for self-abuse, suicidality and/or assaultive behavior.
    Develop age-appropriate interventions for the patients plan of care.
    Assess changes in patient status and document interventions accordingly.

    Implement patient care
    Demonstrate safe and correct medication administration by:

    Accuracy in medication administration:
    right patient, right medication, right dose, right time, and right route.

    Maintaining current knowledge of the medications purpose and effects for each patient, as demonstrated by correct documentation of medication, as well as observations about responses to medication.

    Accurately transcribing and implementing physician medication orders.

    Maintaining a continual awareness of monitoring the expected and unexpected medication efforts including adverse drug reactions, drug/drug or drug/food interactions, or other unexpected consequences of the medication.

    Regularly conducting and documenting patient education about medications.
    Maintaining current knowledge about new pharmacologic products, including new medications or medications with new uses/therapeutic action.

    Identify potential patient care problems, abrupt changes, or impending instability in the
    patients condition, and exercise leadership to intervene appropriately and prevent
    adverse patient outcomes
    Use appropriate de-escalation techniques: quiet room; locked seclusion; restraints.
    Re-evaluate safety level.
    Identify alcohol withdrawal syndrome.
    Identify extra pyramidal side-effects/neuroleptic malignant syndrome signs.
    Identify significant cardiac and/or respiratory symptoms requiring immediate medical intervention.

    Identify health education needs of the patient/family that will be addressed before
    discharge
    Implement age-appropriate teaching interventions to meet these educational needs.
    Document in the patient record and treatment plan.

    Organize patient care activities and interventions according to patient priorities and preferences, needs of the unit, and time constraints.

    Implement patient care based on established care plans, Hospital policies and procedures, and unit standards of care, incorporating the patients age-specific and cultural needs, as appropriate.

    As requested, and contingent on qualified medical professional (QMP) designation, assure that all admissions, transfers, and other related patient care activities are delivered in accordance with Emergency Medical Treatment and Labor Act (EMTALA) and associated regulatory requirements.

    Adhere to the Nursing department and Hospitals standards of nursing practice and standards of patient care.
    Protect patients, visitors, and staff from environmental hazards by adhering to safety and infection control standards.
    Participate in continuing education and in-service programs to increase clinical competence and to meet professional needs and goals.
    Report information obtained from continuing education programs to unit staff.
    Attend 100% of required in-services, as scheduled.
    Participate in the Performance Improvement program on an ongoing basis.

    Assist in the development and implementation of unit standards of care, such as:
    Safety level of patient
    Unit safety/hazardous items
    Kardex

    Standard care plans

    Identify problems with unit systems, communication patterns, and unit resources that impact on patient care and suggest possible solutions to Clinical Services manager.

    Identify unit educational equipment and supply needs.
    Serve on one unit-based committee or participate in unit-based projects on an ongoing basis.
    Participate as a project leader.

    Carry out leadership function in patient care, staff operations, and department
    organization
    Contribute to Nursing and Hospital functions through active participation on committees and attendance at designated meetings.
    Take initiative in evaluating and upgrading unit standards of care.


    Assume charge nurse role:
    Coordinate unit activities
    Take a leadership role in crisis situations.
    Facilitate the admission process.
    Communicate pertinent information regarding unit status and projected needs.
    Manage the therapeutic milieu and use sound clinical judgment and decision-making skills.

    Plan patient care assignments that facilitate continuity of care within the unit guidelines and are based on patient needs, unit activity, and nursing staff qualifications.

    Ensure the unit is kept in an orderly fashion.
    Serve as a role model for peers and others in effective use of communication, teaching, and leadership skills.
    Supervise and delegate tasks to LPN/psychiatric technician, taking into account their educational preparation and demonstrated abilities.
    Provide complete acuity monitors to the Patient Accounts department, to assist in accurate billing.
    Maintain a primary caseload, according to unit standards, and provide direction for patient care.

    Participate in projects, tasks and continuing education opportunities to improve
    professional skills and unit/department systems
    Develop goals and objectives for professional growth and discuss ways to achieve them with Clinical Services manager.
    Take initiative to develop professional skills through continuing education.
    Discuss, on a regular basis, progress toward work improvement goals with Clinical Services manager.

