Advanced Registered Nurse Practitioner - Interventional Radiology - Full Time

About the role

The University of Miami UHealth Department of Radiology - Vascular Interventional has an exciting opportunity for a full time Advanced Practice Provider (APP).

Responsibilities

• Performs and documents complete physical examinations and comprehensive health histories.
• Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
• Implements interventions to support the patient to regain or maintain physiologic stability.
• Affords assistance in the provision of care in accordance with facility, state, and federal regulations.
• Maintains monitoring of the effectiveness of interventions.
• Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
• Collaborates with multidisciplinary team members by making appropriate referrals.
• Facilitates staff, patient and family decision making by providing educational tools.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

Qualifications

• Education: Master's degree in relevant field required.
• Certification and Licensing: Valid State of Florida APRN license required.

Department Specific Functions

• Primarily performs duties across multiple UHealth facilities as needed including but not limited to UHealth Tower, Sylvester Comprehensive Cancer Center, Interventional Radiology Clinic, Lennar Foundation Medical Center, UHealth Doral, and with possible rotations at other locations as services are expanded.
• Performs minimally invasive vascular and nonvascular procedures as mentioned in management protocol and collaborative agreement independently or under the general supervision of attending interventional radiologist and per hospital competencies including but not limited to:
• Assist with Port Placements and Removals
• Paracentesis
• Thoracentesis
• Central venous catheter insertion and removal
• PICC Line insertion and removal
• Tunneled catheter placement, exchange, and removal
• FNA biopsies
• Aspiration of superficial collections
• Bone Marrow Biopsy
• Tube removal for biliary, nephrostomy, gastrostomy, or abscess
• Suture of simple and complex incisions and lacerations not requiring ligament or tendon repair
• Assist physician with any additional interventional studies
• Preceptor: Demonstrates ability to serve as a preceptor when assigned, including introducing new Nurse Practitioners to the service area, communicating and reinforcing core and job-specific expectations, validating initial competency, assessing learning needs, serving as a resource and providing feedback
• Service educator: Serves as an education resource for staff
• Pre-study assessment & post-study follow-up for interventional patients
• Pre-assessment and assessment of interventional radiology patients undergoing imaging studies with IV contrast as required.
• Assesses potential problems/contraindications for interventional radiology patients receiving IV contrast or those with uncontrolled medical problems, and takes appropriate actions to reduce the risk of patient injury
• Co-manages with physicians those patients who are/become high-risk
• Demonstrates the ability to extract pertinent patient clinical data in relation to the requested procedure
• Marks monitors/communicates problems that may contribute to increased unnecessary length of hospital stay to appropriate clinicians
• Conducts a pre-study-focused screening
• Conducts a pre-anesthesia, pre-procedural, and focused physical screening
• Relays information to patients regarding preparation for laboratory tests, examinations, and procedures
• Obtains an accurate abbreviated age-specific, advanced health history review of systems including biophysical and psychosocial data
• Performs intake of patients, including the taking of a brief medical history & performing physical exam
• Documents all consultations to include focused medical history, physical exam, and summary of consultations, treatment options reviewed, risk and benefits of procedures offered, patient disposition, and the results of all testing under the indirect supervision of the attending interventional radiologist
• Dictsates all procedures that are performed independently with final approval by attending interventional radiologist
• Trips interventional radiology patients via telephone and determines the need for emergency consultations based on acquired information and diagnostic testing necessary.
• Evaluates interventional radiology patients as needed for pre-screening issues related to contrast media allergies, contrast media pre-medication for allergies, and patients on hemodialysis or peritoneal dialysis
• Participates in the development of individualized plans of care and ongoing follow-up
• Documents progress notes in the medical record
• Provides verbal and written orders for medications as per collaborative protocol
• Updates physicians as necessary regarding patient issues to ensure continuity of care
• Defines the discharge plan of care including follow-up, medications, home care referral, etc
• Helps to coordinate interventional procedures schedule to include requests from both the inpatient unit and outpatient referrals
• Adheres to radiation safety regulations
• Affirms that pre- and post- procedure orders are carried out to include both pre-op and post-procedure instructions to patients, relatives, and staff
• Affords assistance in the transferring of patients to other institutions when necessary
• Demonstrates knowledge and skills in interventional radiology procedures, contrast administration, response to contrast reactions, and extravasations related to interventional radiology procedures
• Provides pre- and post-procedure patient education and counseling
• Recognizes needs for/obtains physicians’ assistance, input, and guidance as indicated within limits of scope of practice
• Aids in ensuring clearance for interventional procedures based on physical and lab assessment of patients
• Facilitates/initiates inter/intra-departmental problem-solving and communication
• Affords assistance in & facilitates research activities
• Participate in patient care conferences/tumor boards
• Takes part in patient rounds with the responsible physicians as necessary
• Diagnoses health problems and manages the healthcare care of patients
• Prescribes and Orders Physical Therapy
• Participate in on call weekend coverage as assigned.
• Performs related duties as requires
• Patient Management of vascular and non-vascular illnesses
• Affords assistance in attending interventional radiologists with vascular interventional procedures
• Positively impacts Interventional Radiology patients’ clinical management and provides ongoing continuity of care
• Affords assistance in the coordination of patient imaging studies and laboratory tests required for specific Interventional radiology tests and procedures through contact with the referring physicians and/or the patients directly
• Affords assistance in the management of & the education of patients referred to the Interventional Radiology service in addition to counseling of patients and their families
• Affords assistance in & facilitates research activities
• Participate in patient care conferences/tumor boards
• Takes part in patient rounds with the responsible physicians as necessary
• Diagnoses health problems and manages the healthcare care of patients
• Prescribes and Orders Physical Therapy
• Participate in on call weekend coverage as assigned.

Benefits

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

Pay

N/A

Schedule

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