Advanced Practice Provider - Outpatient Cardiology - Tappahannock - Full Time

apartment VCU Health location_onTappahannock, VA

The Advanced Practice Provider (APP- NP, PA, Midwife) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician. The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s). Essential Job Statements Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Patient Population Age Specific groups served: As appropriate based on unit assignment. Employment Qualifications Required Education: Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program Preferred Education: Service-specific education Licensure/Certification Required: Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant Current national certification as appropriate for the role Credentialing in accordance with medical staff by-laws for specific job titles Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level Licensure/Certification Preferred: Service-specific certification Minimum Qualifications Years and Type of Required Experience Previous clinical experience with the population served Other Knowledge, Skills and Abilities Required: Cultural Responsiveness Other Knowledge, Skills and Abilities Preferred: Three (3) years of previous clinical experience with the population served Previous experience in an academic healthcare system Working Conditions Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

NP

Full-time

Advanced Practice Provider - Transplant - Main 7 - Nights

apartment VCU Health location_onRichmond, VA

The Nurse Practitioner job demonstrates a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals, families, or communities to actual or potential health problems, prevention of illness and injury, maintenance of wellness, and provision of comfort. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. The Nurse Practitioner job continues to perform many of the same interventions used in basic nursing practice. The difference in this practice relates to a greater depth and breadth of knowledge, a greater degree of synthesis of data, and complexity of skills and intervention. ANA’s Scope and Standards of Advanced Practice Registered Nursing (1996). Essential Job Functions Performance Expectation: Pertains to Staff in Licensed Nursing Positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Failure to achieve the required number of contact hours will result in the employee ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Expert Coaching & Guidance The APN-Practitioner is a strong proponent of coaching and guidance as evidenced by: Planning and implementing steps to resolve problems affecting patient care quality and evaluates results. Role modeling patient advocacy. Challenging and adapting systems to maximize the benefits of patient care. Demonstrates advanced assessment skills in assessment, management of disease, and treatment-related side effects. Recommending goals and interventions for medical and nursing plan of care plans based on current literature. Promoting individual involvement and development of others. Demonstrating expert knowledge to coordinate patient care across the continuum of services: inpatient, ambulatory, and home health through the patient’s trajectory of illness. Developing and evaluating educational materials and teaching interventions for staff, patients/caregivers, and the community. Fostering skill development of others Assessment, diagnosis, and monitoring to improve the skills of students and staff. Mentoring the APN’s role in the health system to promote quality patient outcomes. Performance Expectation: Consultation The APN-Practitioner maintains a therapeutic relationship with the patients, caregivers, and staff throughout the health care continuum. Consultation and support is evidenced by: The ability to organize and facilitate patient support groups as needed. Serving as a liaison, translator and negotiator for staff, patients and families. Utilizing experiences and resources to staff regarding routine and unusual therapeutic interventions. Promoting teamwork through effective communication and feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Identifying unit, departmental/regional and hospital issues. Suggests changes in an effort to connect system problems. Functions as a consultant in the multi-disciplinary team. Performance Expectation: Research Skills The APN-Practitioner participates in clinical practices for a population of patients based on the application of clinical research findings and evidence-based practices as evidenced by: Identifying areas of need for nursing or medical research. Actively seeks/participates in and/or monitors this research. Utilizing current research to develop, implement and evaluate critical paths and standards of care for identified patient populations. Incorporating research findings into practice. Contributing to the profession through participation in research, publications, consultation and/or educational activities. Performance Expectation: Clinical & Professional Leadership The APN-Practitioner works with colleagues and or professional organizations in the advancement of clinical practice and fosters professional leadership behaviors as evidenced by: Consistently using nurse/patient relationship to positively affect the health