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EA65 - Nurse Practitioner IV

Band 8  


State Specifications:

General Nature of Work:

Provides in-hospital patient care management of critically ill patients.

Guidelines for Class Use/Distinguishing Characteristics:

This class is intended for use at the advanced level in the in-patient care of critically ill patients.

Examples of Work:

(Note: The examples of work listed in this class specification are not necessarily descriptive of any one position in the class. The omission of specific statements does not preclude management from assigning specific duties not listed herein if such duties are a logical assignment to the position. The intent of the listed examples is to give a general indication of the levels of difficulty and responsibility common to all positions in this class.)

Performs all admission procedures for a designated caseload of critically ill patients, including appropriate family history and complete physical examination; distinguishes between normal and abnormal findings; orders diagnostic testing as appropriate, including radiologic and laboratory studies; accurately interprets findings.
Determines a daily plan of care for designated caseload in collaboration with physicians, fellows, interns, residents, nurses and other members of the health care team; writes daily orders for fluids, medications, nutrition and respiratory management; evaluates patient response to medical treatment and makes changes as indicated; documents daily progress of patients and writes discharge/death summaries.
Attends high risk deliveries and performs resuscitation interventions as required - endotracheal intubation, chest compression, and medication administration.
Performs highly skilled and technical procedures (e.
, suprapubic bladder taps, percutaneous central venous catheter placements, chest tube insertions, etc.
Monitors nursing care delivered; serves as role model and teacher for nursing staff; provides instruction/supervision as necessary.
Counsels and educates the parents and family members regarding the patient's condition; obtains consent for invasive procedures as required.
Participates in ongoing medical research projects.
Obtains consent for and conducts nursing research - preparing an appropriate research design, evaluating outcomes, and making recommendations for future management of patient care based on findings.
Supervises student nurse practitioners during clinical practicum and assists in coordinating necessary learning experiences; serves as instructor and has sufficient expertise to evaluate proficiency of students.

Knowledge, Skills and Abilities:

(Note: The knowledge, skills and abilities listed are not necessarily inclusive of the requirements for every position in the class.)

Knowledge of physical assessment skills for normal and high risk patients.
Knowledge of risk screening and developmental assessment tools.
Knowledge of the use of specialized equipment used in the care of critically ill patients (e.
, pressure ventilators, cardiorespiratory monitors, oxysaturation and transcutaneous p02/pC02 monitors, phototherapy, etc.
Ability to interpret laboratory findings.
Ability to incorporate explanations and health education into the care of high risk patients and their families.
Ability to design and conduct nursing research, having an extensive understanding of the research process.
Ability to function as role model for both nursing staff and student nurse practitioners; demonstrated teaching expertise.
Ability to effectively use community resources to facilitate discharge planning for high-risk patients.

State Minimum Training and Experience

State Necessary Special Requirements:

Positions in this classification require licensure as a Registered Nurse and hold official recognition as a Nurse Practitioner from the South Carolina Board of Nursing.

Minimum Requirements:

(Note: Additional requirements may be applicable for individual positions in the employing agency.)

Graduation from an accredited school of nursing with clinical experience.

MUSC Minimum Training and Experience Requirements:

Graduation from an accredited school of nursing, master's degree in nursing, with 2-3 years of clinical experience. Requires licensure as a Registered Nurse and hold official recognition as a Nurse Practitioner by the South Carolina Board of Nursing.

MUSC Physical Requirements:

(Note: The following descriptions are applicable to this section: Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift)

Ability to perform job functions in an upright position. (Continuous)
Ability to perform job functions in a seated position. (Infrequent)
Ability to perform job functions while walking/mobile. (Frequent)
Ability to climb stairs. (Infrequent)
Ability to climb ladders. (Infrequent)
Ability to work indoors. (Continuous)
Ability to work from elevated areas. (Infrequent)
Ability to work in confined/cramped spaces. (Infrequent)
Ability to perform job functions from kneeling positions. (Infrequent)
Ability to bend at the waist. (Frequent)
Ability to twist at the waist. (Frequent)
Ability to squat and perform job functions. (Infrequent)
Ability to perform 'pinching' operations. (Infrequent)
Ability to fully use both hands/arms. (Continuous)
Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent)
Ability to fully use both legs. (Continuous)
Ability to reach in all directions. (Continuous)
Possess good finger dexterity. (Continuous)
Ability to maintain tactile sensory functions. (Continuous)
Ability to maintain good olfactory sensory function. (Continuous)
Ability to lift and carry 50 lbs., unassisted. (Frequent)
Ability to lift objects, up to 50 lbs., from floor level to height of 36 inches, unassisted. (Frequent)
Ability to lower objects, up to 50 lbs., from height of 36 inches to floor level, unassisted. (Frequent)
Ability to lift and carry patients weighing up to 350 lbs., assisted. (Frequent)
Ability to push/pull objects, up to 350 lbs., unassisted. (Frequent)
Ability to maintain 20/40 vision, corrected. (Continuous)
Ability to see and recognize objects close at hand. (Continuous)
Ability to see and recognize objects at a distance. (Continuous)
Ability to match or discriminate between colors. (Continuous)
Ability to determine distance/relationship between objects; depth perception. (Continuous)
Good peripheral vision capabilities. (Continuous)
Ability to maintain hearing acuity, with correction. (Continuous)
Ability to hear and understand whispered conversations at a distance of 3 feet.
Must be ambidextrous.
Ability to perform gross motor functions with frequent fine motor movements. (Continuous)
Ability to be qualified physically (by medical personnel) for respirator use, initially and annually.

Additional New Requirements:
Ability to deal effectively with stressful situations.
Computer literacy.
Ability to work rotating shifts. Ability to work overtime as required.
Ability to learn and use new processes, tools and equipment as required.


Supervisor Signature
 Employee Signature

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