Acute Inpatient APRN/PA

Jackson Memorial Hospital, Transplant

Full Time, Night Shift

The APRN Inpatient provides a wide range of primary, acute and specialty healthcare services, both autonomously and in partnership with other healthcare professionals, in accordance with State and Federal regulations. These services include managing patient's overall care; prescribing medications and treatments; ordering, conducting and interpreting diagnostic tests, such as x-rays, EKGs and lab work; diagnosing and treating chronic and acute conditions, including injuries, infections, diabetes and high blood pressure; performing invasive procedures; counseling; and educating patients on positive health-promoting lifestyle choices and disease, injury and illness prevention. Incumbent in the job classification may perform unit specific duties based on the specialty.

Duties and Responsibilities

• Uses clinical judgments in conducting health assessments making differential diagnosis, and prescribing pharmacological and non-pharmacological treatments.
• Plans are implemented through independent action, health counseling, and collaboration with other members of the health team.
• The APRN is responsible for clinical oversight and health center consultation regarding administration of health care policy and procedure of the delivery of on-site health services.
• The NP promotes optimum health, prevents illness and injury, and manages acute and chronic health problems in the on-site setting.
• Performs physical examinations and preventive health measures within prescribed guidelines and instructions of Physician.
• Orders, interprets, and evaluates diagnostic tests to identify and assess patients clinical problems and health care needs.
• Records physical findings, and formulates plan and prognosis, based on patients condition.
• Provides written home-going instructions.
• Makes referrals for follow-up to appropriate community resources.
• Collaborates with other specialties to ensure interdisciplinary management and continuity of care for both inpatients and outpatients.
• Collaborates with Physician and other health professionals to prepare comprehensive patient care plan as necessary.
• Prescribes or recommends medications or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures.
• Refers patients to Physician for consultation or to specialized health resources for treatment.
• Maintains detailed and accurate medical records.
• Educates and coaches nursing staff on best nursing practices.
• Initiates search of nursing literature/suggests changes/improvement in patient care standards.
• Integrates current knowledge of professional issues, trends in health care and technological advances into scope of practice.
• This job has no supervisory responsibilities.
• Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list.
• Utilizes job and unit specific equipment as required.
• Review case delays. Involved in PI projects for the department.
• Psychiatric nurse practitioners can capacitate psychiatric patients in the hospital setting, they can also provide one of the professional opinions on the “2 Physician certification” form (B-32).
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performs other related duties as assigned.

Experience

Generally requires 5 to 7 years of related experience. Units at BHH require 1 year of experience.

Education

Master's degree in Nursing is required.

Skill

General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Nursing Competencies: Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices. Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members. Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers. Unit Specific Competencies: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list.

Credentials

Valid Florida Advanced Practice RN license required. Valid APRN Board certification in specialty area required. American Heart Association and any additional applicable life support certification for Healthcare Providers may be required at the unit level upon hire with at least 6 months validity and maintenance at JHS for the duration of employment. Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty.

Unit Specific Credential

AHA Basic Life Support (BLS) with 6 months validity. AHA Adv Cardiovascular Life Support (ACLS).