Job Specification
ADVANCED PRACTICE NURSE, OBSTETRICS AND GYNECOLOGY
DEFINITION:
Under direction, provides primary health care to patients by assessing
their physical, developmental, and psychosocial status by means of
obtaining their health history and conducting physical examinations
and diagnostic tests; interprets test results data, and develops and
implements plans of health care management and follow through on the
continuum of patient care; implements health care plans through
independent action, appropriate referrals, health counseling,
guidance, instruction of patients, and collaboration with a physician
and other members of the health care team; does other related duties
as required.
NOTE: The examples of work for this title are for illustrative
purposes only. A particular position using this title may not perform
all duties listed in this job specification. Conversely, all duties
performed on the job may not be listed.
EXAMPLES OF WORK:
Recognizes and manages specific common deviations from wellness
including stabilized long-term illnesses, some of which may be
determined by joint protocol.
Assesses the physical, developmental, and psychosocial health
status of individuals in a variety of settings through collection of
health data.
Makes accurate identification of problems/diagnosis based on
interpretation of findings.
Evaluates patient need for immediate nursing intervention,
consultation, and other health team referrals.
Designs a comprehensive plan of nursing care.
Manages the plan of care by monitoring all aspects of the
therapeutic regimen, recording patients responses and progress,
advising patient regarding nursing needs, providing for these needs
as appropriate, and advising patient on other therapeutic measures.
Evaluates patient response to the nursing regimen and revises
the nursing care plan as necessary.
Informs, teaches, and guides patient and family to assume
responsibility for management of the patient's own health care.
Advises nursing, medical, and paramedical groups and the
community about subjects pertinent to own area of specialty.
Works with and promotes interaction and cooperation among
the health care workers involved in the planning and provision
of health care.
Serves as a resource person within own area of specialty to
those who are directly and indirectly involved with the provision
of health care.
Interviews and counsels patient and/or families to compile a
complete medical history, and counsels patients and/or families
on any problems which may arise during interview.
Performs complete physical examinations which include but are
not limited to observation, taking blood pressure, weight, height,
and blood samples, palpation, percussion, and auscultation,
utilizing the appropriate tools and instruments.
Performs inspection of the cervix and thorough internal
examinations including pap smears, obtaining cytological specimens
for cervical cancer screening, and including rectal, colon, and
breast examination.
Performs and teaches methods of self breast examination.
Gathers specimens for pap smears and gonococcus cultures.
Performs abdominal examinations and examines extremities
for edema, lesions, varicosities, and phlebitis.
Counsels patients as to findings, and refers patient to licensed
physician for necessary follow up and treatment.
Performs, orders, and interprets routine laboratory tests.
Develops a health maintenance plan for patient including health
education, disease prevention, and general anticipatory guidance.
Provides periodic health supervision of normal, nonpregnant, and
asymptomatic women for health maintenance.
Provides clinical management within medical protocols of women
having uncomplicated gynecologic illness.
Provides ambulatory prenatal care with women who have had
an uncomplicated pregnancy with attention to the maternal/infant
relationship while not assuming primary care of the infant.
Provides health education and counseling including psychosocial
dimensions in the areas of nutrition, sexuality, child bearing,
parenting, and family life.
Will be required to learn to utilize various types of electronic
and/or manual recording and information systems used by the
agency, office, or related units.
REQUIREMENTS:
LICENSE:
Applicants must possess a current and valid certification as
an Advanced Practice Nurse , Obstetrics and Gynecology,
issued by the New Jersey Board of Nursing.
Appointee will be required to possess a driver's license valid in
New Jersey only if the operation of a vehicle, rather than employee
mobility, is necessary to perform essential duties of the position.
KNOWLEDGE AND ABILITIES:
Knowledge of the physiology of pregnancy.
Knowledge of the normal gynecologic care of women during the
life cycle including health supervision, health maintenance, and
education.
Knowledge of etiology and recognition and treatment of gynecologic
problems and deviations.
Knowledge of normal physical and psychosexual development
and changes.
Knowledge of appropriate management and interpretation of
diagnostic studies and tests relevant to obstetrics-gynecologic practice.
Knowledge of the physiology of pregnancy and of providing prenatal
care in low risk pregnancy.
Knowledge of the evaluation of fetal health status, etiology,
diagnosis, and treatment of problems of pregnancy.
Knowledge of developmental tasks of pregnancy, labor and delivery,
and puerperium.
Knowledge of the preparation and maintenance of accurate medical
and other records.
Knowledge of procedures used in performing various physical
examination such as internal pelvic, rectal, abdominal, and colon.
Ability to conduct physical examinations which include complete
internal, pelvic, rectal, colon, and abdominal.
Ability to observe and report symptoms and condition of patients.
Ability to administer medications.
Ability to analyze and interpret test and examination results and
to communicate those results effectively with agency clients.
Ability to prepare clear, informative, and accurate reports.
Ability to establish and maintain essential records and files.
Ability to secure a general gynecologic and obstetric health
history from patients.
Ability to recognize common medical problems or deviations
from normal.
Ability to make an assessment of psychological, social, and cultural
aspects of child bearing and behavioral aspects of parenting.
Ability to assess, plan, implement, and evaluate patient care
collaboratively with other health care professionals.
Ability to obtain and interpret a comprehensive perinatal history.
Ability to interpret data obtained through a systematic assessment
of all body systems to differentiate normal from abnormal states.
Ability to obtain clinical, laboratory, and diagnostic information
and interpret resultant data.
Ability to institute appropriate biophysical monitoring techniques
and interpret resultant data.
Ability to utilize historical, clinical, and biophysical data in
collaboration with physicians to formulate a diagnosis.
Ability to initiate diagnostic, therapeutic, and educational
interventions including consultations and referrals.
Ability to evaluate and document responses to interventions
and modify the plan of care as indicated.
Ability to interpret current research findings to determine
appropriateness for application to practice and standards of care.
Ability to utilize adult learning principles to teach the family,
nursing staff, other health care providers, and the community about
the care, growth, and development of the high risk neonate.
Ability to learn to utilize various types of electronic and/or manual
recording and information systems used by the agency, office, or
related units.
Ability to read, write, speak, understand, and communicate
in English sufficiently to perform the duties of this position.
American Sign Language or Braille may also be considered
as acceptable forms of communication.
Persons with mental or physical disabilities are eligible as
long as they can perform the essential functions of the job
after reasonable accommodation is made to their known
limitations. If the accommodation cannot be made because
it would cause the employer undue hardship, such persons
may not be eligible.
This job specification is applicable to the following title code: | | Job
Spec
Code | Variant | State,
Local or
Common | Class of
Service | Work
Week | State
Class
Code | Local
Class
Code | Salary
Range | Note | | 05672 | | L | N | | N/A | 25 | | - |
This job specification is for local government use only.
Salary range is only applicable to state government.
Local salaries are established by individual local jurisdictions.
6/21/2008 |
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