Advanced Practice Nurse II - Urogynecology

Job Overview

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.

Job 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.
• Aids 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. 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.
• 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 a as leader or team member in relevant Quality Improvement projects.
• Promotes mentoring and education to nursing by serving as a Journal Club mentor and facilitating 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, 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. Abides by the Ohio Scope of Practice as an APRN.
• 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.
• 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.

Working Conditions

• Climbing - Rarely
• Hearing: Conversation - Frequently
• Other Sounds - Frequently
• Kneeling - Rarely
• Lifting
• Lifting
• Pulling - Occasionally
• Pushing - Occasionally
• Reaching - Occasionally
• Sitting - Occasionally
• Standing - Frequently
• Straightening - Occasionally
• Walking - Frequently
• Talking - Frequently
• Using Hands - Frequently
• Color Vision - Frequently
• Visual Acuity: Far - Frequently
• Visual Acuity: Near - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello."
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist.
• Refrain from using cell phones for personal reasons in public spaces or patient care areas.
• Excel:
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met.
• Offer patients and guests priority when waiting (lines, elevators).
• Work on improving quality, safety, and service.