care experience and promote adaptation to changing health status. Utilizing the Performance Improvement Process to address clinical practice and system changes within the organization. Seeking out opportunities for professional growth through organizational affiliations and certification in specialty area. Demonstrating mastery of nursing care of specialty populations. Expert documentation reflecting holistic and interdisciplinary patient care. Initiating and participating in departmental/specialty educational endeavors. Case managing identified target populations and diseases. Valuing the patient/family right to receive quality cost effective care and facilitates this process. Looked upon as a Role model self-leadership in own professional development: setting outcomes, seeking needed resources or learning, seeking and accepting feedback. Serving as a preceptor for advanced practitioners/students/medical staff/nursing staff and others. Performance Expectation: Collaboration The APN Practitioner initiates referrals and coordinates the health care team to meet the patient/family needs by utilizing collaborative relationships between nursing and other disciplines as evidenced by: Collaborating in development, implementation, communication, and monitoring of the multidisciplinary/interdisciplinary plan of care for complex patients. Structuring multidisciplinary systems to facilitate these processes. Working with others to promote health and present illness in patients, families, staff, and community. Networking with payers and community resources to ensure quality outcomes. Participating as a team leader/member in the provision of health care. Interacting with professional colleagues (within/outside the facility) to provide comprehensive continuity of care. Performance Expectation: Nurse Practitioner The APN- Practitioner’s instinctive grasp of clinical situations reflects comprehensive knowledge and experience as evidence by: Assessing the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing a diagnostic, and therapeutic intervention requiring skill and education beyond that of a registered nurse. Interpreting information obtained from history and physical and developing a treatment plan. Formulating and prioritizing appropriate short-term and long-term therapeutic plans when indicated. Plan of care incorporates the physical, spiritual, cultural, and psychosocial aspects of patients and families to promote optimum levels of health. Management of patients in clinical specialty and other related disorders in individuals. Focusing on health maintenance in clinical management of chronically ill patients. Initiating emergency procedures as indicated. Exploring strategies to decrease length of stay and resource consumption within specialty. Utilizing clinical pathways to coordinate patient care across the full continuum of services: inpatient, ambulatory and home health, or through the patient’s trajectory of illness. Establishing priorities to meet the health needs of the individual, family or community. Developing a treatment plan, establishing a mutually acceptable evidence based, cost effective plan of care to maximize health potential Performance Expectation: Ethical Decision-making Skills The APN-Practitioner adheres to ethical principles that reflect the standards of the organization and individual behaviors as evidenced by: Incorporating the use of the nursing process and clinical judgment in ethical decision making. Practicing the principles of ethics in decision making for patients. Promoting the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrating appropriate use of skills of negotiation, mediation, collaboration, compromise, and accommodation to assist families struggling with ethical decisions. Displaying the ability to examine patient’s values that impact treatment decision-making preferences. Recognition of patient rights as a foundation for ethical decisions. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive Authority when required Licensure, Certification, or Registration Requirements for continued employment: Current RN Licensure in Virginia Credentialing in accordance with medical staff by-laws for specific job title License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive authority when required Experience REQUIRED: Minimum of two (2) years experience as a RN Experience PREFERRED: Academic health care experience Two (2) years within the specialty practice area Advanced Practice Nursing Role or Clinical Leadership Role experience Education/training REQUIRED: Master's Degree in Nursing from an accredited program specific to area of practice *Applicants with current advanced practice licensure may be within one semester of graduation from obtaining a MSN degree or higher, which must be completed within six months of hire to continue employment. Education/training PREFERRED: N/A Independent action(s) required: Clinical decision-making in collaboration with physicians and daily prioritization of activities. The allocation of time spent in patient care and elsewhere is largely self-determined. Supervisory responsibilities (if applicable): N/A Additional position requirements: N/A Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 50-100 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

