STATE OF
HUMAN RESOURCES
CLASSIFICATION: NURSE PRACTITIONER
Class Code: 6550-28 Date Established: 09-12-78
Occupational Code: 7-4-9 Date of Last Revision: 01-25-10
BASIC PURPOSE: To provide comprehensive diagnostic and
restorative medical and psychotherapeutic services and examinations within a
specific scope of practice to patients and/or residents, and to develop and
implement individualized patient/resident care and treatment plans.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES:
·
Performs
comprehensive physical examinations, diagnostic tests, and psychological
assessments, and obtains additional information from patients/residents,
consultants, and private physicians, in order to arrive at a diagnosis and plan
of care.
·
Orders,
analyzes and interprets laboratory tests, X-rays, EKG’s, MRI’s,
CT’s, and EMG’s, and prescribes, administers and modifies
pharmacologic and psychopharmacologic medications and treatments according to
established protocols and within the scope of practice.
·
Identifies,
isolates, and treats patients/residents with reportable diseases and notifies
proper public health care agencies.
·
Performs a
variety of medical procedures, to include:
drawing blood; bladder scans; pulse oxymetry; starting IV’s;
performing catheterizations; administering injections; applying casts for
simple fractures; and performing minor surgery requiring suturing.
·
Coordinates
the implementation of research protocols and gathers data for special studies
approved by the Department.
·
Compiles,
prepares and presents medical case histories and clinical summaries for review
by medical staff, specialists, and other clinicians and participates in
conferences for the discussion of the diagnosis, behavior and treatment of
patients.
·
Coordinates
emergency transfer of patients/residents to trauma center, discharge of
patients, and aftercare with treatment teams, outside healthcare agencies, and
caregivers.
·
Organizes,
supervises and reviews the work of subordinate professional, para-professional
and non-professional personnel engaged in patient/resident care and treatment.
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DISTINGUISHING FACTORS:
Skill: Requires skill in analyzing and interpreting
data, policy, and procedures OR in using equipment in order to arrive at
logical conclusions or recommendations.
Knowledge: Requires logical or scientific expertise to
resolve problems of a specialized or professional nature in a wide range of
applications.
Impact: Requires responsibility for achieving major
aspects of long-range agency objectives by planning short- and long-term
organizational goals, reviewing recommendations for procedural changes, and
developing or revising program policies.
Errors at this level result in incorrect decisions at an administrative
level, and are detected subsequent to implementation in an overall evaluation
process.
Supervision: Requires direct supervision of programs or of
employees doing work which differs from the supervisor, including disciplining
employees, solving personnel problems, recommending hiring and firing
employees, and developing work methods.
The supervisor in this position manages a working unit or section with
responsibility for employee performance appraisal.
Working Conditions: Requires performing regular job functions in
an environment which includes exposure to continuous physical elements or a
number of disagreeable working conditions with frequent exposure to minor
injuries or health hazards.
Physical Demands: Requires medium work, including continuous
strenuous activities such as frequent reaching, bending, or lifting as well as
performing work activities which require fine manual dexterity or coordination
in operating machines or equipment.
Communication: Requires reviewing summaries and reports and
making decisions to solve problems or to achieve work objectives as well as
articulating and expressing those solutions and goals. This level also requires formal presentations
of solutions and goals to employees and the general public to increase the
responsiveness of the agency toward the demands of its client system.
Complexity: Requires evaluating a combination of
wide-ranging job functions to determine work procedures, to solve problems, and
to reach conclusions by applying analytical, technical, or scientific
thinking. This level also requires
planning policies and long-term strategies, drawing conclusions based on
available criteria, and evaluating the effectiveness of program objectives.
Independent Action: Requires independent judgment in planning and
evaluating work procedures and in supervising the development of professional,
technical and managerial standards under administrative direction and according
to broad departmental guidelines.
MINIMUM QUALIFICATIONS:
Education: Master’s degree or its equivalent from
a recognized college, institute or university with major study in nursing, and
graduation from an advanced practice registered nurse program that meets
qualifications established by the Board of Nursing Examiners for the specialty
in which the Nurse Practitioner is to be employed.
Experience: Five years'
professional nursing experience in the field appropriate to the position for
which recruitment is conducted. Each
additional year of approved work experience may be substituted for one year of
required formal education.
License/Certification: Advanced Practice Registered
Nurse license issued by the New Hampshire Board of Nursing Education. Current Drug Enforcement Administration (DEA)
certification.
RECOMMENDED
WORK TRAITS: Considerable knowledge of modern nursing
theory and practice. Knowledge of
pharmacology, psychopharmacology, medical assessment, medical treatment and
care, and the principles and practices of psychiatry. Skill in determining the degree of illness
and the level of wellness. Skill in conducting
psychiatric assessments and providing counseling. Skill in determining procedures needed to
assist the patient. Ability to conduct
and interpret a variety of laboratory, diagnostic and medical and tests and
procedures. Ability to function
independently in the diagnosis and treatment of medical and psychiatric
conditions and the prescription of medications.
Ability to coordinate the care, discharge and transfer of patients with
representatives of other disciplines and private caregivers. Ability to compile, interpret and report
medical information. Ability to instruct
para-professional and other personnel in aspects of nursing. Ability to establish and maintain effective
relationships with co-workers, all members of the health team and
patients. Must be willing to maintain
appearance appropriate to assigned duties and responsibilities as determined by
the agency appointing authority.
DISCLAIMER STATEMENT: This class specification is descriptive of
general duties and is not intended to list every specific function of this
class title.
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