GENERAL DESCRIPTION OF CLASS
The Mid-Level Medical Practitioner provides primary medical care, including assessment, diagnosis, evaluation,
treatment, and referral services to patients at one of the public universities in the Oregon University System.
The Mid-Level Medical Practitioner is trained and licensed as either a Nurse Practitioner or a Physician Assistant,
and practices under the regulations set forth by the appropriate licensing Board (Oregon Board of Nursing or Oregon
Board of Medical Examiners.)
This is a single classification and not currently part of a series of classifications.
DUTIES AND RESPONSIBILITIES
- Patient Examination: examines teeth, throat, ears, eyes, skin, heart, lungs, reproductive, gastrointestinal,
musculoskeletal, and neurologic systems using stethoscope, oto/ophthalmoscope and other medical instruments to
determine nature and extent of abnormalities, illness and disease; checks for masses and enlargements in major
organs and glands, such as for evidence of enlarged liver, enlarged thyroid, ovarian and breast cysts and tumors;
identifies heart murmurs; conducts microscopic examination of samples to identify infections and blood cell counts;
draws blood, takes cytological smears, performs biopsies, and orders laboratory studies; interprets results of
laboratory and radiographic studies; and provides patient care by appointment and through urgent care services.
- Patient Treatment: develops and carries out complete patient treatment plan as primary provider of health
care services; treats infections, sprains, and simple fractures; sutures wounds not involving major blood vessels,
nerves or tendons; suggests food supplements, non-prescription medicine, and prescribes drugs to the extent authorized;
may provide specialized treatment such as mental health counseling, within parameters of certified specialized
area; refers cases to physicians and allied health care specialists for conditions outside this employee's scope
of practice; works within institutional guidelines; confers directly with one or more physicians or allied health
care specialists regarding diagnosis and care-management problems.
- Training: instructs nurses and allied health specialists in techniques to expand their diagnostic,
counseling, and referral skills; confirms and extends assessments made by clinic nurses; authorizes and oversees
prescribed treatment; explains normal growth and development, abnormalities, diseases, diagnostic methods and treatment
to patients; follows up and provides information to parents, relatives, schools, and health resource organizations,
as indicated, to obtain specialized help, financial assistance, and/or promote understanding.
Other Duties: Performs committee work; may also give guest lectures if requested.
NOTE: Specific responsibilities may include but are not limited to the above listed duties. No attempt is made
to describe every duty performed by all positions in this class.
RELATIONSHIPS WITH OTHERS
Employees in this class are in direct contact and provide care to patients on a daily basis, and may also be in
contact with patients' families to provide support and answer questions regarding patients' condition and medical
procedures. They also have daily contact, in person and by telephone, with support personnel to request test results,
order supplies, transfer patients and request special treatments.
Nurse Practitioners work under the general supervision of a nursing supervisor, physician, or other manager. Work
is reviewed through review of charting, peer feedback, patient feedback, and frequent informal discussions. Work
must comply with the Oregon State Board of Nursings' Nurse Practice Act, Nurse Practitioner Certification regulations,
Drug Enforcement Administration and Nurse Practitioner Prescription Formulary (as defined by the Oregon Board of
Nursing) for the regulation of prescription drugs and controlled substances, State communicable disease regulations,
agency policies and departmental procedures.
Physician Assistants work under a specific Supervising Physician approved by the Oregon Board of Medical Examiners.
Work is reviewed through review of charting, peer feedback, patient feedback, and frequent informal discussions.
Work must comply with the section set forth by the Board of Medical Examiners in the Oregon Administrative Rules,
the Drug Enforcement Administration, State communicable disease regulations, agency policies and departmental procedures.
Positions are found on campuses throughout Oregon University System.
Nurse Practitioners: Current Oregon license as a Registered Nurse and possession of a valid certification
as a Nurse Practitioner issued by the Oregon State Board of Nursing.
Physician Assistant: Possession of a valid Oregon license as a Physician Assistant and successful completion
of the national certification exam.