Here are a number of FREE
Employer Interview Tools
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which may help you best in making the best match possible!
Nurse
Practitioner Interview Questionnaire of Prospective Employer
Second
Employer Contact
Third
Employer Contact
Human
Resources:Salary & Benefits
Assessment
of MDs & Staff Perception
Overview
of NP Practice
Sample
Employment Agreement
Wrongful termination &
At Will employers
Winifred Carson-Smith, Esq. nursinglaw@aol.com
Employment
Contract for NPs by Carolyn Buppert, MSN, JD, ANP
Before you begin please read Cindy's good advice...Dear
Bill, I reviewed the questionnaire as you asked- It is looking great, very
comprehensive. It should be very helpful to an interviewing professional.
Hopefully the individual will realize that they should become familiar
with the tool and use the pieces of it appropriate for the practice and
do so in a non-obtrusive manner. If an interviewing individual goes
to an interview with pages of forms to fill out it will be a difficult
interview and the candidate may actually miss some of the most important
aspects of the interaction.
If the individual has a recruiter or is working
with the personnel dept or rep, that individual can supply the majority
of the information about the practice. The candidate can be forthright
with the recruiter and tell them they are doing a formal assessment and
need the info. With the personnel rep of the facility or practice
they can use some notes or the guide to work the questions unobtrusively
into the conversation or to ask for the documents needed to be sent.
Often it is easily arranged to speak to a midlevel on staff even before
the onsite interview is done. While the onsite is occurring try to
make a contact with one of the midlevels and arrange a personal contact
after the visit for a chat.
Personally, My belief is that as much of the ground
work should be done before the visit as possible. The day of the
visit, the job of the person interviewing is to try to be yourself
and get others to be themselves. Your job is to decide if you can
"live with" these people! You will spend more waking hours with them
than any others in your life. Can you live with them?! Do they laugh
together? Are their personal and professional values compatible with
yours? Have they created an environment that is respectful to every member
of the team and patients/patient families? ETC!! Ask- what is important
to you on a daily basis and do you
see evidence of it in this work environment?
Remember no will die as a result of this interview. Have some fun
too. When you work here you will want to have some fun at work, so make
this as a work day. The bulk is work, but there has to be some pleasure
to balance the load.
The other piece I see missing, that is often missing
from the candidate's perspective is:
-
What is it that I bring of value to the practice?
Ask yourself before you go to an interview...
-
Why should they hire me over candidate X,Y or Z?
-
What exceptional experience do I have?
-
What exceptional training do I offer?, or perhaps
most importantly,
-
What traits, values, behaviors, or beliefs do I possess
that make me an exceptional person?
Long term, it is you as a person that will make you
the long term or life long employee that everyone is looking for.
An employer hires you for what you
can do for them, not what they can do for you.
So, while you are assessing what they can do for you, you must be selling
what you can do for them. It is an aspect of the interview that often
I see candidates forget about and therefore never get the offer.
Sell yourself as the "right person for the job".
What does the employer need from you? What
are they looking for? Bank on one thing. They are always looking
for a team player.
The closest thing to job hunting (that I have
identified) is dating. It is a process of progressing from distance
relationship to intimacy but in a compressed time frame.
There is a tremendous feeling of vulnerability
during this time for most individuals. You must progress rapidly or you
will find yourself in for surprises when you go to work. To do this
you will find yourself needing to embrace this vulnerability. Like
in dating that progresses into intimacy, someone needs to say "I love you"
first. Don't be afraid, say it first. It is how you can accelerate
the process, which is what will serve you well in the evaluation process.
Playing MR. or MS. Cool does not get you a better
offer, in my experience. If you want the employer to be excited about
you, be excited about them. If you don't want the job, this is moote.
If you do want the job, then say so.
A few simple parting statements like:
-
Based on what I've seen today, I like it here.
-
I believe this is a place I can make a long term
contribution.
-
I can do this job. I hope you and the others feel
the same way about me." Will convey the message.
Generally the person wrapping up the interview will
give you some preliminary feedback at this point. Before you leave, be
sure to ask when the two of you can get back in touch an go to the next
step and make a tentative appointment to get back together. This
will keep the ball rolling and give you or your representative the opening
to get back in touch if the ball gets dropped.
If you get the job offer, you can always get all
your detail questions answered then. And if you (are lucky
and) have a recruiter, they can get most of the info for you.
Just some thoughts. I don't know how to
get them conveyed. They are not questionnaire items. Sometimes I
see the questionnaire idea get candidates off on a tangent that does not
serve them as well as it could if they get too focused on the detail.
It is very attractive to get focused on that hard data that is self focused
and loose the offer. You loose the choice. Sometimes asking
those detailed questions prematurely can be misunderstood as being very
assuming that you are going to get the offer; therefore you do not. |
Nurse
Practitioner Interview Questionnaire of Prospective Employer
You may wish to gather this
information over several communications and in a different order than presented
here:
Keep these notes as they may
become important in future job negotiations or disputes.
Thank you for your time and
interest-I'd like to ask a few questions from a standardized
NP Interview Questionnaire to
help us cover most of the details.
FIRST CONTACT
This information should be collected
on the first phone/email contact-
the primary focus of this contact
is to share your love for medicine, love of patients, and excitement to
learn and serve.
