Responsible for providing general medical care and treatment of patients in one of EVMS’s clinics or units. Function as an independent provider primarily coordinating pre-pregnancy, prenatal and post partum care in women with high pregnancies primarily those complicated by diabetes. Reviews and follows-up on diagnostic and laboratory tests.
Obtains and records health history and psychosocial history of patients.
Performs physical examinations and preventive health measures within prescribed guidelines and instructions of a physician. These measures include but are not limited to well childcare, health maintenance, pelvic exams, PAP smears, education and counseling.
Perform an individualized assessment of the patient with diabetes (patients planning for pregnancy or pregnant with pre-existing diabetes as well as patients diagnosed during pregnancy with Gestational Diabetes). Formulate an education plan which includes identifying goals for self-management of her diabetes care. Provide diabetes education both in the group setting (up to 5 patients) as well as one-on-one as clinically indicated. Diabetes education will include dietary teaching, use of glucose monitors, acceptable blood glucose levels for pregnancy, use of blood sugar/diet log, management of hypoglycemia and instructions on when to call the diabetes educator and/or physician. Candidate will be expected to be an active member of the DM in Pregnancy management team and will be expected to be able to practice independently under the supervision of an MD and will be expected to be able to make adjustments in dosages of oral medication and split dose insulin to optimize glycemic control. Candidate will assist MD in identification of appropriate candidates for insulin pump therapy and continuous glucose monitoring (CGM) technology and may participate in insulin pump initiation and/or CGM interpretation and documentation under direct supervision of MD.
Answers triage phone calls regarding obstetrical concerns and diabetes management as requested and will appropriately triage patients and accurately document such encounters in the EMR.
Agrees to learn and follow the established MFM protocols for the management of pregnant patients with diabetes.
Act as a liaison between patients, referring practices, staff at Sentara Norfolk General Hospital Labor and Delivery/Antepartum unit and staff at Maternal Fetal medicine regarding patient care as needed.
Prescribes or recommends drugs in accordance with state laws, or other forms of treatment such as physical therapy, inhalation therapy or related therapeutic procedures. Orders, interprets and evaluates diagnostic tests to identify and assess patient’s clinical problems and health care needs.
Provides diagnosis and treatment of common acute illnesses within prescribed guidelines and instructions of a physician, as well as education, counseling and crisis intervention as they relate to acute care.
Records all pertinent patient information in the Electronic Medical Record (EMR). .
Discusses case with physician and other health professionals to prepare comprehensive patient care plan.
Submits health care plan and goals of individual patients for periodic review and evaluation by the physician.
Refers patient to physician for consultation or to specialized health resources for treatment.
Actively recruit patients for any research protocols conducted in the Division of Maternal-Fetal Medicine involving obstetrical patients. Participate in data collection as requested.
Attendance as assigned is essential to meeting required performance duties.
May have some supervisory responsibilities over nursing staff.
PATIENT CONFIDENTIALITY MUST BE MAINTAINED AT ALL TIMES.
Performs other duties as assigned.
MSN with a nurse practitioner focus is required. Must be a licensed RN by the Virginia Board of Nursing and a certified nurse practitioner. CDE certification is desirable but not required.
Physician assistants must have a Masters of Physician Assistant and credentialed as a licensed physician assistant within the Commonwealth of Virginia
Experience as a Nurse Practitioner or a Physician Assistant with obstetric patients is preferred. Minimum one year clinical experience with the care of patients with diabetes is required.