Nurse Practitioner_Hosp Acute Fellow

  • Requisition ID: 171843
  • Department: 510701 Administration
  • Schedule: Full Time - Eligible for Benefits
  • Shift: Varies
  • Category: Provider

Position Purpose

This position will use their foundational knowledge base to perform procedures and life-saving interventions in various high-acuity patient populations and clinical scenarios. The fellow will participate in additional training and educational activities throughout their fellowship program targeted at common areas of difficulty with transition to practice. The fellow will demonstrate increasing level of competency and autonomy in various acute care settings while developing foundational specialty-specific skills and knowledge to prepare for hire into an Acute Care Nurse Practitioner position.




Nature and Scope

General Overview


Nurse practitioners are primary health care providers who practice in ambulatory, acute, emergency room, critical care and long-term care settings. According to their practice specialty these primary care providers provide nursing and medical services to individuals, families, and groups. In addition to diagnosing and managing acute episodic and chronic illnesses, nurse practitioners emphasize health promotion and disease prevention. Teaching and counseling individuals, families, and groups are a major part of nurse practitioners role. Completion of the Fellowship Program is required before eligible for application to an Acute Care Nurse Practitioner position. Successful completion of the Fellowship Program does not guarantee a position as an Acute Curse Practitioner as this will follow an independent application process.


The incumbent must provide optimal patient care through assessment, planning, implementation, and evaluation of neonatal, adolescent, adult, and geriatric patients and families, as applicable in the acute-care setting. Demonstrates the knowledge and skills necessary to provide care, based upon physical, motor/sensory, psychosocial, and safety appropriate to the age of the patient served. A Nurse Practitioner Fellow performs the following acts in addition to the ordinary functions of a Registered Nurse if he/she is properly prepared and the acts are currently within the standard of medical practice for his specialty and appear in their protocols:

1. Systematically access the health status of persons and families by:

a. Taking, recording, and interpreting medical histories and performing physical examinations

b. Performing or initiating selected diagnostic procedures.

2. Based on information obtained in the assessment of a person’s health, manage the care of selected persons and families common, acute, recurrent or long-term health problem. Management may include:

a. Initiation of a program of treatment for the patient, in conjunction with the supervising physician.

b. Prescribe medications consistent with Nevada prescribing laws and DEA privileges.

c. Evaluation of responses to health problems and programs of treatment

d. Informing a person or family of the status of the patient’s health and alternatives for care

e. Evaluation of compliance with a program of treatment agreed upon by the person or family and the nurse practitioner

f. Modification of programs of treatment based on the response of the person or family to treatment

g. Referral to appropriate providers of health care

h. Treatment of minor lacerations which do not involve damage to a nerve, tendon or major blood vessel, as applicable.

i. Commencement of care is required to stabilize a patient’s condition in an emergency until a physician can be consulted.

3. Any other act if:

a. The nurse practitioner is certified to perform that act by an organization recognized by the Nevada State Board of Nursing

b. The performance of the act was taught in a program of education attended by the nurse practitioner

c. The performance of the act was taught in a comprehensive program of instruction successfully completed by the nurse practitioner, which included clinical experience;

d. The act is within the scope of practice of a nurse practitioner.





1. Adopts a philosophy consistent with the Renown Health Purpose Statement and models “Standards of Conduct” concepts.

2. Effective communication skills – written and verbal.

3. Ability to establish positive working relations with Provider Staff.

4. Work efficiently and cooperatively in a multi-physician/provider office setting.

5. Work as part of a team toward clinic goals.

6. Maintains accurate, legible, and confidential records.

7. Actively participate in quality assurance, peer review programs, and health care outcome evaluations.

8. Direct nursing and/or medical assistant duties consistent with clinic protocols.

9. Ensures the highest quality of care requiring a code of ethical practice, evidence of continuing professional development, and maintenance of clinical skills.

10. Patient advocate through ethical and legal standards.

11. Combines the roles of provider, mentor, educator, researcher, manager, and consultant, as applicable.

12. Interprets the role of the nurse practitioner to individuals, families, and other professionals.

13. Works efficiently, cooperatively, and autonomously in long-term and acute care facilities, as applicable

14. The Nurse Practitioner Fellow shall at all times comply with the provisions of NRS 632 and Regulations of the Nevada State Board of Nursing.

15. The Collaborating physician and precepting APRN are responsible for the support of the Nurse Practitioner at all times until deemed independently competent.

16. Will attain sufficient knowledge in the specialty and assure appropriate on-going education.

17. Attend and participate in departmental and Renown Health meetings consistently.





1. Code of Ethics for Nurses With Interpretive Statements, American Nurses Association Publication

2. Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women’s Health, U.S. Department of Health and Human Services, April 2002.

3. Magnet Recognition Progress, Recognizing Excellence in Nursing Service - Healthcare Organization Instruction and Application Process Manual, American Nurses Association Credentialing Center; Washington, DC, 2002, pp. 134, 135, 127.

4. Nurse Practice Act, Nevada Revised Statutes, Chapter 632, NAC, Chapter 632. Nevada State Board of Nursing, September, 2002. Nursing: Scope and Standards of Practice, American Nurses Association Publication


This position does provide patient care.




The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.




Minimum Qualifications
Requirements - Required and/or Preferred




Must have working-level knowledge of the English language, including reading, writing and speaking English. Master’s prepared registered nurse (RN) certified as an Adult, Family or Gerontology Nurse Practitioner and/or Family Nurse Practitioner as defined by the Nevada State Board of Nursing.


Two years minimum experience as an RN in acute care required.


Ability to obtain and maintain an Advanced Practice Registered Nurse license with the State of Nevada. Credential through Renown’s Medical Staff and/or Payor Credentialing, as applicable. Controlled substance License to Prescribe issued by the State of Nevada Required. Controlled Substance Registration Certificate issued by the DEA.


Current American Heart Association BLS and ACLS Required. National Credentialing Board Certification required as adult, family, geriatric or acute care Nurse Practitioner. National credentialing board certification as an Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) required at time of hire or ability to obtain within 6 months of Hire.

Computer / Typing:

Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.


Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.

With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.

  • Icon- Edu Assistance@1x

    Education Assistance

  • Icon - PTO@1x

    Paid Time Off

  • Icon - 401@1x

    401(k) Company Match

  • Icon - Flexible Env@1x

    Flexibile Work Environment

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About Renown Health

Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.

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