NP

Full-time

Advanced Practice Provider - Transplant - Main 7 - Rotating

apartment VCU Health location_onRichmond, VA

The Nurse Practitioner job demonstrates a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals, families, or communities to actual or potential health problems, prevention of illness and injury, maintenance of wellness, and provision of comfort. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. The Nurse Practitioner job continues to perform many of the same interventions used in basic nursing practice. The difference in this practice relates to a greater depth and breadth of knowledge, a greater degree of synthesis of data, and complexity of skills and intervention. ANA’s Scope and Standards of Advanced Practice Registered Nursing (1996). Essential Job Functions Performance Expectation: Pertains to Staff in Licensed Nursing Positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Failure to achieve the required number of contact hours will result in the employee ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Expert Coaching & Guidance The APN-Practitioner is a strong proponent of coaching and guidance as evidenced by: Planning and implementing steps to resolve problems affecting patient care quality and evaluates results. Role modeling patient advocacy. Challenging and adapting systems to maximize the benefits of patient care. Demonstrates advanced assessment skills in assessment, management of disease, and treatment-related side effects. Recommending goals and interventions for medical and nursing plan of care plans based on current literature. Promoting individual involvement and development of others. Demonstrating expert knowledge to coordinate patient care across the continuum of services: inpatient, ambulatory, and home health through the patient’s trajectory of illness. Developing and evaluating educational materials and teaching interventions for staff, patients/caregivers, and the community. Fostering skill development of others Assessment, diagnosis, and monitoring to improve the skills of students and staff. Mentoring the APN’s role in the health system to promote quality patient outcomes. Performance Expectation: Consultation The APN-Practitioner maintains a therapeutic relationship with the patients, caregivers, and staff throughout the health care continuum. Consultation and support is evidenced by: The ability to organize and facilitate patient support groups as needed. Serving as a liaison, translator and negotiator for staff, patients and families. Utilizing experiences and resources to staff regarding routine and unusual therapeutic interventions. Promoting teamwork through effective communication and feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Identifying unit, departmental/regional and hospital issues. Suggests changes in an effort to connect system problems. Functions as a consultant in the multi-disciplinary team. Performance Expectation: Research Skills The APN-Practitioner participates in clinical practices for a population of patients based on the application of clinical research findings and evidence-based practices as evidenced by: Identifying areas of need for nursing or medical research. Actively seeks/participates in and/or monitors this research. Utilizing current research to develop, implement and evaluate critical paths and standards of care for identified patient populations. Incorporating research findings into practice. Contributing to the profession through participation in research, publications, consultation and/or educational activities. Performance Expectation: Clinical & Professional Leadership The APN-Practitioner works with colleagues and or professional organizations in the advancement of clinical practice and fosters professional leadership behaviors as evidenced by: Consistently using nurse/patient relationship to positively affect the health care experience and promote adaptation to changing health status. Utilizing the Performance Improvement Process to address clinical practice and system changes within the organization. Seeking out opportunities for professional growth through organizational affiliations and certification in specialty area. Demonstrating mastery of nursing care of specialty populations. Expert documentation reflecting holistic and interdisciplinary patient care. Initiating and participating in departmental/specialty educational endeavors. Case managing identified target populations and diseases. Valuing the patient/family right to receive quality cost effective care and facilitates this process. Looked upon as a Role model self-leadership in own professional development: setting outcomes, seeking needed resources or learning, seeking and accepting feedback. Serving as a preceptor for advanced practitioners/students/medical staff/nursing staff and others. Performance Expectation: Collaboration The APN Practitioner initiates referrals and coordinates the health care team to meet the patient/family needs by utilizing collaborative relationships between nursing and other disciplines as evidenced by: Collaborating in development, implementation, communication, and monitoring of the multidisciplinary/interdisciplinary plan of care for complex patients. Structuring multidisciplinary systems to facilitate these processes. Working with others to promote health and present illness in patients, families, staff, and community. Networking with payers and community resources to ensure quality outcomes. Participating as a team leader/member in the provision of health care. Interacting with professional colleagues (within/outside the facility) to provide comprehensive continuity of care. Performance Expectation: Nurse Practitioner The APN- Practitioner’s instinctive grasp of clinical situations reflects comprehensive knowledge and experience as evidence by: Assessing the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing a diagnostic, and therapeutic intervention requiring skill and education beyond that of a registered nurse. Interpreting information obtained from history and physical and developing a treatment plan. Formulating and prioritizing appropriate short-term and long-term therapeutic plans when indicated. Plan of care incorporates the physical, spiritual, cultural, and psychosocial aspects of patients and families to promote optimum levels of health. Management of patients in clinical specialty and other related disorders in individuals. Focusing on health maintenance in clinical management of chronically ill patients. Initiating emergency procedures as indicated. Exploring strategies to decrease length of stay and resource consumption within specialty. Utilizing clinical pathways to coordinate patient care across the full continuum of services: inpatient, ambulatory and home health, or through the patient’s trajectory of illness. Establishing priorities to meet the health needs of the individual, family or community. Developing a treatment plan, establishing a mutually acceptable evidence based, cost effective plan of care to maximize health potential Performance Expectation: Ethical Decision-making Skills The APN-Practitioner adheres to ethical principles that reflect the standards of the organization and individual behaviors as evidenced by: Incorporating the use of the nursing process and clinical judgment in ethical decision making. Practicing the principles of ethics in decision making for patients. Promoting the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrating appropriate use of skills of negotiation, mediation, collaboration, compromise, and accommodation to assist families struggling with ethical decisions. Displaying the ability to examine patient’s values that impact treatment decision-making preferences. Recognition of patient rights as a foundation for ethical decisions. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive Authority when required Licensure, Certification, or Registration Requirements for continued employment: Current RN Licensure in Virginia Credentialing in accordance with medical staff by-laws for specific job title License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive authority when required Experience REQUIRED: Minimum of two (2) years experience as a RN Experience PREFERRED: Academic health care experience Two (2) years within the specialty practice area Advanced Practice Nursing Role or Clinical Leadership Role experience Education/training REQUIRED: Master's Degree in Nursing from an accredited program specific to area of practice *Applicants with current advanced practice licensure may be within one semester of graduation from obtaining a MSN degree or higher, which must be completed within six months of hire to continue employment. Education/training PREFERRED: N/A Independent action(s) required: Clinical decision-making in collaboration with physicians and daily prioritization of activities. The allocation of time spent in patient care and elsewhere is largely self-determined. Supervisory responsibilities (if applicable): N/A Additional position requirements: N/A Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 50-100 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