HR/Recruiter's
Name
Email address
Voice Number
Cell Number
Fax Number
Practice
Contact Name
Email address
Voice Number
Cell Number
Fax Number
Focus of Practice, i.e. Peds, family, ortho,
ED...
Setting of Practice, i.e. Hospital, clinic,
OR, ER...
Location of Practice, i.e. Region, state,
city...
Experience Required
Beginning
Date
©
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protected with all rights reserved http://www.NPworld.us
|
SECOND CONTACT
This information might be collected
on the second phone/email contact
the primary focus of this contact
is to share your excitement of working within their area of medicine possibly
with this prospective employer.
When are
they wanting to schedule a phone/in person interview?
Who will
be conducting the interview?
What is
the Interviewer's Department and Title?
Email address
Voice Number
Cell Number
Fax Number
Name of
Clinic, Hospital, Practice
Website
address
Address
City, State
and Zip
Supervising
Physician's Name
Email address
Voice Number
Cell Number
Fax Number
Job Description
and Responsibilities: (see NP Scope of Practice)
Supervising
Physician's Interests-What about the SP's practice excites them the most?
What qualities
and skills, of the NP, are most important for the Medical Supervisor(s)
practice and relationships?
Is this
a NEW position or a Replacement?
If NEW what
are the unique goals and requirements?
If a Replacement-If
I may ask, why did the other NP leave?
Are you
planning any changes to the Practice?
May I contact
the former NP ? Yes No
Name
Email address
Voice Number
Salary Range
(repeat
question)
Do you use
a Contract: Yes or No if yes-may I please have a copy to review at
this time?
Do you have
an Employee/Policy Manual? If yes, may I have a copy to review at
this time?
Summary
of any Production Formula and Pay (repeat question)
Summary
of On Call Schedule and Pay (repeat question)
©
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protected with all rights reserved http://www.NPworld.us
|
THIRD
CONTACT-WHEN YOU'RE OFFERED THE JOB - Practice Environment/Milieu
This information is to gather
different team member's perceptions of the formal and informal working
conditions of the ADM. and practice.
These include, ADM., PAs, NPs,
RNs, MAs, MD's, etc. and each will have their own views and goals of the
practice and team.
You're looking for the best
possible match! This section could be sent by email to individuals for
a more private response.
Area of
Specialty and Practice Description (repeat question for comparison
with ADM., HR, SP, Practice Manager)
Who will
be my Medical Supervisor(s)?
Please give
an example of their team/individual management approach.
How autonomously
does the Medical Supervisor(s) like to supervise?
Which does the Medical
Supervisor(s) ultimate vision of the NP's practice seem more similar
to: much like the MD with the NP establishing their own patient
roster consulting their SP on cases as needed and executing their scope
of practice responsibilities ORMore like the NP is a support staff mainly
pulling charts, rooming patients, making patient calls, handling insurance
issues, for the MD's patient roster? Please give examples...
When a NP demonstrates competency in a medical
skill or clinical task, does the Medical
Supervisor(s) give increasing autonomy or does the Medical
Supervisor(s) continue to do the procedure themselves while the NP shadows?
Please give an example.
Supervising
Physicians often have a preference for certain attitudes in a NP. Where
on the continuum would the SP be most comfortable with a NP attitudes?
1. NP has
strong opinions and goals and expresses them frequently.
2. NP has
strong opinions and goals and makes suggestions.
3. NP has
opinions and goals and rarely expresses them.
4. NP prefers
to conform to and enforce the established program.
5. I have
a NP ? |
Supervising
Physicians often have a DOMINANT management approach toward colleagues
and staff. Please rank the three more dominant management styles using
#1 for most dominate, #2 for next most used style and #3 for the third
most dominant style.
| _____Management
by Coaching and Development (MBCD): Managers see themselves primarily as
employee trainers.
_____Management
by Competitive Edge (MBCE): Individuals and groups within the organization
compete against one another to see who can achieve the best results.
_____Management
by Consensus (MBC): Managers construct systems to allow for the individual
input of employees.
_____Management
by Decision Models (MBDM): Decisions are based on projections generated
by artificially constructed situations.
_____Management
by Exception (MBE): Managers delegate as much responsibility and activity
as possible to those below them, stepping in only when absolutely necessary.
_____Management
by Information Systems (MBIS): Managers depend on data generated within
the company to help them increase efficiency and inter-relatedness.
_____Management
by Interaction (MBI): Emphasizes communication and balance of all human
aspects (mental, emotional, physical and spiritual), creating an empowered,
high-energy, high-productive workforce.
_____Management
by Matrices (MBM): Managers study charted variables to discern their interrelatedness,
probable cause and effect, and available options.
_____Management
by Objectives (MBO): The organization sets overall objectives, then managers
set objectives for each employee.
_____Management
by Organizational Development (MBOD): Managers constantly seek to improve
employee relations and communications.
_____Management
by Performance (MBP): Managers seek quality levels of performance through
motivation and employee relations.
_____Management
by Styles (MBS): Managers adjust their approaches to meet situational needs.
_____Management
by Walking Around (MBWA): Managers walk around the company, getting a 'feel'
for people and operations; stopping to talk and to listen.
_____Management
by Work Simplification (MBWS): Managers constantly seek ways to simplify
processes and reduce expenses.
