Advance Practice Nurse or Physician Assistant- Optional Critical Care

Job Description

PRN for Critical Care Night Shift

Job Overview

The Advanced Practice Provider in Critical Care is a nurse prepared with graduate level nursing education in Adult / Acute Care and authorized to practice and prescribe as an advanced practice provider (APP), as Clinical Nurse Specialist or Certified Nurse Practitioner, in collaboration with one or more members of the interdisciplinary healthcare team. Advanced clinical practice in nursing includes the following components : assessment of patient health status, diagnostic testing, diagnoses, development of treatment plans, implementation of treatment plans, follow-up and evaluation of the patient’s response to treatment, accurate documentation of the patient’s status, and patient advocacy. APPs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APPs must have a collaborating physician(s) in an associated Standard Care Arrangement. The APRN II must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.

Job Requirements

Master's Degree in Nursing; Graduate from NP or CNS program

Specialty certification in area of expertise

BLS, ACLS, ENLS, FCCS

Registered Nurse with APRN Licensure

Demonstrated expertise in area of clinical specialization

Professional membership in specialty nursing organization required within one year of start date

3-4 years experience Clinical in Nursing practice in applicable setting

Job Responsibilities

Collaborates and consults with the interdisciplinary healthcare team, the patient and family when diagnosing, prioritizing problems, and implementing interventions. Provides consultation and initiates referrals to other healthcare team members and promotes collaboration among other members of the interdisciplinary healthcare team. Assists interdisciplinary team members, patients, and families in selecting therapies that integrate perspectives of cost and quality of benefits. Collaborates with other disciplines in teaching, consultation, management, and research activities to improve outcomes in nursing practice and enhance the healthcare environment.

Provides effective leadership. Integrates analysis of cost and benefits in care decisions. Designs / Develops innovative solutions for patient care problems that utilize resource efficiency while maintaining or improving quality and advancing best practices. Provides leadership in the development and application of consensus derived protocols or evidence-based practice (EBP) guidelines in the clinical setting. Participates, as opportunities arise, in healthcare-related decision-making at the system, local, state, and national levels with an emphasis on improving patient outcomes. Serves in key roles by participating in / leading committees, councils, and administrative teams.

Utilizes, participates in, and disseminates research, evidence-based practice, or quality improvement projects to enhance clinical practice and patient outcomes. May serve as primary or co-investigator, or member of the investigative team in conducting nursing or collaborative research. Critically evaluates existing practice based on current research findings and integrates changes into practice through an EBP project. Evaluates processes of care by serving a as leader or team member in relevant Quality Improvement projects. Promotes mentoring and education to nursing by serving as a Journal Club mentor and facilitates learning in critically appraising the literature.

Provides education to patients, families, and healthcare providers to promote best practice. Serves as a teacher, mentor, role model to nurses in the promotion of nursing research, EBP. Serves as preceptor, role model and mentor to staff nurses and colleagues as well as nursing students. Teaches, coaches, and supports nurses and other healthcare professionals to advance the care of patients. Provides education to the patient and their family for health promotion including secondary prevention strategies. Collaborates in the assessment, development, implementation and evaluation of patient and staff educational needs.

Ensures nursing practice is conducted in an ethical and legal manner. Abides by the Ohio Scope of Practice as an APRN. Provides safe, compassionate, competent, and ethical care. Demonstrates the highest level of accountability for professional practice. Preserves the patient’s dignity. Serves as a patient advocate by promoting advanced directives and adherence to the patient's wishes. Contributes and promotes the discussions of end-of-life decisions and palliative care with the patient, family members, physician and the health care team as appropriate.

At least 50% of position involves direct management of the patient’s and / or family’s care. Independently performs and documents a complete history and physical examination, including psychosocial assessment. Prescribes drugs and therapeutic devices consistent with the formulary under section 4723.50 of the Ohio Revised Code. Assesses for interactive and synergistic effects of multiple pharmacologic and non-pharmacologic interventions. Orders laboratory and radiologic tests and interprets the results. Collaborates with physician(s) to plan to implement a comprehensive plan of care. Discusses patient’s care with family members. Performs duties per the Standard Care Arrangement.

Other Job-Related Information

The TriHealth Nursing Vision, Mission, and Philosophy speak to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages : pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions

Bending - Consistently

Climbing - Consistently

Concentrating - Consistently

Continuous Learning - Consistently

Hearing : Conversation - Consistently

Hearing : Other Sounds - Consistently

Interpersonal Communication - Consistently

Kneeling - Consistently

Lifting

Welcome everyone by making eye contact, greeting with a smile, and saying "hello"

Acknowledge when patients / guests are lost and escort them to their destination or find someone who can assist

Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel : ALWAYS...

Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met

Offer patients and guests priority when waiting (lines, elevators)

Work on improving quality, safety, and service

Respect : ALWAYS...

Respect cultural and spiritual differences and honor individual preferences.

Respect everyone’s opinion and contribution, regardless of title / role.

Speak positively about my team members and other departments in front of patients and guests.

Value : ALWAYS...

Value the time of others by striving to be on time, prepared and actively participating.

Pick up trash, ensuring the physical environment is clean and safe.

Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage : ALWAYS...

Acknowledge wins and frequently thank team members and others for contributions.

Show courtesy and compassion with customers, team members and the community