Privileges/Job Description - REPOST
Last Post 22 Apr 2014 06:52 PM by Andrew Miller. 0 Replies.
Author Messages
Andrew MillerUser is Offline
New Member
New Member
Posts:31


--
22 Apr 2014 06:52 PM
  • Quote
  • Reply
27 Sep 2013
Hi Everyone

I am wondering if anyone would have, and be willing to share, privilege forms/job descriptions for the following:

Nurse Practitioner in Wound Care
Nurse Practitioner in Sleep Medicine
Nurse Practitioner in Oncology

Thanks very much,

Sue Day
Memorial Hospital
North Conway


~RE: Hi Sue,
Rather than try to post the 13 page NP privilege document that Speare uses here, I'll just cut and paste some of the sections, but should you want to see the whole form, let me know and I'll e-mail it to you.
QUALIFICATIONS FOR ADVANCED PRACTICE REGISTERED NURSE (APRN)
A. Initial Appointment Criteria: To be eligible to apply for clinical privileges as an advanced practice registered nurse (APRN), the applicant must meet the following criteria:
Completion of a master’s or post-master’s degree in an APRN program accredited by the Commission on the Collegiate of Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC)
AND
Current certification or re-certification by the American Nurses Credentialing Center, the National Certification Corporation, or an equivalent body
AND
Current active licensure to practice as an advanced practice registered nurse in the APRN category in the State of New Hampshire.
AND
• Maintain Current ACLS, NRP, PALS Certifications (as required by specialty privs)
• For Chronic Wound Care & Hyperbaric Medicine completion of 40 hours of hyperbaric oxygen therapy HBOT training as approved by the Undersea and Hyperbaric Medical Society (UHMS).
Required previous experience: Applicants for initial appointment must be able to demonstrate provision of care, treatment, or services reflective of the scope of privileges requested to at least 20 patients in the past 12 months, or completion of master’s or post master’s degree program in the past 12 months.
B. Reappointment Criteria: To be eligible to renew core privileges as an APRN, the applicant must meet the following maintenance of privilege criteria:
• Current demonstrated competence and an adequate volume of experience 40 patients with acceptable results in the privileges requested for the past 24 months based on results of ongoing professional practice evaluation and outcomes.
• Evidence of current ability to perform privileges requested is required of all applicants for renewal of privileges.
• Maintenance of Certifications: Nursing Board Certification and ACLS, NRP, PALS (as required by specialty privileges)
• For Chronic Wound Care & Hyperbaric Medicine, 12 hours of ongoing medical education specific to chronic wound management & hyperbaric medicine will be required every 24 months.
1. GENERAL APRN CORE PRIVILEGES
 Requested
Manages the healthcare of acutely ill and chronically ill patients. APRNs may admit patients to the hospital on behalf of their supervising physician. Assess, stabilize, and determine the disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. The core privileges in this specialty include the procedures on the attached procedure list and such other procedures that are extensions of the same techniques and skills.
GENERAL APRN CORE PROCEDURE LIST
This list is a sampling of procedures included in the core. This is not intended to be an all-encompassing list but rather reflective of the categories/types of procedures included in the core.
TO THE APPLICANT: If you wish to exclude any procedures, please strike through those procedures that you do not wish to request, initial, and date.
1. Apply, remove, and change dressings and bandages
2. Assist in positioning patients in operating room; help with intraoperative care and postoperative management
3. Assist in surgery to include, but not limited to, serving as first assistant, performing deep and simplified tissue closures, application of appliances, and any other action delegated by the surgeon
4. Counsel and instruct patients and significant others as appropriate on medications, disease, and preventive healthcare
5. Direct care as specified by medical staff approved protocols
6. Initiate referral to appropriate physician or other healthcare professionals
7. Insert and remove nasogastric tubes
8. Make daily rounds on hospitalized patients with or at the direction of the collaborating/supervising physician
9. Monitor and manage stable, acute, and chronic illnesses of the population served
10. Obtain and record medical/social history and perform physical examination
11. Order diagnostic testing and therapeutic modalities such as laboratory tests, medications, treatments, electrocardiogram and radiologic examinations
12. Perform field infiltrations of anesthetic solutions
13. Perform incision and drainage of superficial abscesses
14. Perform urinary bladder catheterization (short-term and indwelling)
15. Perform venous and arterial punctures for blood sampling, cultures, and IV catheterization
16. Perform wound debridement, suturing, and general care for superficial wounds and minor superficial surgical procedures
17. Preoperative care of surgical patient
18. Record discharge summaries
19. Record progress notes
1a. CHRONIC WOUND CARE & HYPERBARIC MEDICINE APRN CORE PRIVILEGES
 Requested
Diagnosis and therapeutic management utilizing hyperbaric oxygen therapy to patients of all ages presenting with soft-tissue radiation injury and for acceleration of wound healing. Assess, stabilize, and determine disposition of patients with emergent conditions. These privileges include the ordering of diagnostic studies and procedures related to the problem. The core privileges in this specialty include the procedures on the attached procedure list and such other procedures that are extensions of the same techniques and skills.
CHRONIC WOUND CARE & HYPERBARIC MEDICINE APRN CORE PROCEDURE LIST
This list is a sampling of procedures included in the core. This is not intended to be an all-encompassing list but rather reflective of the categories/types of procedures included in the core.
TO THE APPLICANT: If you wish to exclude any procedures, please strike through those procedures that you do not wish to request, initial, and date.
1. Apply standard treatment protocols and modify when clinically indicated.
2. Complicated wound management, with physician consultation
3. Compression therapy
4. Compromised skin grafts and flaps, with physician consultation
5. Crush injury/compartment syndrome/traumatic ischemias
6. Diabetic wounds of lower extremity (who meet criteria)
7. Local and regional anesthesia
8. Lymphedema therapy
9. Necrotizing soft tissue infections
10. Osteomyelitis
11. Perform history and physical examination
12. Preparation of wound bed and application of skin substitute(s)
13. Problem/compromised wounds
14. Radiation tissue damage
15. Surgical debridement of wounds, with physician consultation
16. Thermal burns
17. Transcutaneous oxygen tension measure
18. Wound biopsy
19. Manage HBOT Complications (Barotraumas, Oxygen toxicity, etc.), with physician consultation

1d. HEMATOLOGY/ONCOLOGY APRN CORE PRIVILEGES
 Requested
Manages the healthcare of patients with disease and disorders of the blood, spleen, lymph glands and immunologic system, such as anemia, clotting disorders, sickle cell, hemophilia, leukemia and lymphoma, as well as treating patients with cancer and other benign and malignant tumors. APRNs may refer patients to the hospital on behalf of their supervising physician. Assess, stabilize, and determine the disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. The core privileges in this specialty include the procedures on the attached procedure list and such other procedures that are extensions of the same techniques and skills.
HEMATOLOGY/ONCOLOGY APRN CORE PROCEDURE LIST
This list is a sampling of procedures included in the core. This is not intended to be an all-encompassing list but rather reflective of the categories/types of procedures included in the core.
TO THE APPLICANT: If you wish to exclude any procedures, please strike through those procedures that you do not wish to request, initial, and date.
1. Assessment of tumor imaging by computed tomography, magnetic resonance, PET scanning, and nuclear imaging techniques
2. Complete assessment of blood count, including platelets and white cell differential, by means of automated or manual techniques
3. Assessment of indications and application of imaging techniques in patients with blood disorders
4. Management of indwelling venous access catheters
5. Perform history and physical exam
6. Serial measurement of tumor masses


---