(adapted
from http://www.itstime.com/index.html)
|
Would you say the Medical
Supervisor(s) and the Practice/Administration Supervisor(s) vision for
the NP is mostly in agreement or disagreement? Please give examples...
Who has the ultimate decision making authority
on the nature and scope of the NP's practice?
Is one of
the Medical Supervisor's strengths Teaching? What other Strengths do they
have? What limitations do they have? Please give examples?
Who will
be my Practice/Administration Supervisor(s)? How autonomously do they like
to supervise?
What is the highest level of medical training
and medical experience of The Practice/Administration
Supervisor(s)?
Please give
an example of their team/individual management approach.
What Strengths
do they have? What limitations do they have? Please give me examples?
What qualities
and skills, of the NP, are most important for the Practice/Administration
Supervisor(s) practice and relationships?
Which does the Practice/Administration
Supervisor(s) ultimate vision of the NP's practice seem more similar
to: much like the MD with the NP establishing their own patient
roster consulting their SP on cases as needed and executing their scope
of practice responsibilities ORmore like the NP is a support staff mainly
pulling charts, rooming patients, making patient calls, handling insurance
issues, for the MD's patient roster? Please give examples...
Practice/Administration
Supervisor(s) often have a preference for certain attitudes in a NP. Where
on the continuum would the SP be most comfortable with a NP attitudes?
1. NP has
strong opinions and goals and expresses them frequently.
2. NP has
strong opinions and goals and makes suggestions.
3. NP has
opinions and goals and rarely expresses them.
4. NP prefers
to conform to and enforce the established program.
5. NPs
should be seen not heard |
Practice/Administration
Supervisor(s) often have a DOMINATE management approach toward colleagues
and staff. Please rank the three more dominate management styles using
#1 for most dominate, #2 for next most used style and #3 for the third
most dominate style.
| _____Management
by Coaching and Development (MBCD): Managers see themselves primarily as
employee trainers.
_____Management
by Competitive Edge (MBCE): Individuals and groups within the organization
compete against one another to see who can achieve the best results.
_____Management
by Consensus (MBC): Managers construct systems to allow for the individual
input of employees.
_____Management
by Decision Models (MBDM): Decisions are based on projections generated
by artificially constructed situations.
_____Management
by Exception (MBE): Managers delegate as much responsibility and activity
as possible to those below them, stepping in only when absolutely necessary.
_____Management
by Information Systems (MBIS): Managers depend on data generated within
the company to help them increase efficiency and inter-relatedness.
_____Management
by Interaction (MBI): Emphasizes communication and balance of all human
aspects (mental, emotional, physical and spiritual), creating an empowered,
high-energy, high-productive workforce.
_____Management
by Matrices (MBM): Managers study charted variables to discern their interrelatedness,
probable cause and effect, and available options.
_____Management
by Objectives (MBO): The organization sets overall objectives, then managers
set objectives for each employee.
_____Management
by Organizational Development (MBOD): Managers constantly seek to improve
employee relations and communications.
_____Management
by Performance (MBP): Managers seek quality levels of performance through
motivation and employee relations.
_____Management
by Styles (MBS): Managers adjust their approaches to meet situational needs.
_____Management
by Walking Around (MBWA): Managers walk around the company, getting a 'feel'
for people and operations; stopping to talk and to listen.
_____Management
by Work Simplification (MBWS): Managers constantly seek ways to simplify
processes and reduce expenses.
(adapted
from http://www.itstime.com/index.html)
|
What strengths
make this a good place to work?
What limitations
concern you, and how are they addressing them?
©
copyright
protected with all rights reserved http://www.NPworld.us
|
Human
Resources:Salary & Benefits
This information is for the
Human Resources Dept. after first or second in person interview
(some
are repeat questions for comparison with ADM., SP, Practice Manager)
Salary Range
Summary
of Production Formula and Pay
Summary
of On Call Schedule and Pay
Practice
Schedule
Required
Travel Details
Summary
of Review Periods and Process
Summary
of Pension & Retirement Program and Employer Contribution
Summary
of Liability Insurance and Legal
Summary
of Health, Dental, Disability & Life Insurance
Summary
of Signing Bonus
Number of
Holidays
Summary
of Vacation and Sick Leave
Number of
Days for Professional Development
AMOUNT OF
REIMBURSEMENT FOR:
Interview
Expenses:Travel, Lodging, and Meals, misc.
Tuition Assistance and school loans
CME Continuing
Medical Education
Professional
Journals, etc.
Professional
Dues
Licensure
/ Certification / Credentialing Fees
Relocation
and Settlement
Technology
(PDA, pager, cell phone, computer, internet)
Other:
Number
of current Nurse Practitioners / Associates / Nurse Practitioners or other
Advanced Medical Providers
Name
Email address
Voice Number
Name
Email address
Voice Number
Name
Email address
Voice Number
What strengths
make you a good employer?
What limitations
as an employer concern you, and how are you addressing them?
Please describe
your dispute, grievance process...Please give a recent example how it worked?
(repeat
question)
What is
your termination policy? (repeat question)
Do you use/require
Alternative Dispute Resolution? If yes, please give a recent example
how it worked. (repeat question)
Please give me a
copy to review.
Is There
any thing else we should cover?
