Advanced Practice Nurse II

Overview

Job Description The Palliative Care Nurse Practitioner serves patients with serious illness while collaborating with primary and attending providers, care managers, chaplains, and social workers. This position serves patients in a local hospital in the Emergency Department and Medical Floors. Schedule is Monday–Friday afternoon hours. No weekends or holidays. Two or more years of acute care Nurse Practitioner experience required. Palliative Care or Hospice experience preferred.

Job Overview The APRN II is a nurse prepared with graduate-level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. Advanced clinical practice includes assessment of patient health status, diagnostic testing, diagnoses, development and implementation of treatment plans, follow-up and evaluation of treatment response, accurate documentation, and patient advocacy.

APRNs design, implement, and evaluate patient-specific and population-based programs of care and promote care through various methods. APRNs operate within three spheres of influence: client, personnel, and organization. APRNs 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.

• Master's Degree in Nursing
• Graduate from NP or CNP program
• Specialty certification in area of expertise within one year of start date
• Registered Nurse with APRN Licensure
• Demonstrated expertise in area of clinical specialization
• 3–4 years of clinical nursing experience
• Nursing practice in an acute or primary care setting

• Collaborates and consults with the interdisciplinary healthcare team, patient and family when diagnosing, prioritizing problems, and implementing interventions.
• Provides consultation and initiates referrals to other healthcare team members; promotes collaboration among team members.
• Assists patients and families in selecting therapies that balance cost and quality of benefits.
• Collaborates with other disciplines in teaching, consultation, management, and research to improve outcomes and the healthcare environment.
• Provides effective leadership; designs and develops innovative solutions that balance resource use with quality and outcomes; supports evidence-based practice guidelines.
• Participates in healthcare-related decision-making at system, local, state, and national levels with a focus on patient outcomes; serves in roles on committees and administrative teams.
• Engages in research, quality improvement, and education to advance clinical practice and patient outcomes; may serve as primary or co-investigator in nursing or collaborative research.
• Educates patients, families, and healthcare providers to promote best practices; acts as a teacher, mentor, and preceptor to staff and students.
• Ensures ethical and legal nursing practice; adheres to scope of practice and provides safe, compassionate, and dignified care; facilitates end-of-life discussions and patient advocacy.
• Directly manages patient and/or family care for at least 50% of the position; conducts comprehensive histories and physicals; prescribes within formulary; orders and interprets tests; collaborates with physicians on a comprehensive plan of care.

The Tri Health Nursing Vision, Mission, and Philosophy emphasize professional development, collaboration, and a collaborative nursing culture. We encourage continuing education, pursuit of advanced degrees, specialty certification, membership in professional organizations, involvement in community health, nursing research, and adherence to evidence-based practice. We promote collaborative relationships among nurses, physicians, and other caregivers for the benefit of patient care.

• Climbing:
  Occasionally
• Concentrating:
  Consistently
• Continuous Learning:
  Consistently
• Hearing and communication:
  Consistently
• Kneeling:
  Occasionally
• Lifting:
  Various weights (frequently)
• Pulling/Pushing/Reaching/Reading/Seeing/Thinking:
  Consistently
• Sitting/Standing/Walking:
  Frequently
• Tri Health SERVE Standards and ALWAYS Behaviors:
  Demonstrate service, integrity, respect, value, and engagement in interactions with patients, families, and colleagues.