Acute APRN CVICU/TLCU Part time with Benefits, Jackson Memorial, Part Time with Benefits, Night Shif
About the Role
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. The incumbent may perform unit-specific duties based on the specialty.
Responsibilities
- Uses clinical judgment in conducting health assessments, making differential diagnoses, and prescribing pharmacological and non-pharmacological treatments.
- Plans are implemented through independent action, health counseling, and collaboration with other members of the health team.
- Responsible for clinical oversight and health center consultation regarding administration of health care policy and procedure for the delivery of on-site health services.
- 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 a Physician.
- Orders, interprets, and evaluates diagnostic tests to identify and assess patients' clinical problems and healthcare needs.
- Records physical findings and formulates plan and prognosis based on patient's condition.
- Provides written home-going instructions and 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 Physicians and other health professionals to prepare comprehensive patient care plans as necessary.
- Prescribes or recommends medications or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures.
- Refers patients to Physicians 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 searches of nursing literature and suggests changes/improvements in patient care standards.
- Integrates current knowledge of professional issues, trends in healthcare, and technological advances into scope of practice.
- Follows and performs all related unit-specific policies and procedures, as detailed on the unit-specific competency checklist.
- Utilizes job and unit-specific equipment as required.
- Employees assigned lead job duties may perform the following:
- Approve time off requests for IR NPs.
- Coordinate tracking board and first cases.
- Address IR escalations, expediting, and prioritizing escalations to help shorten LOS.
- Onboard fellows and orient residents.
- Lead staff huddle.
- Serve as the main resource for the unit/hospital (touchpoint person for the unit).
- Review case delays.
- Involvement in PI projects for the department.
- Psychiatric nurse practitioners can capacitate psychiatric patients in the hospital setting and 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.
Requirements
- Master's degree in Nursing is required.
- Valid Florida Advanced Practice RN license required.
- Valid APRN Board certification in specialty area required.
- American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required 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 credentials: FL-BLS, FL-ACLS.
Experience
Generally requires 5 to 7 years of related experience. Units at BHH require 1 year of experience.
Skills
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 the use of job-appropriate technology and software applications.
Nursing Competencies
- Ability to understand, respect, and accommodate patients' preferences and needs regarding their individual beliefs, customs, and practices.
- Must have the ability to clearly, accurately, and effectively provide information to doctors, other nurses, patients, and family members.
- Must have the ability to show compassion, patience, and maintain a 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 checklist.
Working Conditions
Physical Requirements
- Job function requires extended standing or walking.
- Must be able to carry objects weighing 21 to 50 pounds.
- Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices.
- Jobs in this group require frequent visual acuity to perform activities related to extended use of computers.
Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
Environmental Conditions
- Jobs in this group are required to function in a fast-paced environment with occasional high pressure or emergent and stressful situations.
- Frequent interaction with a diverse population including team members, providers, patients, insurance companies, and other members of the public.
- Function is subject to inside environmental conditions, with occasional outdoor exposures.
- Exposure to various environments such as communicable diseases, toxic substances, medicinal preparations, and other conditions common to a hospital and medical office environment.
- May also be exposed to needle sticks, airborne infections, medical gases, X-ray, chemical exposures, and other potential hazards.
- Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environments.
Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
Schedule
Part-time with benefits, night shift, 12 hours.