Advance Practice Nurse

Location: Bethesda North Hospital

Schedule

Part time day shift

Benefits

• Competitive shift differentials
• Opportunities for professional growth
• Comprehensive benefits package including:
  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings plans
  • Tuition reimbursement
• Note: PRN positions not eligible for TriHealth benefits

Requirements

• 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 clinical experience in Nursing
• Nursing practice in an acute setting

About the Role

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:

• Assessment of patient health status
• Diagnostic testing and diagnoses
• Development and implementation of treatment plans
• Follow-up and evaluation of the patient’s response to treatment
• Accurate documentation of the patient’s status
• 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 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.

Responsibilities

• 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.
• Provides effective leadership and integrates analysis of cost and benefits in care decisions.
• Designs/develops innovative solutions for patient care problems that utilize resource efficiency while maintaining or improving quality and advancing best practices.
• Provides leadership in the development and application of consensus-derived protocols or evidence-based practice (EBP) guidelines in the clinical setting.
• Participates, as opportunities arise, in healthcare-related decision-making at the system, local, state, and national levels with an emphasis on improving patient outcomes.
• Serves in key roles by participating in/leading committees, councils, and administrative teams.
• 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 as a leader or team member in relevant Quality Improvement projects.
• Promotes mentoring and education to nursing by serving as a Journal Club mentor and facilitates learning in critically appraising the literature.
• Provides education to patients, families, and healthcare providers to promote best practice.
• Serves as a teacher, mentor, role model to nurses in the promotion of nursing research and EBP.
• Serves as preceptor, role model, and mentor to staff nurses and colleagues as well as nursing students.
• Teaches, coaches, and supports nurses and other healthcare professionals to advance the care of patients.
• Provides education to the patient and their family for health promotion including secondary prevention strategies.
• Collaborates in the assessment, development, implementation, and evaluation of patient and staff educational needs.
• Ensures nursing practice is conducted in an ethical and legal manner and 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 and 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 healthcare team as appropriate.
• 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 and implement a comprehensive plan of care.
• Discusses patient’s care with family members and performs duties per the Standard Care Arrangement.

Working Conditions

• Climbing: Occasionally
• Concentrating: Consistently
• Continuous Learning: Consistently
• Hearing (Conversation): Consistently
• Hearing (Other Sounds): Consistently
• Interpersonal Communication: Consistently
• Kneeling: Occasionally
• Lifting <10 Lbs.: Frequently
• Lifting 50+ Lbs.: Frequently
• Lifting 11-50 Lbs.: Frequently
• Pulling: Frequently
• Pushing: Frequently
• Reaching: Consistently
• Reading: Consistently
• Sitting: Frequently
• Standing: Frequently
• Stooping: Frequently
• Talking: Consistently
• Thinking/Reasoning: Consistently
• Use of Hands: Consistently
• Color Vision: Consistently
• Visual Acuity (Far): Consistently
• Visual Acuity (Near): Consistently
• Walking: Frequently