NP ICU Full-time
Jefferson Health

MICU- Advanced Practice Clinician- Nocturnist

Jefferson Health Houston, TX 77030, US
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Job Details

The advanced practice provider (Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team.

Job Description

Assessment & Management

  • Performs complete history & physicals and documents in the medical record.

  • Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.

  • The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.

  • Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

Diagnosis

  • Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.

  • Manages diagnostic tests through ordering, interpretation, performance, and supervision.

  • Formulates differential diagnoses by priority.

  • Diagnoses complications and orders appropriate interventions

Formulates Plan of Care

  • Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.

  • Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.

  • Implements and modifies plan of care.

  • Prescribes diagnostic strategies and therapeutic interventions.

  • May perform advanced procedures consistent with privileges and competency validation.

Communication and Collaboration

  • Maintains ongoing communication and collaboration with interdisciplinary health care team.

  • Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.

Documentation

  • Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary)

  • Documentation is timely, meets acute care compliance standards and captures patient acuity.

Professional Practice

  • Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.

  • Seeks opportunities for active engagement in research and the analysis of evidenced based practice.

  • Actively participates in Advance Practice Grand Rounds and specialty specific meetings.

  • Maintains CEUs, and membership in a professional organization.

Qualifications

  • Master’s Degree

  • National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant

  • BLS certification

  • ACLS certification

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Jefferson University Physicians

Primary Location Address

2301 South Broad Street,, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

For more benefits information, please click here

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FINANCE ESSENTIAL FUNCTIONS Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications. Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement. Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis. This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. Qualifications EDUCATION Master's degree or higher from an accredited school of Nursing WORK EXPERIENCE Two years of registered nurse, advanced practice or nurse practitioner clinical experience License/Certification LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure -- Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) AND APRN - Advanced Practice Registered Nurse - Texas Board of Nursing -- Acute care NP license AND Magnet Acute Care NP ANCC-recognized certification AND BLS - Basic Life Support or Instructor (AHA) AND ACLS - Advanced Cardiac Life Support or Instructor (AHA) AND AP - Prescriptive Authority - Texas Board of Nursing AND DEA - Narcotics License (DEA) within 6 months KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families Demonstrates proficient time management skills Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform No Scrubs Yes Business professional Yes Other (department approved) Yes ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below. On Call* Yes TRAVEL** **Travel specifications may vary by department** May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No Company Profile Houston Methodist Specialty Physician Group - As one of the nation’s leading hospitals and academic medical centers Houston Methodist has brought together some of the nation’s leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.