    Seek out projects and/or extra tasks to complete, based upon the needs of the unit or the immediate shift.

    Promote department goals and the mission of the hospital
    Communicate goals to fellow staff members.
    Demonstrate measurable goal achievement.
    Maintain department policies and procedures.
    Include requirements and guidelines from external agencies (i.e., Joint Commission, state).
    Maintain and/or communicate to appropriate party function backlog at a set time.

    Educate new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed.

    Demonstrate acceptance and training of student interns in the department, as directed.

    Demonstrate understanding of Joint Commission and other regulatory agency
    Compliance regulations
    Involve self in the learning and application of standards relevant to the Nursing department.
    Participate in in-services/seminars and other meetings to increase involvement and awareness of regulations.
    Involve self in the education of other disciplines regarding Nursing department regulations.

    Participate in Hospital committees, performance improvement team meetings and team
    projects, as directed
    Demonstrate punctuality and preparedness.
    Demonstrate effective communication and organizational skills.
    Contribute in a positive, solution-focused manner.

    Participate in the Performance Improvement program
    Gain understanding of the performance improvement process.
    Apply the PI model to your departments activities.
    Participate and/or create PI teams that lead to improvement in other Hospital areas.
    Educate and involve self in the Hospital and Nursing departments performance improvement plans.

    Conduct self in a professional manner
    Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
    Communicate with all individuals in a positive and professional manner.
    Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution.
    Communicate concerns and provide solutions for same.
    Attend internal and external seminars to promote professional growth.
    Demonstrate a positive and professional attitude toward parties outside the Hospital (patient families, visitors, vendors, etc.).
    Comply with the Hospitals policies and procedures, including Human Resources, Infection Control, and Employee Health policies and programs.
    Use courteous, cooperative, and respectful behavior when working with patients, families, physicians, visitors, and Hospital employees.
    Demonstrate a working knowledge of Hospital/department policies and procedures.
    Demonstrate consistent acceptance of professional accountability for own practice shown by follow-through on patient and organizational concerns.
    Support changes in staffing/scheduling when unit and Hospital patient care needs require.
    Accept reassignment in a positive manner.
    Demonstrate willingness to adjust work schedule, when able, to meet patients needs.
    Recognize need for support, seek appropriate assistance when needed, and offer assistance to peers.
    Project a professional image by wearing appropriate, professional attire.


    Additional Job Description:

    Education/Training Requirements:
    Bachelors degree in nursing (BSN) preferred. Registered nurse licensed by State Board of Nursing in the state of employment. License must be in good standing with the State Board of Nursing in the state of employment.
    American Health Association Healthcare Provider CPR certification or is required within thirty (30) days of date-of-hire. Bi-annual re-certification is required.
    Formal training in management of the aggressive patient is required within sixty (60) days of date-of-hire. Annual re-certification is required.
    Previous psychiatric experience with children, adolescents and adults is preferred.
    At the Hospitals discretion, may be required to hold a qualified medical professional (QMP) designation.

    Must be deemed competent to serve as a QMP, as outlined in the Medical Staff bylaws of Rogers Memorial Hospital.

    This designation is evaluated and potentially renewed at least annually, based on results of the QMP job competency.

    Employees at the Child/Adolescent Day Treatment programs licensed under HFS 40 are required to have either training in psychiatric nursing, including training in work with children with mental health disorders, or one (1) year of experience working in a clinical setting with these children.

    by Jobble
  • 1 Day Ago

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Part Time Nurse Practitioner
  • Integrated Wound Care
  • Rib Lake, WI PART_TIME
  • Are you a Nurse Practitioner looking for a part-time opportunity in focused wound care? Integrated Wound Care is seeking a compassionate and skilled Nurse Practitioner to join our team. Our company de...
  • 1 Day Ago

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Nurse Practitioner Palliative Care
  • Gentiva
  • Stevens, WI FULL_TIME
  • Our Company Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offerin...
  • 14 Days Ago