©
copyright
protected with all rights reserved http://www.NPworld.us
|
Assessment
of MDs & Staff Perception
of the Nurse Practitioner Profession
[Note: The time and money spent establishing
the NP's professionalism will result in an easier transition and more productive
team. Encourage, encourage, encourage and talk, talk, talk.
I learned that after spending seven years in my Internal Medicine practice
I had spent more time with my supervising physician than his wife had.
It is a lot like a marriage. If you don't continue to have an open,
honest communication, it will breakdown. If you put the time and
effort into building the relationship, it will blossum!]
therefore please use true and
false in assessing the following key areas...
True or False:
______1. Staff is educated on the professional
training and role of the Nurse Practitioner
______2. Staff understands the NP is medically
qualified similar to a MD - NOT a medical assistant.
______3. Staff know how to introduce a NP to
patients (e.g. "Doctor Johnson would like you to see Nurse Practitioner-
Kevin. NP Kevin will keep
Dr. Johnson informed about what is going on with you and if necessary,
NP K will have Dr. Johnson come and see you.")
______4. Staff treat new NPs as they do new physicians.
______5. NPs are promptly given business cards
they can hand out to patients in the hospital, office.
______6. NP's name was promptly placed on the
office door and in the entranceway (where patients look for NP's name on
the board to find out
where to go)
______7. NPs are given lab coats to wear that
are consistent with the MD medical staff
______8. NPs have a medical assistant or nurse
to work with presenting the NP more professionally and allowing the NP
to be more productive,
thus providing more revenue for the practice.
______9. NPs are introduced to the hospital medical
staff in the form of an announcement.
_____10. NPs are introduced to the community
in the form of a open house, newspaper add or article.
_____11. Patients are educated about having a
NP by informing the patient ahead of time that if they are offered an appointment
with a NP, please
know that Dr. Abc hires the best of the best. Kevin is completely
qualified to handle your care and consults with Dr. Abc as needed.
_____12. NPs know that it's preferred, to have
them pull their SP out of a room when they have a question about a patients
care.
The more available the SP is the more likely the NP won't reach beyond
their comfort zone.
_____13. The SPs initiate spending time teaching
NPs, pulling them out for new and interesting radiographs, cases, etc.
_____14. NPs are encouraged that if there is
ANY problem with patients, staff, hospital, etc that they need to let their
SP know rather then let it blow
up or turn into a big mess. There isn't any point in hiring a new
NP and then having them leave over a misunderstanding with your staff,
patient, etc. Especially difficult to hire and train a new one versus paying
a little more each year in bonus, raise, etc.
_____15. SPs demonstrate effective leadership
in asserting NP's professionalism in resolving patients, staff, or hospital,
issues.
_____16. NPs are encouraged and reimbursed to
attend CME lectures and to go to a national, general medicine conference.
The more NPs know, the
better off the practice is in the long run.
_____17. There are weekly/frequent discussions
about new journal articles.
_____18. NPs are given the same allowances of
time and expenses, as the Physicians are, to attend medical conferences.
_____19. The practice pays for the NP's license,
CME, and memberships keeping them up to date on new medicine and laws.
©
copyright
protected with all rights reserved http://www.NPworld.us
|
AMERICAN ACADEMY OF
NURSE PRACTITIONERS SCOPE OF
PRACTICE FOR NURSE PRACTITIONERS PROFESSIONAL ROLE
Nurse practitioners are primary care providers who practice
in ambulatory, acute and long term care settings. According to their practice
specialty these 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. Services include, but are not limited to ordering,
conducting, supervising, and interpreting diagnostic and laboratory tests,
and prescription of pharmacologic agents and non pharmacologic therapies.
Teaching and counseling individuals, families and groups are a major part
of nurse practitioner practice.
Nurse practitioners practice autonomously and in collaboration
with health care professionals and other individuals to diagnose, treat
and manage the patient's health problems. They serve as health care researchers,
interdisciplinary consultants and patient advocates.
EDUCATION
Entry level preparation for nurse practitioner practice
is a master's degree. Didactic and clinical courses prepare nurses with
specialized knowledge and clinical competency to practice in primary care,
acute care and long term care. Self-directed continued learning and professional
development beyond the formal advanced education is essential to maintain
clinical competency.
ACCOUNTABILITY
The autonomous nature of the nurse practitioner's advanced
clinical practice requires accountability for health care outcomes. Ensuring
the highest quality of care requires certification, periodic peer review,
clinical outcome evaluations, a code for ethical practice, evidence of
continuing professional development and maintenance of clinical skills.
Nurse practitioners are committed to seeking and sharing knowledge that
promotes quality health care and improves clinical outcomes. This is accomplished
by leading and participating in both professional and lay health care forums,
conducting research and applying findings to clinical practice.
RESPONSIBILITY
The role of the nurse practitioner continues to evolve
in response to changing societal and health care needs. As leaders in primary
and acute health care, nurse practitioners combine the roles of provider,
mentor, educator, researcher and administrator. Members of the profession
are responsible for advancing the role of the nurse practitioner and ensuring
that the standards of the profession are maintained. This is accomplished
through involvement in professional organizations and participation in
health policy activities at the local, state, national and international
levels.
