Licensed Nurse Practitioner - THOMPSON MEDICAL AND CHIROPRACTIC LLC

Position Skills Required:  

• Master’s degree in nursing required - Family Nurse Practitioner/Adult -Gerontology Nurse Practitioner

• NP certification (AANP or ANCC)

• Registered professional nurse with current NJ state license, CDS, and DEA license,

• CPR Certification

• (X) years of work experience as a professional nurse  

• IV Certification

Training Required:  

Continued Education Courses 

Computer Skills Required:  Scheduling software, Google Platform, ADP Platform

Patient Care Responsibilities: 

• To perform initial history and physical examination as well as problem identification of each patient

• When possible, initial evaluation should be done collaboratively, with Chiropractors, to avoid a repetition and increase speed of service. This allows for each discipline to be on the same page when initiating patient care/treatment plan

• Assess range of motion, weakness, and distal pulses of affected areas

• Palpate for trigger points/tenderness of different muscle groups involved in area of discomfort

• Document positive/negative orthopedic tests used for appropriate areas of complaint 

• Orders appropriate prescriptions/diagnostic studies including bloodwork and imaging (X-Ray, MRI, Ultrasound, ect) when necessary

• Review and correctly interpret test results to diagnose health problems

• Based on results/if necessary, refer to different available services, (Acupuncture, PT/OT, pain management MD, outside referral, or Orthopedic)

• Referrals do not have to be done solely after imaging.  It may be warranted and necessary to initiate referrals to other services prior to receiving imaging to further decrease pain and increase range of motion

• Write prescriptions for referrals to other services when appropriate

• Ensure appropriate follow-up evaluation for these patients, evaluating for improvement in pain, range of motion, weakness, ect. And writing new scripts when necessary to continue care

• Consider secondary referral to secondary service (dependent on patients condition)

• Prescribe, initiate, and educate patients on durable medical equipment when applicable

• Consider support bracing (i.e.: TLSO/LSO, posture brace, SI joint brace, knee/ankle brace, orthotics, ect.) on initial evaluation.  Provide early helps to aid in pain relief as well as offer support and re-education to muscles that may be lax and causing pain

• At subsequent visits, consider TENS when appropriate.  Introduction to stimulation always helps patients to minimize discomfort throughout the day and serves as a non-invasive at home therapy tool to decrease pain

• Advise patients of the importance of changing pads to avoid irritation to skin from frequent use of same pads and help maintain good conductivity between unit and stimulation pads. Advise patients that they will receive “annual stim pads†at 1-month after initiation of TENS unit.

• Perform trigger point/joint injections as well as other minimally invasive procedures (intravenous nutrition therapy, PRP)

• Ensure follow up documentation on new pain score, length of time of pain relief, and improvement in range of motion after each procedure

• Each patient considering IV nutrition therapy should be fully evaluated by a Nurse Practitioner prior to administration to ensure no comorbid conditions/medications that restrict the patient from receiving IV nutrition

• Knowledge of and the ability to perform therapeutic strapping as it relates to major body regions (ie: low back, cervical/thoracic junction, knee, shoulder, hip, ect.) to help decrease pain and inflammation by improving circulation, help accelerate recovery and provide stabilization to affected areas

• Knowledge of different therapy tools used within the office including but not limited to decompression, stim/vaso, rapid release, normatec, ect., and how these therapies can benefit each patient

• Patient education on preventive care, therapeutic stretches and strengthening exercises targeted to areas of discomfort

• Provide after-care/ongoing care to patients to ensure proper response to treatment, adherence to treatment plan, and adjust plan of care as needed

• Brief 10 minute follow-ups should be done bi-weekly on “active patients†(patients that are seen 2-3 timea a week seeing multiple services)

• Patients on “maintenance†(being seen once weekly, every other week, monthly, ect.) should be followed up monthly.

• Ensure proper, accurate, and complete documentation and maintenance of patient records.

• Patient records should be kept up to date including test results, imaging, changes to medical history, medication, surgical history, and changes in condition

• Ensure appropriate billing for services rendered by Nurse Practitioners

             Professionalism

• Follows ethical principles and proper procedure regarding patient confidentiality, informed consent to treatment, and managing unexpected adverse outcomes

• Demonstrates highest level of accountability for professional practice

• Participates in daily morning/afternoon team meetings, continuing education and departmental 

  ** Position will be for an Ocean County office (Lacey/Manahawkin/Barnegat) **  We offer Medical, Dental, Vision, 401K plan, CEU Reimbursement, Malpractice Reimbursement and paid Holidays

  MUST BE ABLE TO WORK: M, W, F, 8:30-12:30, 1:30-6:00 PM

  Tue and Thu 1:30-6:00 PM