NP

Full-time

Advanced Practice Provider - Palliative and Supportive Care

apartment VCU Health location_onRichmond, VA

The Palliative Care Advanced Practice Provider will provide inpatient consultative palliative care and cover inpatient hospice patients in a hospital setting. This is a full-time role with no outpatient clinic duties. The APP will work collaboratively with the rest of the palliative care interdisciplinary team to manage symptoms, support complex clinical decision-making, and deliver holistic care to patients and their families facing serious illness. This role includes coverage of one weekend day per month. The Advanced Practice Provider (APP- NP, PA) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician. The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s). Essential Job Statements Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Patient Population Age Specific groups served: As appropriate based on unit assignment. Employment Qualifications Required Education: Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program Preferred Education: Service-specific education Licensure/Certification Required: Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant Current national certification as appropriate for the role Credentialing in accordance with medical staff by-laws for specific job titles Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level Licensure/Certification Preferred: Service-specific certification Minimum Qualifications Years and Type of Required Experience Previous clinical experience with the population served Other Knowledge, Skills and Abilities Required: Cultural Responsiveness Other Knowledge, Skills and Abilities Preferred: Three (3) years of previous clinical experience with the population served Previous experience in an academic healthcare system Working Conditions Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

NP

Full-time

Advanced Practice Provider – Trauma/Acute Care Surgery

apartment VCU Health location_onRichmond, VA

The Nurse Practitioner job demonstrates a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals, families, or communities to actual or potential health problems, prevention of illness and injury, maintenance of wellness, and provision of comfort. This role assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. The Nurse Practitioner job continues to perform many of the same interventions used in basic nursing practice. The difference in this practice relates to a greater depth and breadth of knowledge, a greater degree of synthesis of data, and complexity of skills and intervention. ANA’s Scope and Standards of Advanced Practice Registered Nursing (1996). Essential Job Functions Performance Expectation: Pertains to Staff in Licensed Nursing Positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Failure to achieve the required number of contact hours will result in the employee ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Expert Coaching & Guidance The APN-Practitioner is a strong proponent of coaching and guidance as evidenced by: Planning and implementing steps to resolve problems affecting patient care quality and evaluates results. Role modeling patient advocacy. Challenging and adapting systems to maximize the benefits of patient care. Demonstrates advanced assessment skills in assessment, management of disease, and treatment-related side effects. Recommending goals and interventions for medical and nursing plan of care plans based on current literature. Promoting individual involvement and development of others. Demonstrating expert knowledge to coordinate patient care across the continuum of services: inpatient, ambulatory, and home health through the patient’s trajectory of illness. Developing and evaluating educational materials and teaching interventions for staff, patients/caregivers, and the community. Fostering skill development of others Assessment, diagnosis, and monitoring to improve the skills of students and staff. Mentoring the APN’s role in the health system to promote quality patient outcomes. Performance Expectation: Consultation The APN-Practitioner maintains a therapeutic relationship with the patients, caregivers, and staff throughout the health care continuum. Consultation and support is evidenced by: The ability to organize and facilitate patient support groups as needed. Serving as a liaison, translator and negotiator for staff, patients and families. Utilizing experiences and resources to staff regarding routine and unusual therapeutic interventions. Promoting teamwork through effective communication and feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Identifying unit, departmental/regional and hospital issues. Suggests changes in an effort to connect system problems. Functions as a consultant in the multi-disciplinary team. Performance Expectation: Research Skills The APN-Practitioner participates in clinical practices for a population of patients based on the application of clinical research findings and evidence-based practices as evidenced by: Identifying areas of need for nursing or medical research. Actively seeks/participates in and/or monitors this research. Utilizing current research to develop, implement and evaluate critical paths and standards of care for identified patient populations. Incorporating research findings into practice. Contributing to the profession through participation in research, publications, consultation and/or educational activities. Performance Expectation: Clinical & Professional Leadership The APN-Practitioner works with colleagues and or professional organizations in the advancement of clinical practice and fosters professional leadership behaviors