STANDARDS OF PRACTICE
I. Qualifications
Nurse practitioners are primary care providers who practice
in ambulatory, acute and long term care. They are registered nurses with
specialized advanced education and clinical competency to provide health
and medical care for diverse populations in a variety of primary care,
acute and long term care settings. A Master's degree is required for entry
level practice.
II. Process of Care
The nurse practitioner utilizes the scientific process
and national standards of care as a framework for managing patient care.
This process includes:
A. Assessment of health status The nurse practitioner
assesses health status by:
- obtaining a relevant health and medical history
- performing a physical examination based on age and
history
- performing or ordering preventive and diagnostic procedures
based on the patient's age and history
- identifying health and medical risk factors.
B. Diagnosis
The nurse practitioner makes a diagnosis by:
- utilizing critical thinking in the diagnostic process
- synthesizing and analyzing the collected data
- formulating a differential diagnosis based on the history,
physical examination and diagnostic test results
- establishing priorities to meet the health and medical
needs of the individual, family or community.
C. Development of a treatment plan
The nurse practitioner, together with the patient and
family, establishes an evidence based, mutually acceptable, cost-awareness
plan of care that maximizes health potential. Formulation of the treatment
plan includes:
- ordering additional diagnostic tests
- prescribing/ordering appropriate pharmacologic and
non-pharmacologic interventions
- developing a patient education plan
- appropriate consultation/referral.
D. Implementation of the plan Interventions are based
upon established priorities. Actions by the nurse practitioners are:
- individualized
- consistent with the appropriate plan of care
- based on scientific principles, theoretical knowledge
and clinical expertise
- consistent with teaching and learning opportunities.
Actions include:
- accurately conducting, supervising and interpreting
diagnostic tests
- prescribing/ordering pharmacologic agents and non-pharmacologic
therapies
- providing relevant patient education
- making appropriate referrals to other health professionals
and community agencies.
E. Follow-up and evaluation of the patient status
The nurse practitioner maintains a process for systematic
follow-up by:
- determining the effectiveness of the treatment plan
with documentation of patient care outcomes
- reassessing and modifying the plan with the patient
and family as necessary to achieve health and medical goals.
III. Care Priorities
The nurse practitioner's practice model emphasizes:
A. Patient and family education
The nurse practitioner provides health education and
utilizes community resource opportunities for the individual and/or family.
B. Facilitation of patient participation in self care
The nurse practitioner facilitates patient participation
in health and medical care by providing information needed to make decisions
and choices about:
- promotion, maintenance and restoration of health
- consultation with other appropriate health care personnel
- appropriate utilization of health care resources.
C. Promotion of optimal health
D. Provider of continually competent care
E. Facilitation of entry into the health care system
F. The promotion of a safe environment
IV. Interdisciplinary/Collaborative Responsibilities
The nurse practitioner participates as a team member
in the provision of health and medical care, interacting with professional
colleagues to provide comprehensive care.
V. Accurate Documentation of Patient Status and Care The
nurse practitioner maintains accurate, legible and confidential records.
VI. Responsibility as Patient Advocate Ethical and legal
standards provide the basis of patient advocacy. As an advocate, the
nurse practitioner participates in health policy activities
at the local, state, national and international levels.
VII. Quality Assurance and Continued Competence
Nurse practitioners recognize the importance of continued
learning through:
- participation in quality assurance review, including
systematic review of records and treatment plans on a periodic basis.
- maintenance of current knowledge by attending continuing
education programs
- maintenance of certification in compliance with current
state law
- applying standardized care guidelines in clinical practice.
VIII. Adjunct Roles of Nurse Practitioner
Nurse practitioners combine the roles of provider, mentor,
educator, researcher, manager and consultant. The nurse practitioner interprets
the role of the nurse practitioner to individuals, families and other professionals.
IX. Research as Basis for Practice
Nurse practitioners support research by developing clinical
research questions, conducting or participating in studies and disseminating
and incorporating findings into practice. |
SAMPLE
EMPLOYMENT AGREEMENT
This Agreement is made this 1st day__________________,
between "XYZ"., (hereinafter referred to as “Employer”) and "ABC", (hereinafter
referred to as “Employee”).
1. Employment. Employer employs Employee
and Employee accepts employment upon the following terms and conditions.
Employee pledges faithful adherence to all professional ethics and customs
and to carefully avoid all acts which might injure in any way the professional
reputation of the Employer, and its other employees.
2. Duties. Employer provides professional
services in hospital emergency facilities by duly licensed Physicians and
Nurse Practitioner (“NP”), and Employee accepts employment by the Employer
as a NP to assist in fulfilling its corporate purpose. To this end,
Employee will devote Employee’s full-time skill, labor, attention and best
efforts, on an exclusive basis, to perform such duties as the Board
of Directors and President of the Employer may from time to time determine
to be in the best interests of the Employer. Employee further agrees,
at all times during the existence of this Agreement, to be duly licensed
in the State of "123" as a P.A. and maintain “BCLS/ACLS” certification,
and such other certifications as may be mutually agreed upon, failing which
this employment and all rights and obligations shall immediately terminate.