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Nurse Practitioner Palliative Care
  • Empatia
  • Stevens, WI FULL_TIME
  • Our Company Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offerin...
  • 1 Month Ago

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Nurse Practitioner-Hospitalist-Fond du Lac, WI
  • SSM Health Care System
  • Fond Du Lac, WI FULL_TIME
  • The OpportunityAgnesian Healthcare is actively recruiting a full time Nurse Practitioner Hospitalist to join our experienced and cohesive Hospitalist team at St Agnes Hospital. This Hospitalist help a...
  • 2 Days Ago

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Casual Nurse Practitioner or Physician Assistant- Urgent Care
  • Advocate Aurora
  • Oshkosh, WI PART_TIME
  • Major Responsibilities:Evaluates, diagnoses, treats, and manages acute patients within an urgent care setting for the majority of work shift.Acts as the primary patient contact. Works one-on-one with ...
  • 2 Days Ago

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0 Nurse Practitioner - Ambulatory Care jobs found in Oshkosh, WI area

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Nurse Practitioner or Physician Assistant
  • Quad/Graphics, Inc.
  • Lomira, WI
  • > Creating a better way. It's more than just the philosophy we were founded on. It's our purpose. For our employees, it ...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner/Physician Assistant - Urology
  • Ascension Health
  • Appleton, WI
  • Details * Specialty: Urology * Schedule: Monday-Friday Clinic 8am-5pm, 36 patient care hours + 4 hours Admin/Documentati...
  • 3/28/2024 12:00:00 AM

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Part-Time Nurse Practitioner - Oshkosh, WI
  • Pivotal Health, Inc.
  • Oshkosh, WI
  • is partnering with Prevea Health in Northeast Wisconsin to deliver convenient, top-quality physical and mental healthcar...
  • 3/28/2024 12:00:00 AM

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Nurse Practitioner/Physician Assistant - Internal Medicine
  • Ascension Health
  • Oshkosh, WI
  • Details * Specialty: Internal Medicine * Schedule: 1.0 FTE (Full Time), Practice Hours 7:00am-5:00pm. Four and one-half ...
  • 3/27/2024 12:00:00 AM

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Per Diem NP or PA - Senior Community Care - Fox Valley, Brown Counties, WI
  • Optum
  • Kimberly, WI
  • **$5,000 Sign on Bonus for External Candidates** Optum is a global organization that delivers care, aided by technology ...
  • 3/26/2024 12:00:00 AM

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Nurse Practitioner/Physician Assistant - Internal Medicine
  • Ascension Health
  • Appleton, WI
  • Details * Specialty: Internal Medicine * Schedule: 1.0 FTE, Monday-Friday 7am-6pm, 36 patient contact hours with 4 admin...
  • 3/25/2024 12:00:00 AM

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Per Diem NP or PA - Senior Community Care - Fox Valley, Brown Counties, WI
  • Optum
  • Omro, WI
  • **$5,000 Sign on Bonus for External Candidates** Optum is a global organization that delivers care, aided by technology ...
  • 3/25/2024 12:00:00 AM

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Per Diem NP or PA - Senior Community Care - Fox Valley, Brown Counties, WI
  • Optum
  • Appleton, WI
  • **$5,000 Sign on Bonus for External Candidates** Optum is a global organization that delivers care, aided by technology ...
  • 3/25/2024 12:00:00 AM

Oshkosh is a city in Winnebago County, Wisconsin, United States, located where the Fox River enters Lake Winnebago from the west. The population was 66,083 at the 2010 census. The city is located adjacent to the Town of Oshkosh. Oshkosh is located at 44°1′29″N 88°33′4″W / 44.02472°N 88.55111°W / 44.02472; -88.55111 (44.024983, -88.551336). According to the United States Census Bureau, the city has a total area of 26.61 square miles (68.92 km2), of which, 25.59 square miles (66.28 km2) is land and 1.02 square miles (2.64 km2) is water....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Nurse Practitioner - Ambulatory Care jobs
$105,911 to $122,090
Oshkosh, Wisconsin area prices
were up 1.3% from a year ago

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