as evidenced by: Consistently using nurse/patient relationship to positively affect the health care experience and promote adaptation to changing health status. Utilizing the Performance Improvement Process to address clinical practice and system changes within the organization. Seeking out opportunities for professional growth through organizational affiliations and certification in specialty area. Demonstrating mastery of nursing care of specialty populations. Expert documentation reflecting holistic and interdisciplinary patient care. Initiating and participating in departmental/specialty educational endeavors. Case managing identified target populations and diseases. Valuing the patient/family right to receive quality cost effective care and facilitates this process. Looked upon as a Role model self-leadership in own professional development: setting outcomes, seeking needed resources or learning, seeking and accepting feedback. Serving as a preceptor for advanced practitioners/students/medical staff/nursing staff and others. Performance Expectation: Collaboration The APN Practitioner initiates referrals and coordinates the health care team to meet the patient/family needs by utilizing collaborative relationships between nursing and other disciplines as evidenced by: Collaborating in development, implementation, communication, and monitoring of the multidisciplinary/interdisciplinary plan of care for complex patients. Structuring multidisciplinary systems to facilitate these processes. Working with others to promote health and present illness in patients, families, staff, and community. Networking with payers and community resources to ensure quality outcomes. Participating as a team leader/member in the provision of health care. Interacting with professional colleagues (within/outside the facility) to provide comprehensive continuity of care. Performance Expectation: Nurse Practitioner The APN- Practitioner’s instinctive grasp of clinical situations reflects comprehensive knowledge and experience as evidence by: Assessing the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing a diagnostic, and therapeutic intervention requiring skill and education beyond that of a registered nurse. Interpreting information obtained from history and physical and developing a treatment plan. Formulating and prioritizing appropriate short-term and long-term therapeutic plans when indicated. Plan of care incorporates the physical, spiritual, cultural, and psychosocial aspects of patients and families to promote optimum levels of health. Management of patients in clinical specialty and other related disorders in individuals. Focusing on health maintenance in clinical management of chronically ill patients. Initiating emergency procedures as indicated. Exploring strategies to decrease length of stay and resource consumption within specialty. Utilizing clinical pathways to coordinate patient care across the full continuum of services: inpatient, ambulatory and home health, or through the patient’s trajectory of illness. Establishing priorities to meet the health needs of the individual, family or community. Developing a treatment plan, establishing a mutually acceptable evidence based, cost effective plan of care to maximize health potential Performance Expectation: Ethical Decision-making Skills The APN-Practitioner adheres to ethical principles that reflect the standards of the organization and individual behaviors as evidenced by: Incorporating the use of the nursing process and clinical judgment in ethical decision making. Practicing the principles of ethics in decision making for patients. Promoting the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrating appropriate use of skills of negotiation, mediation, collaboration, compromise, and accommodation to assist families struggling with ethical decisions. Displaying the ability to examine patient’s values that impact treatment decision-making preferences. Recognition of patient rights as a foundation for ethical decisions. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Licensure, Certification, or Registration Requirements for Hire: Current RN licensure in Virginia or eligible License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive Authority when required Licensure, Certification, or Registration Requirements for continued employment: Current RN Licensure in Virginia Credentialing in accordance with medical staff by-laws for specific job title License to practice as NP in the specialty area in the Commonwealth of Virginia Prescriptive authority when required Experience REQUIRED: Minimum of two (2) years experience as a RN Experience PREFERRED: Academic health care experience Two (2) years within the specialty practice area Advanced Practice Nursing Role or Clinical Leadership Role experience Education/training REQUIRED: Master's Degree in Nursing from an accredited program specific to area of practice *Applicants with current advanced practice licensure may be within one semester of graduation from obtaining a MSN degree or higher, which must be completed within six months of hire to continue employment. Education/training PREFERRED: N/A Independent action(s) required: Clinical decision-making in collaboration with physicians and daily prioritization of activities. The allocation of time spent in patient care and elsewhere is largely self-determined. Supervisory responsibilities (if applicable): N/A Additional position requirements: N/A Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 50-100 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

Advanced Practice Provider - Hospital Medicine - Tappahanock

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