Employer, through its Board of Directors and President, may assign particular
tasks to Employee and also relieve Employee from responsibility for handling
any particular task the Employer feels would be better served by another
employee of the Employer. It is expressly understood that the Board
of Directors of the Employer has the authority to determine which matters
will be accepted for service by Employer and which employees of Employer
shall perform medical services in any particular case. Employee agrees
to perform the required and assigned duties in accordance with the rules
and regulations promulgated by the Board of Directors and by "unNamed"
Hospital Association. Employee will also keep and maintain such records
as are required by the Board of Directors and to make such reports as are
provided or required by Employer and the "unNamed" Hospital Association.
Employee will also observe the records retention policy of the Board of
Directors. Employer’s Board of Directors will handle all billings
for the Employer in accordance with the fee schedule to be established
by the Board of Directors.
It is further agreed as follows:
A. It shall be the obligation of the Employee,
and Employee’s responsibility to:
(1) Report directly to the attending
MD/DO for patient review and to obtain any required authorized signature
on a Patient’s chart.
(2) Perform Patient history, regardless
of complaint, recording pertinent patient symptoms and chief complaints.
(3) Perform Patient examination,
including abnormal and/or normal systems evaluation, regardless of
complaint.
(4) Give concise written instructions
and/or verbal orders to RN/LPN/Paramedic/Technicians.
(5) Make appropriate instructions
for Patient disposition, as they relate to continuing care.
(6) Dictate every chart of patients
seen, by end of each shift.
(7) Maintain complete professionalism
verbally and physically, at all times.
(8) Write prescriptions strictly
in accordance with state laws (no controlled substances).
(9) Arrange for coverage if unable
to work regularly scheduled shift.
(10) Maintain C.M.E. credits as per
guidelines.
(11) Attend and participate in resident
conferences.
(12) All physical assault patients
shall be reviewed by attending physician.
B. The following Procedures/Protocol
shall not be undertaken by the Employee:
(1) “CSC” patients
(2) Primary complaint of child abuse
(3) Primary complaint of Psychiatric
committal
(4) Primary complaint “DOA”
(5) Any complaint that either the
Employer or the Employee (with Employer’s consent) does not feel reasonably
comfortable with handling
C. Hours Worked Per Month:
(1) Employee shall be required to work full time
for Employer for the twelve (12) consecutive month period beginning _________________.
“Full time” is defined as one hundred fifty (150)
hours per month of clinical service, or more, which the Employee must work
in each succeeding twelve (12) month period.
(2) Employee shall be required to spend three
(3) hours per week on hospital or Employer-related meetings without additional
compensation.
(3) Employee may be required to work nighttime
shifts.
3. Term. The employment of Employee
shall commence _________________, and shall continue through __________________,
unless sooner terminated by death or as hereinafter provided. It
shall continue from year to year thereafter until terminated in the manner
described below in this Section 3, in the manner specified in Section 9
below, or elsewhere in this Agreement. Employer reserves the right
to terminate the employment of Employee for any malfeasance or misfeasance
in the performance of Employee’s duties. Employer or Employee may
terminate this Agreement at any time without cause upon not less than thirty
(30) days written notice. In such event, Employee shall continue
to render services and shall be paid regular compensation until the date
of termination. It is further agreed that this Agreement shall automatically
terminate whenever the Employee becomes legally disqualified to render
professional services within this State, loses applicable certification,
or is elected to a public office or accepts other employment that, pursuant
to existing laws, places restrictions or limitations upon the continued
rendering of such professional services.
4. Compensation. Employer shall pay to the
Employee for full-time services an annual base salary of $52,000.00,
payable in regular periodic salary amounts determined by Employer’s Board
of Directors. Employee will also be paid overtime compensation at
one and one-half (1-1/2) times Employee’s regular hourly rate, for any
clinical hours worked in excess of one-hundred and sixty hours per
month. The overtime rate is $43.33 per hour. In addition, Employee
will be paid overtime compensation at one and one-half (1-1/2) times Employee’s
regular hourly rate for clinical hours worked on the following four holidays:
New Year’s Day, July Fourth, Thanksgiving Day and Christmas Day.
Vacation or sick time cannot be counted as hours worked when calculating
overtime. Employee may be required to work nighttime shifts.
Summary
of Liability Insurance and Legal
Summary
of Production Formula and Pay
Summary
of Review Periods and Process
Summary
of On Call Schedule and Pay
Summary
of Health, Dental, Disability & Life Insurance
Professional
Journals, etc.
Professional
Dues
Licensure
/ Certification / Credentialing Fees
Relocation
and Settlement
Summary
of Pension & Retirement Program and Employer Contribution
Technology
(PDA, pager, cell phone, computer, internet)
5. Continuing Medical Education Leave and Expense
Reimbursement. Employee will be granted up to one week annually
with full pay for continuing medical education (CME). Said CME leave
will not carry over from year to year and cannot be used as additional
vacation time.
Employer will reimburse Employee up to
$2,000.00 annually for reasonable CME expenses incurred by Employee.
6. Professional Liability Insurance. Employer
shall provide professional liability insurance coverage with limits,
coverage’s and with such company (ies) as determined in the sole discretion
of the Board of Directors.
7. Working Facilities. Employer will furnish
Employee with medical supplies and such facilities and services as are
suitable to the position and adequate to the performance of the assigned
duties. Employee may be reimbursed for such expenses as in the
judgment of the Board of Directors have been incurred in the furtherance
of the interest of the Employer.
