Job Summary:
Reports directly to the Health Care Delivery (HCD) Administrator at assigned department and responsible for examining patients to obtain information about their physical condition, interpreting diagnostic test results for deviations from normal and making tentative diagnoses and decisions about management and treatment of patients.

Essential Duties and Responsibilities:
• Provide direct clinical services and management of pediatric, adolescent and adult patients as defined in the standing orders, policies, procedures and guidelines for the certified nurse practitioner.
• Obtain patient health histories and complete physical examinations.
• Document findings noting pertinent normal and abnormal findings.
• Obtain, compile and record patient medical data, including health history, progress notes and results of physical examination.
• Administer or order diagnostic tests, such as x-ray, electrocardiogram, and laboratory tests.
• Prescribe therapy or medication with physician’s approval.
• Perform therapeutic procedures, such as injections, immunizations, suturing and wound care, and infection management.
• Instruct and counsel patients about prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
• Obtain patient health histories and complete physical examinations.
• Document findings noting pertinent normal and abnormal findings.
• Order and interpret appropriate diagnostic and laboratory tests.
• Explain the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family, staff, and healthcare learners.
• Perform approved therapeutic procedures based upon patient's clinical status.
• Collaborate with physician and nursing colleagues and document in medical records and appropriate narrative summaries.
• Utilize prescriptive privileges as allowed by the Guam Board of Nurse Examiner
• Document all prescriptions in patient's medical record.
• Assess patient for deviations from normal and institute appropriate interventions.
• Initiate necessary emergency interventions to stabilize patient.
• Utilize current research and evidence-based decision-making in all clinical practice.
• Incorporate clinical research findings in the development and implementation of standards of care.
• Perform and participate in quality/performance improvement activities.
• Serve as an expert consultant to nursing, members of the healthcare team and to the larger community.
• Participate in and support accreditation, compliance, and regulatory activities of the organization.
• Model advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem-solving skills.
• Demonstrate responsibility for professional practice through active participation in professional organizations and continuing education.
• Enhance the body of knowledge of nursing or area of specialization through exchange of ideas and knowledge in professional organizations, oral presentations, posters, research activities, and written publications.
• Perform other related duties that may be assigned from time to time.

Education & Experience:
1. Graduate of Family Nurse Practitioner program. License is required.
2. Current BLS and CPR Certification.
3. Experience serving a multinational, multiracial population.
4. Must have the appropriate level of behavioral maturity and patience in handling patients.
5. Must have the diplomacy and tact in handling difficult and irate patients.
6.  Very good interpersonal relationship skills and can work and relate well with co-employees, patients and customers.
7.  Outstanding communication skills and persuasiveness, specially the ability to communicate instructions and procedures for treatments, keeping the patients and giving them the desired level of comfort and confidence.
8.  Must have strong sensitivity to the needs and anxieties of patients and the ability to motivate patients to undergo treatments and procedures.
9. Strong ethics and a high level of personal and professional integrity.
10. Knowledgeable of federal and state laws and requirements relating to healthcare management.