Advance Practice Nurse or Physician Assistant- MSICU Critical Care

Overview

Please come join our growing ICU APP team! This position is a combination of night and day coverage in the MSICU for Good Samaritan and Bethesda North Hospitals on a rotating basis as established by the APP team to meet the needs of our patients. Willing to consider and train either an APRN or PA professional looking to join a great team with a collaborating approach.

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 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.

APRNs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APRNs function at all levels of the healthcare system within three sphere 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, CNS or midwife program (Required)
• 3 - 4 years experience Clinical in Nursing practice in Geriatric, Occupational health, or other applicable setting (Required)
• Demonstrated expertise in area of clinical specialization
• Registered Nurse Upon Hire Required

• 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.
• 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.
• 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.
• 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…