Critical Care Advanced Practice Provider; APP Medical Stepdown Unit NYULH-Suffolk

Position: Critical Care Advanced Practice Provider (APP) Medical Stepdown Unit NYULH-Suffolk
NYU Langone Hospital-Suffolk is a 306-bed medical center, providing care to residents of eastern Long Island. The hospital facility is home to the Knapp Cardiac Care Center-an advanced heart disease diagnostic and treatment facility-as well as a modern ambulatory surgical pavilion with specialized services including women's imaging, a sleep laboratory, and bariatric surgery. Our Provisional Level 2 Trauma Center delivers comprehensive and specialized care for patients with traumatic injuries.

The Stroke Center at NYU Langone Hospital-Suffolk is designated by the New York State Department of Health as a Primary Stroke Center, with expert neurologists available to provide treatment 24 hours a day, 7 days a week. Additionally, NYU Langone Hospital-Suffolk has multiple outpatient sites, including an outpatient wound care center, a hemodialysis center, and various primary care and specialty offices.

For more information, go to NYU Langone Hospital-Suffolk, and interact with us on Linked In, Glassdoor, Indeed, Facebook, Twitter, You Tube and Instagram.

Position Summary:

We have an exciting opportunity to join our team as a Critical Care Advanced Practice Provider (APP) Medical Stepdown Unit NYULH-Suffolk - Medical Staff.

In this role, the successful candidate Nurse practitioners (NP) are dedicated to providing quality, professional, cost-effective health care to all patients at NYULH - Suffolk.

NPs provide services as a licensed independent practitioner (LIP) collaborating with a licensed physician fulfilling a broad range of medical services that would otherwise be provided by the physician. A NP shall be permitted to provide any service within his/her scope of training/skills outlined in the collaborative agreement between the NP and the collaborating physician that has been approved by the Credentials Committee.

NPs may provide care for all patients throughout the hospital as permitted by their certification and licensure. NPs work collaboratively with the patient's physicians, assisting in providing high-quality care, and a well-planned, timely discharge. NPs provide patient-centered care as members of interdisciplinary teams emphasizing evidence-based practice and accepted standards of care. A NP shall document according to the practices included in the Clinical Documentation Initiative (CDI).

The Critical Care Advanced Practice Provider (Nurse Practitioner or Physician Assistant) provides high-acuity inpatient care for adult patients admitted to the Medical Stepdown Unit. Working in collaboration with Critical Care Medicine, Hospital Medicine, Pulmonary/Critical Care, and consulting specialists, the APP manages patients with complex medical conditions requiring continuous monitoring, advanced therapies, and frequent clinical reassessment. The APP functions with a high degree of autonomy in evaluating, diagnosing, treating, and stabilizing patients at risk for clinical deterioration while promoting safe transitions of care and preventing ICU readmissions.

The Medical Stepdown Unit serves as an intermediate level of care between the Intensive Care Unit (ICU) and general medical-surgical units, caring for patients with complex critical care needs who require enhanced monitoring and intervention.

Job Responsibilities:

Assessment and Reassessment of Patients

* Introduces/identifies self as a nurse practitioner

* Assists the physician with patient management focusing on quality care and a well-planned, timely discharge

* Communicates professionally and effectively with the patient's physician, and as appropriate, consulting physicians, case managers, nurses, and other Hospital staff any patient information that may affect discharge or the patient's hospital course.

* Performs initial and ongoing assessment/history and physical examination

* Assesses/reassesses patient's condition and care plan

* Orders and interprets tests/results(lab, radiology, ekg, etc.) based on patient need

* Orders medications and treatments

* Documents care in the chart in accordance with hospital policies and procedures

* Formulates diagnoses

* Formulates and implements patient care and treatment plans. Discusses patient care and treatment plans, expectations, needs, and any other information with physicians, nurses, case managers, and other hospital staff. Uses established Long Island Health Network (LIHN) guidelines, if applicable.

* Obtains consents for blood/blood product transfusion, CAT scan and MRI contrast administration, and for procedures performed by the PA

* Initiates consults with physicians and other hospital staff including those for hospice and palliative care

* Initiates and participates in care related to end-of-life issues including Do Not Resuscitate/Intubate (DNR DNI) and Medical Orders for Life Sustaining Treatment (MOLST) documentation

* Manages medical/surgical patient care including emergencies requiring BLS/ACLS/PALS (if adult or family NP)

* Performs Trauma assessments/reassessments following ATLS (Trauma Team)

* Performs peri- and…