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Advance Practice Nurse

Y14

Basic Purpose

Positions in this job family are assigned responsibilities involving providing advanced health care to individuals, families or groups as an advanced or expert clinician.  This includes the assessment of individual health, analyzing data to determine medical and nursing care needed, planning a treatment strategy to meet identified needs, and evaluating responses to nursing and medical interventions.  This would include positions assigned duties as advanced practice registered nurses, clinical nurse specialists, nurse midwives and certified registered nurse anesthetists as identified in the Oklahoma Nursing Practice Act, Title 59 O.S. Section 567.3a.

Typical Functions

The functions performed by employees in this job family will vary by level, but may include the following:

  • Provides advanced primary, secondary or tertiary health care for individuals, families or groups at an advanced or expert clinician level; assesses individual health, analyzes data to determine health and nursing care needed, plans a strategy to meet identified health care needs, evaluates responses to interventions and makes changes in care or treatment as needed; identifies and allocates community health care resources or coordinates and evaluates other health resources necessary to meet individual or group needs at the most appropriate level.
  • Performs comprehensive physical examinations, secures health histories, performs or orders laboratory tests and conducts other appropriate procedures to assess the health status of patients or clients.
  • Reviews and analyzes laboratory tests, x-rays and other diagnostic data; determines diagnoses; prescribes pharmaceuticals within the scope of the program or speciality area assigned; formulates goals and strategies for meeting individual health care needs; consults with physicians or other providers as needed.
  • Provides advanced professional expertise and technical assistance to nurses, therapists and ancillary staff in implementing health care strategies and providing for individualized care and treatment within the area of specialization and certification, such as pediatrics, family practice, orthopedics, obstetrics-gynecology or geriatrics; participates in quality assurance activities related to health care services provided by licensed and non-licensed health care members.
  • Counsels patient, family members and others on health problems, prescribed treatments, use of drugs and other matters; recertifies patients for skilled nursing care under Medicare requirements.
  • Provides continuity of an individualized health care program for clients by referring to or collaborating with physicians and other members of the health care team.
  • Identifies health care needs within the community and makes recommendations to provide comprehensive health care to clients; provides education and training to members of the community and the health care team regarding health care needs.
  • Develops and recommends practice standards which pertain to assigned programs; evaluates care outcomes and suggests strategies to improve program delivery; informs local administrators of community health needs and suggests/implements corrective actions to ensure quality of care.

Level Descriptors

There are two levels in the Advanced Practice Nurse job family which are distinguished by the increasing clinical and managerial skills required, increasing degree of autonomy in practice, complexity of the caseload, and level of responsibility for the training or supervision of others.

Level I Code: Y14A Salary Band: M

At this level employees are responsible for performing the full scope of nursing practice involving a high level of autonomy and independent practice.  Responsibilities include assessing and diagnosing illnesses, prescribing medications and treatments, and providing other related health care services to assigned patients. Services may be provided in a designated hospital, clinic, skilled nursing facility, an assigned geographical area, or similar medical treatment areas.

Knowledge, Skills and Abilities required at this level include knowledge of human anatomy, physiology and chemistry; of medical diagnosis techniques, methods and procedures; of the theory, principles and practices of nursing or health care delivery systems; of ambulatory care; of methods and procedures of laboratory and X-ray and other diagnosis techniques; of pharmaceutical agents, their usage and contraindications; of minor surgical procedures and techniques; of safety and safety practices; and of medical management techniques.  Ability is required to conduct physical examinations and health assessments; to provide advanced specialized nursing care; to establish and maintain effective working relationships with others; to instruct and counsel clients; to interview and obtain medical information; to develop of therapeutic programs; and to apply emergency and first aid measures.

Education and Experience requirements at this level consist of possession of a valid Oklahoma license as a Registered Nurse by the Oklahoma Board of Nursing, recognition as a certified Advanced Practice Nurse by the Oklahoma Board of Nursing, and three years experience as a Registered Nurse.

Note:  Approval for prescriptive authority requires current licensure in Oklahoma as a Registered Nurse and as a Certified Nurse Practitioner (CNP), Certified Nurse Midwife (CNM), or Clinical Nurse Specialist (CNS) within 30 calendars days of the entry-on-duty date.  The Advanced Practice Registered Nurse must hold a graduate degree at an advanced practice level or a post-master’s certificate at an advanced practice level if the master’s degree is in nursing, in order to be eligible for initial application for prescriptive authority.

Level II Code: Y14B Salary Band: N

Employees at this level provide higher level advanced nursing practice services with the highest degree of independence and autonomy and minimal review or oversight and will generally provide a higher level of expertise in diagnosis and treatment modalities.  Responsibilities may include twenty-four hour coverage of inpatient settings or the coordination of training.

Knowledge, Skills and Abilities required at this level include those identified at Level I plus ability to exercise sound, independent judgment; to analyze complex situations and adopt appropriate courses of action; to successfully diagnose and treat patients; to plan and/or provide educational training to other nursing and allied health providers, and community organizations and groups; and to provide instruction and counseling to individuals, families and groups in preventive or restorative health care.

Education and Experience requirements at this level consist of those identified in Level I plus one year of experience as an Advanced Practice Nurse.

Note:  Approval for prescriptive authority requires current licensure in Oklahoma as a Registered Nurse and as a Certified Nurse Practitioner (CNP), Certified Nurse Midwife (CNM), or Clinical Nurse Specialist (CNS) within 30 calendars days of the entry-on-duty date.  The Advanced Practice Registered Nurse must hold a graduate degree at an advanced practice level or a post-master’s certificate at an advanced practice level if the master’s degree is in nursing, in order to be eligible for initial application for prescriptive authority.

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