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Job Title: Advanced Practice Registered Nurse – Clinical Nurse Specialist



Reports to:

Status: [   ] Exempt   [X] Non-Exempt


The Non Physician Provider (Advanced Practice Registered Nurse or Clinical Nurse Specialist or Physician Assistant) who acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care.  

  1. To deliver a high standard of patient care as Nurse Practitioner (NP) in general practice, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base
  2. To manage a clinical caseload, dealing with presenting patient’s needs in a primary care setting
  3. To develop the nursing services offered by the practice
  4. To provide clinical leadership within the practice.
  5. Education: Accountable for teaching patients new information.
  6. Accountable for maintaining professional competencies.
  7. Supports unit education through a variety of activities, such as precepting, unit in-services, and may also assist in organizational educational programs.
  8. Communication: Is accountable for effective communication with patients/family, care team members and physicians regarding the patient’s progress on the plan of care and response to treatment.
  9. Staff Development: Participates in the orientation of new employees. Oversees care assigned to paraprofessionals on the patient care team. Works in partnership with members of the team.
  10. Quality: Implements plan of care/Clinical Pathways assuring progression toward quality outcomes. Participates in the development and monitoring of action plans to ensure performance improvement and regulatory compliance.
  11. Collaboration: Collaborates with physicians and team members regarding changes in patient’s condition and revises the plan of care utilizing input of team members. Supports roles of all co-workers. Acts as a resource to the interdisciplinary team members for coordination of the plan of care, pathway and discharge planning. Maintains effective relationships with primary and consulting physicians.


Primary Responsibilities

  1. Assisting in the coordination of hyperbaric patients.
  2. Assisting in the day-to-day operation of the hyperbaric facility.
  3. Make professionally autonomous decisions for which he/she is accountable
  4. Provides attendance and supervision of hyperbaric medicine patients in accordance with both the hospital medical staff credentialing and local CMS fiscal intermediary policies.
  5. Provides documentary evidence into the patient record that validates attendance and supervision.
  6. Assists, as appropriate, in the medical supervision of clinical staff.
  7. Assists, as appropriate, in the routine operation of the hyperbaric medicine facility.
  8. Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan
  9. Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports
  10. To prescribe safe, effective and appropriate medication as defined by current legislative framework
  11. Participates in quality assurance programs.
  12. Participates in the safety program.
  13. Participates in the discussion and review of articles in the field of hyperbaric oxygen.

Secondary Responsibilities

  1. Promotes services of the Hyperbaric Medicine Service to patients and community.
  2. Is involved in or serves on the following: Unit Based Meetings, Department Education planning
    and implementing, acts as a preceptor to new staff and students.
  3. In coordination with the Program Director and Clinical Coordinator develop policies and procedures
    for the Hyperbaric Medicine Service.
  4. Will develop, on an ongoing basis, Quality Assurance (QA) models for the Hyperbaric Medicine Service.
  5. Will provide monthly, quarterly and annual QA reports to the Program Director.
  6. In coordination with the Program Director and Clinical Coordinator develop a continuing Quality Improvement program.


  1. Primary Responsibilities (essential functions as defined in the Americans with Disabilities Act.)
  2. Attends or gives input for care as needed.
  3. Utilizes professional/nursing standards of nursing practice and the nursing process in daily practice.
  4. Participates in organizational committees and task forces as requested.
  5. Participates in professional organization.
  6. Demonstrates competence in critical care assessment of identifying normal level of function versus
    alterations from normal parameters.
  7. Demonstrates knowledge in utilization of complex technical patient care equipment.
  8. Acts as a resource to the team, facilitation patient care activities and interdepartmental communication
    and collaboration.


Organizational Responsibilities

  1. Displays leadership by: Modeling behaviors in support of the Mission Statement, Service Standards and Values Related Behaviors of the Hyperbaric Medicine Service using effective interpersonal skills to develop positive working relationships; participation in educational opportunities for personal and professional growth; contribution to organizational and departmental goals.
  2. Supports quality improvement by: Striving to do the right things the right way the first time; using quality tools and techniques as appropriate; demonstrating flexibility and resilience in response to change.
  3. Demonstrates individual effectiveness by: Maintaining a positive, open-minded and team-oriented attitude; following through on commitments; performing job responsibilities in a manner consistent with organizational policies; communicating effectively with others; using resources effectively and efficiently; making suggestions and supporting the implementation of strategies to increase revenue and/or reduce operational expenses.
  4. Focuses efforts to provide services that exceed the expectations of our customers by: Anticipating and responding to customer needs; seeing customer satisfaction as a key measure of success; integrating service focus into daily routine.
  5. Models teamwork by: Participating actively as a team member on a departmental and organizational level; fostering collaboration among members of the team; and recognizing the efforts and successes of other individuals and teams.



  1. The Non Physician Provider (NPP) has completed a UHMS-approved Hyperbaric Medicine Introductory Course (a minimum of 40 hours on-site).
  2. Specifically privileged to practice clinical hyperbaric medicine in the sponsoring medical institution(s) under the process delineated by the institution’s privilege or credentialing committee.
  3. The Advanced Practice Registered Nurse is masters or doctorate prepared as a Nurse Practitioner (NP) or Clinical Nurse Specialist (CNS).
  4. The Nurse Practitioner or Clinical Nurse Specialist must have possession of a valid state licensure as a Registered Nurse and an Advanced Practice Registered Nurse, or Physician Assistant and be certified as a Nurse Practitioner or Clinical Nurse Specialist by an approved certifying body.
  5. Knowledge in medical claim billing preferred.
  6. A current, or be eligible for, a DEA license in the state of Kansas.
  7. Certified Hyperbaric Registered Nurse
  8. Must hold a current nursing license in the state in which the nurse is practicing (certain government agencies may be exempt).
  9. Must hold current (BLS).
  10. Should hold (ACLS).
  11. Must have documentation of successful completing of at least a 40 credit hour National Board of Diving
    and Hyperbaric Medical Technology (NBDHMT) – approved Hyperbaric Medicine Introductory Course.
  12. Should be a Clinical Hyperbaric Registered Nurse (CHRN), basic level (when eligible).
  13. Should have an interest in learning, practicing, and maintaining competency in the field of hyperbaric nursing.
  14. Complete forty hours (40) of continuing education credits per previous four years, with at least twenty (20) of those credits in the field of hyperbaric oxygen therapy – Category A.
  15. Should have a working understanding of the codes and regulations that govern the operation of a hyperbaric medicine facility.
  16. Should participate in professional organization.
  17. Should be an active participant in education and leadership activities.


Complete forty hours (40) of continuing education credits per previous four years, with at least twenty (20) of those credits in the field of hyperbaric oxygen therapy – Category A.


Program Director                                                         Date

Clinical Coordinator                                                     Date

Policy Effective Date:

Reviewed Date:

Revised Date:

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.
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