Advanced Practice Registered Nurses / Physician Assistants
The Nurse Practitioner (NPII) practices as a member of the interdisciplinary healthcare team using standardized procedures to independently examine, diagnose and treat patients in collaboration with supervising physician(s).
The incumbent supports management in achieving a high-quality program for specific patient populations, for both clinical outcomes and customer service in an efficient manner. The NP II is knowledgeable of the latest clinical trends, best practices, regulatory requirements and reimbursement patterns for patients in the specialty program.
Comprehensive Stroke Centers receive and treat the most complex stroke patients. New technologies, medication and research are fueling change in stroke care and improving patient outcomes. Stroke patients may require services from multiple specialties across various departments including emergency, neurology, neuro-interventional radiology, neurosurgery, and intensive care, medical surgical and rehabilitation departments. The advanced practice Nurse Navigator (NN) will serve as a primary point of contact for patients and families beginning with their identification as a potential stroke patient and following them through to the outpatient setting. The NN will work in collaboration with physicians, nursing and ancillary medical staff ensuring assessments, treatments, diagnostic work-up is timely, appropriate and congruent with current stroke care guidelines. As a Nurse Navigator, he/she will coordinate care, serving as a liaison between patient and physicians. This position’s primary focus will be collaboration with the interdisciplinary healthcare team to provide a seamless, well organized in-patient hospital stay as well as an organized transition to out-patient resources.
Expert Clinical Practice and Collaboration
Rounds on all stroke patients daily, coordinating and prioritizing individual patient care.
Collaboration with physicians and personnel from all departments and specialty areas to optimize stroke care in accordance with stroke guidelines.
Assures an individualized patient plan of care.
Provides emotional/psychosocial support to the patient and family: acts as an advocate and serves as consistent point of contact throughout continuum of care.
Responds to Code Strokes to assure timeliness of interventions.
Assesses patient risks and makes necessary referrals to supportive, rehabilitative and palliative care services for the patient and their family.
Assists patient with information gathering, accessing LBMMC resources, community resources, etc.
Assures understanding of individualized patient and family education regarding primary and secondary prevention.
Provides ongoing patient follow-up calls post discharge with the goal of improving quality of life for the patient and prevention of readmissions to the hospital.
Facilitation of follow up appointments for patients with their primary care physicians and neurologist as appropriate.
Specialty Care Development
Identifies ideas and insights into clinical improvements for specialty patient population.
Ensure that queries generated by medical records regarding the accuracy of documentation have an appropriate response.
Monitor and manage the patient progression through hospitalization.
May oversee the accurate collection and entry of data specific to patient population. May prepare or oversee the preparation of reports regarding specialty care.
Reviews clinical outcomes, progression of care, and financial indicators with appropriate Medical Directors and other specialty physicians.
May provide education for members of the interprofessional team regarding special needs in the care of specialty patient population.
Acts as a consultant to other care lines, service lines, BPTs on specialty specific patient care needs.