The Advanced Practice Provider – Inpatient Palliative Care works as an educator, advocate and care provider and is responsible for the care and well-being of patients followed in the Palliative Care program.
• Independently carry varying inpatient caseload depending on patient census and acuity
o Provide consultation in palliative care, symptoms management, and supportive care to meet the needs of the patient as requested by the referring provider.
o Facilitates clarification of patient and family goals of care.
o Facilitates family/interdisciplinary team meetings.
o Facilitates access to appropriate support models of care (i.e., hospice, rehabilitation, on- going aggressive treatment.)
o Assists with diagnosis, treatment, and management of acute and chronic health conditions.
o Consults with palliative care physician as needed, informs primary provider of recommended services, and collaborates with other providers as needed.
o Prepares and maintains accurate patient records, charts, and documents to support the medical practice and reimbursement of services provided.
o Prescribes medications including controlled substances within the scope of practice and collaboration with palliative care and referring physician.
o Orders diagnostics/treatments as needed after collaboration with palliative care team and preferring providers.
• Will independently, or in coordination, carry a varying caseload of patients in the outpatient/ambulatory setting. May include patients’ home, nursing home, oncology clinic, or within an individual palliative care clinic.
• Assists with completion and documentation of advanced care planning with patients.
• Assist with planning appropriate patient follow up with interdisciplinary team.
• Manage the patient list for the inpatient team daily. Disseminate the patient list to Palliative Care staff (physicians, social workers, nurses, etc.), spiritual advisor and learners.
• Facilitate daily interdisciplinary team huddle and ensure timely completion.
• Primary team contact for phone calls and pages. Responsible for consult requests and triaging consults and assigning them to providers and learners.
• On-call coverage for eight weekends a year. (Friday 5pm to Monday 8am and one day of rounding.)
• Completes hospice referrals and collaborates with social work to complete the referral.
• Assist with education;
o Healthcare providers regarding advanced care planning
o Regarding hospice to patients, families, and health care team members.
o Assist team with education presentations to other departments and interdisciplinary teams as requested.
o Provide “board talks” regarding various palliative care topics.
 Precept nursing students.
 Facility staff, coworkers, and community on all aspects of palliative care and services provided by the Eskenazi Health Palliative Care Program.
• Assist with facilitation of learner education by assisting with orientation to rotation, didactic information, fielding questions, and daily education to medical students, residents, and fellows.
• Assists in the development of clinical practice guidelines/standards in support of quality palliative care as requested
• Participate in group quality improvement plan
• Attend monthly team meetings, biweekly/monthly provider meeting, and fellow education sessions.
• Exercise judgment/make decisions to determine extent of problems and to decide on appropriate course of action.
• Possess excellent interpersonal skills and can work effectively with a diversity of personalities. Must be approachable and present date with effective communication and presentation skills.
• Expertise in the practice of nursing validated by experience in current clinical practice including experience in the area of specialty practice.
• Specialty certification if available/appropriate.
• Hold prescriptive authority according to Indiana statue and institutional guidelines.
• Hold or obtain current Indiana Controlled Substance and Drug Enforcement Registration.
• Acute Care and/or Critical Care experience a plus.
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