Advanced Practice Provider (APP) - Nurse Practitioner/Physician Assistant
A. Education: Graduate of an accredited Physician Assistant, Family Nurse
Practitioner, Adult Nurse Practitioner, or Pediatric Nurse
Practitioner Program. Licensed in the State of Vermont.
Certified by a relevant National Certification Examination. DEA
License appropriate for scope of practice as defined by State law
and clinic protocols.
B. Experience: Experience or training in a primary care medical practice setting.
If an Adult or Pediatric Nurse Practitioner, minimum one year
experience in a clinical practice providing care to all age groups.
Experience in a community based primary care practice or
program is helpful.
C. Knowledge and Ability: An understanding of the concept of community oriented
Primary care. Able to work within a team concept,
maintaining positive and constructive interactions with the
public and with staff at all levels of the organization. Must
have proficiency in computer skills including, but not
limited to email functions, spreadsheets, document
processing and Electronic Medical Records. Must maintain
a high level of confidentiality.
D. Typical Physical Demands: Requires full range of body motion including handling
and lifting patients, manual and finger dexterity and eye-hand
coordination. Requires standing and walking for prolonged
periods of time. Occasionally lifts and carries items weighing up
to 50 pounds. Requires normal visual acuity and hearing.
Requires exposure to communicable diseases and bodily fluids.
Requires working under stress in emergency situations during
E. Standards of Conduct: Each employee is responsible for conducting themselves
in an ethical manner, and reporting possible violations to
the appropriate channels. Employees must be careful in both
words and conduct to avoid placing, or appearing to place,
pressure on subordinates or co-workers that could cause them to
violate these standards of conduct or to deviate from accepted
norms of ethical business practice.
II. FUNCTIONS AND RESPONSIBILITIES: The Mid-Level Practitioner is responsible
to the health center clinical director and works under the supervision of a physician on a day-to-day basis.
A. MEDICAL CARE
1. Direct Patient Care
a. Provide primary care, treatment, and health education for
within the scope of practice as defined by State law, supervising
physician guidelines, and clinic protocols. Such treatment will
emphasize continuity of care, health promotion, and disease
prevention, and will include, but not be limited to health history,
physical examination, acute and chronic care, and the prescribing
and/or dispensing of required medical therapeutics.
b. Document the assessment, planning, implementation, and
evaluation of patient care through the use and maintenance of
problem oriented medical records.
c. Perform or order laboratory tests as per clinic protocols and
d. Review laboratory test results and other medically related reports
on a regular basis, following up on abnormal results.
e. Review and return patient phone calls as appropriate.
a. Refer patients as appropriate and necessary for specialty and/or
supportive care and testing,
b. Assure continuity of care for referred patients through
consultation with medical specialists, contributing to the patient
treatment schedule and maintaining ongoing medical review of
patient care and progress.
a. Participate in the planning and implementation of community
based health education initiatives, including but not limited to
formal and informal public presentations, screening clinics,
newsletter articles, etc.
a. Participate in the planning and implementation of in-service
activities for health center staff.
a. Participate in relevant continuing medical educational activities
in order to maintain licensure and certification
C. QUALITY ASSURANCE
1. Participate in the development, implementation, audit, and continuous
evaluation and improvement of protocols, services and programs
provided by the health center.
1. Acts as mentor to and for clinical and non-clinical staff.
Encourages and participates in continual professional development
and encourages staff to do the same.
2. Works to improve clinical practice that benefits the patient, as well
as the organizational mission. Participates in Quality Assurance &
Performance Improvement projects that improve patient outcomes
and organizational efficiencies.
3. Works with Directors/Managers/Supervisors insuring
continued regulatory compliance and success of organizational
goals, objectives and strategic plan.