Nurse Practitioner-Inpatient Oncology, Bone Marrow Transplant - Mount Sinai Hospital - Full Time - Day (12 hour shift)

About the role

A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for a patient’s condition that falls within their specialty area of practice. Medical orders, progress notes and treatment plans are not required to be countersigned by a physician.

Responsibilities

• Assess the health status of patients/families by means of comprehensive health history and physical examination
• Initiate and order selected therapeutic and diagnostic procedures, consultations and laboratory examinations, prescribe medication regimens, interpret findings and alter plan of care according to accepted standards of care and practice guidelines
• Educate and counsel in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses
• Document findings and plan of care in the patient’s medical record
• Consult with physician according to established standards, policies, procedures, and protocols
• Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in assigned area
• Initiate referrals to specialty services and foster continuity of care
• Participate in team meetings and conferences to enhance an interdisciplinary approach to care delivery
• Maintain patient/employee confidentiality in the management of information
• Develop the plan of care based on the diagnoses and individual patient needs
• Record, report, and interpret the client’s responses to the plan of care
• Perform a patient record review with the collaborating physician in a timely fashion but not less than every three months if utilizing a collaborative practice agreement
• Complete the Focused Professional Practice Proctoring Evaluation (FPPE) or the Ongoing Professional Practice Proctoring Evaluation (OPPE) as required by Medical Staff for continued credentialing status
• Practice as a member of the allied health staff according to the rules and regulations of the Medical Staff and the bylaws of the Hospital Staff

Professional Development

• Support the mission, vision, philosophy and goals of the Department of Nursing and the MSHS
• Demonstrate accountability for own nursing practice
• Consider ethical issues of professional nursing practice and adhere to the code of ethics
• Demonstrate a humanistic, kind, and caring attitude in the delivery of health care
• Serve as a resource person to nurses and other health team members
• Participate in peer review
• Incorporate research findings in clinical practice
• Participate in approved nursing and medical research studies
• Keep knowledge current by self-directed learning, literature review and attendance at educational programs
• Participate in defining, maintaining, and interpreting standards of nursing practice
• Contribute to the maintenance of a positive image of advanced practice nursing in the medical center and in the local community by implementing programs which recognize nursing as a profession
• Participate in departmental and interdisciplinary committees which influence and/or determine policies affecting nursing practice and patient care delivery
• Seek opportunities to enhance professional nursing practice and influence outcomes
• Treat co-workers, patients and families with dignity and respect

Requirements

• Ability to perform history taking
• Ability to perform physical assessment techniques
• Demonstrate and complete documentation of competency in specialty specific procedures according to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee
• Ability to interpret and apply principles of nursing research utilization
• Ability to manage and coordinate a patient caseload
• Work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as a member of the health care team in area of practice
• Physical stamina and manual dexterity to perform a variety of tasks and skills in area of assignment
• Excellent interpersonal skills, effective communication skills, creative problem solving and excellent critical thinking and leadership

Education

• Master’s degree program designed to prepare a NP to diagnose, treat, and prescribe for a patient’s condition that fall within their specialty area of practice or the successful completion of an approved supplemental education program, i.e., post-master’s NP certificate

Licensure & Certification

• New York State License with current registration as a registered nurse
• Certified by the New York State Department of Education as a Nurse Practitioner with current registration:
  • Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR is certified as a Nurse Practitioner by a national association via examination
  • Has completed a pharmacy component of not less than the required semester hours or the equivalent AND has been instructed in New York State and Federal Laws relating to prescriptions and recordkeeping (3-hour course)
  • Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3,600 hours experience as a practicing Nurse Practitioner OR has a Collaborative Relationship with a physician based on employment in clinical practice in the NP role at Mount Sinai Hospital if there is a documented work history as a Nurse Practitioner with greater than 3,600 practice hours
• National Board Certification in Advanced Practice Nursing required for all NPs hired effective June 1, 2019; for NPs who bill for professional services, National Board Certification is required regardless of hire date (may be deferred up to 1 year if approved by Chief Nursing Officer or designee)
• Credentialed through the Credentialing Committee of the Medical Board with approved Delineation of Privileges
• Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification required
• Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), Neonatal Resuscitation Program (NRP) certificates as required by specialty

Experience

• Previous progressive experience relevant to the area of clinical practice required