8. Fringe Benefits. Employer will
provide hospitalization insurance which will cover Employee and dependents,
said insurance to include whatever coverage and terms are afforded to
similarly grouped employees of Employer, from time to time. Employer
will also include Employee in any tax-qualified pension or profit sharing
plans which the Employer sponsors for other employees of Employer.
In addition, Employer will pay for professional licensing fees with the
State of Michigan.
9. Disability/Disability Insurance. Employer
will provide SHORT TERM AND LONG TERM disability income insurance, said
insurance to include whatever coverage and terms are offered to
similarly grouped employees of Employer, from time to time.
10. Sick Leave. The Employee shall be entitled
to two (2) weeks of sick time on an annual basis WITH FULL PAY.
This sick leave shall be available to Employee in addition to any Total
Disability Benefit Employee may be entitled to pursuant to Section
9 hereof. Unused sick leave may not be accumulated from year to year.
Personal emergency will be decided by the physicians.
11. Vacation. Employee shall be entitled
to three (3) weeks of vacation with full pay (105 hours) during each year.
The scheduling of such vacations shall be subject to approval by the Employer’s
President or Board of Directors and does not carry over from year to year.
12. Prohibition Against Assignment. Employee
AND
EMPLOYER personally agrees and on behalf of Employee’s AND EMPLOYER'S
personal representatives, fiduciaries, heirs, legatees, distributees, and
any other person or persons claiming any benefit under Employee by virtue
of this Agreement, that this Agreement and the rights, interests and benefits
hereunder shall not be assigned, transferred, pledged or hypothecated in
any way by any person and shall not be subject to execution, attachment
or similar process. Any attempt to assign, transfer, pledge, or hypothecate
or to otherwise dispose of this Agreement or of the rights, interests and
benefits thereof contrary to the foregoing provisions, or the levy of any
attachment or similar process thereupon shall be null and void and without
effect, and shall relieve the Employer AND EMPLOYEE of any and all
liability hereunder.
13. BINDING Arbitration. Any controversy
or claim arising out of or relating to this Agreement, or to a breach thereof,
shall be settled by an ARBITRATION PANEL COMPOSED OF TWO
arbitrators who shall be an impartial physician AND ONE IMPARTIAL NURSE
PRACTITIONER acceptable to the parties. If the Employer and the
Employee cannot agree upon such impartial physician AND OR NURSE PRACTITIONER,
then each of the Employer and the Employee shall select an ADDITIONAL
IMPARTIAL PHYSICIAN AND IMPARTIAL NURSE PRACTITIONER WHO WILL THEN SELECT
A FIFTH PANEL MEMBER, EITHER AN IMPARTIAL PHYSICIAN OR AN IMPARTIAL NURSE
PRACTITIONER. The decision of two of the three physicians
THREE OR MORE OF THE ARBITRATION PANEL on the matter in question
shall be determinative of the question. Any such arbitrating physicians
MEMBERS shall act in accordance with the rules of the American Arbitration
Association, and judgment upon the award rendered may be entered in any
Court having jurisdiction thereof.
14. Notices. Any and all notices required
or permitted to be given under this Agreement will be sufficient if furnished
in writing, sent by registered or certified mail to his last known address
in the case of the Employee or to its principal office in the case of the
Employer.
15. Construction and Severability. The law
of the State of Michigan shall govern this Agreement and each numbered
paragraph shall be severable, so that the invalidity of any paragraph shall
not invalidate the other provisions of this Agreement. This Agreement
revokes and replaces all agreements previously entered into by the parties
hereto, whether oral or written, regarding the Employee’s employment with
the Employer.
IN WITNESS WHEREOF, the parties hereto have
caused this Agreement to be
duly executed on the day and year first written
above.
XYZ
By: ____________________________________________
EMPLOYEE
________________________________________________
Wrongful termination?
In many states, unless an employee is hired for a specific amount of
time, the employee is an "at-will" employee, and can be fired for any reason
or no reason at all - but not for a bad reason, like discrimination. He
also cannot be fired in a way that causes personal injury, or without good
cause if he is under a contract. In essence, then, wrongful discharge cases
restrict an employer's right to terminate an at-will employee.
A number of courts recognize a wrongful discharge claim for termination
in violation of a well-established public policy, including discriminatory
discharge and retaliatory discharge. Discriminatory discharge claims are
on the rise; in fact, they almost exclusively account for the 40% rise
in wrongful discharge claims since 1992. Other examples of public policy
retaliatory discharge lawsuits involve employees claiming they were terminated
for "whistle-blowing," filing workers' comp claims, cooperating in a governmental
investigation involving the employer or fulfilling a legal duty such as
serving on a jury or testifying under subpoena as a witness.
The most common form of wrongful termination lawsuits alleges that an
employer breached a contract, whether formal or informal, not to terminate
employment except for "good cause." If an employer expressly or implicitly
agrees, orally or in writing, to hire an employee for a specific period,
to discharge only for just cause, or to abide by progressive disciplinary
procedures, that agreement may be determined by a court to constitute an
enforceable employment contract. Courts have permitted individual employees
to sue for breach of contract simply on the basis of informal promises
made orally by managers or other individuals in positions of authority.
Even when no promises were made, some courts have determined that there
was an implied contract because of:
language in employee handbooks that state employees will be provided
an initial probationary period;
language in disciplinary policies that states employees will be discharged
only for particular offenses;
language in progressive disciplinary policies that states employees
will receive chances to improve their performance;
language in handbooks or records that states fairness or special consideration
will be given to employees because of longevity or seniority;
an employee's work history that reflects merit raises;
good performance evaluations, praise and promotions
the employer's practice of discharging employees only for good cause.
Finally, wrongful termination claims may arise when the employee alleges
that the discharge was carried out in an intentionally degrading or humiliating
manner, the employer falsely accuses the employee of misconduct (or makes
false or damaging statements to coworkers), and other various injurious
behavior.
Thus, an employee who wishes to sue for wrongful termination must show
either,
1) that his employment contract, either expressly or implicitly, included
a promise that he would not be fired without cause (contract cases); or,
2) that his employer fired him for a reason that violates a fundamental
policy expressed in either state statutes or constitution (public policy
cases), including laws against unlawful discrimination (discrimination
cases), or
3) that the employer committed a tort, like defamation, invasion of
privacy, or intentional infliction of emotional distress (independent tort
cases).
Clues to avoiding wrongful termination start with a look at what causes
it. The common themes in the above are treating employees fairly, consistently,
humanely, and honestly.
Nobody Likes Rejection But Some Kinds Are Worse Than Others
Think back over romantic breakups that have been especially hard to
get over. Odds are, the breakup met at least one of these criteria:
1) The rejection came as a complete surprise;
2) The person had been threatening to end the relationship for months
(with no follow-through) and finally did;
3) You got mixed signals from this person and then were abruptly dumped;
4) The person made disparaging remarks about your character, etc.
The same is true for involuntary terminations. No employee should be
surprised by a termination because s/he should have received verbal and
written warnings with a clearly documented performance improvement plan,
including a deadline. No employee with a pattern of good performance appraisals
should suddenly be fired (unless it is for a serious conduct offense).
And, termination meetings should focus on the specific reasons for termination
and should never veer off into name-calling or disparaging character remarks.
A firing or a resignation on poor terms can have adverse psychological
effects on the individual concerned (embarrassment, shame and anger) and
the remaining staff (rumors, resentment and fear). The former can be reduced
by politeness and consideration, treatment consistent with that given to
other fired employees, and, if possible, generous severance arrangements.
The same can also reduce legal claims, especially if accompanied by fair
and consistent performance management policies and procedures.
Parting Ways on Good Terms
Avoiding wrongful discharge claims starts in the hiring process. Supervisors
and managers must know how to offer a job without implying an employment
contract. Employment handbooks and job applications must contain an "at-will"
statement. Then, it's a matter of managing performance by:
1) Providing specific written notice of all problems with job performance,
and give the employee a fixed period of time to correct the problems.
2) Keeping careful records of each employee's job performance.
3) Keeping specific, detailed, files on employee performance and reviews.
For instance, don't note: "Frequently leaves early," or "Work has numerous
errors." Record the dates the employee left early (and how early) or describe
examples of error-filled work.
4) Include in the file written summaries of any warnings given to employees
about their performance problems. Use a documented system of progressive
discipline, escalating from oral warnings to written warnings to suspension
to termination
5) Mete out discipline evenly. Don't overlook problems in one employee
for which you discipline another.
6) Have an employment policy book setting out examples of offenses
that will lead to termination.
7) Never make the decision to fire somebody out on impulse. If an employee's
behavior pushes a manager to the boiling point, give the employee the rest
of the day off and ask the manager to go back in his/her office and cool
off. If the employee's behavior is seriously inappropriate, put him or
her on immediate leave pending an investigation.
8) Run terminations past a lawyer so s/he can examine the worker's
history and membership in any potentially protected group as well as the
company's past practices and adequacy of documentation.
Lessons From the Firing Line
Why do you think our food and beverage sales rep was fired? Poor performance?
Disability discrimination? Probably neither. I think our sales rep was
fired because of the longstanding personality clash he had with his supervisor,
with the last straw being the employee's decision to go above his supervisor's
head. However, the way the manager handled his employee — making inappropriate
remarks, firing the employee abruptly and with no verbal or written warnings,
not disciplining other employees for failure to meet their quota — virtually
begged for a wrongful termination claim. Nine times out of ten, it's not
what happened to an employee that leads to a lawsuit; it's how it happened.
Employees who are ambushed or humiliated during their termination are likely
to focus on the process of how they were let go rather than the events
that led up to it. Jurors may, too.
The bad news is that wrongful termination awards have risen dramatically
over the past ten years. The good news is that many of the steps that help
companies avoid wrongful termination also help companies hire and retain
the best workers. Attorneys can do their corporate clients a big favor
by encouraging them to consider the interpersonal issues during termination
- like communicating with sensitivity, giving the employee a chance to
save face, and avoiding an "I've kept quiet long enough and now you're
fired" approach. And that's a win-win for everyone.
Dr. Joni Johnston is President and CEO of UnbeatableLawyers, a training
and consulting firm that helps attorneys evaluate workplace behavior problems,
gain an edge with juries in employment litigation, and promote effective
law firm management. She can be reached at jonij@workrelationships.com
Copyright 2004 Joni Johnston
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