Nurse Practitioner - Klingenstein 3 NICU - Mount Sinai Hospital-Full Time - Night

Full-time night shift position in the Klingenstein 3 NICU at Mount Sinai Hospital.

About the role

A Nurse Practitioner (NP), as defined in Title VIII, Article 139 section 6910 of the New York Education Law, is a Registered Nurse who has earned separate certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. NPs are independent practitioners who diagnose, treat, and prescribe for patients' conditions within their specialty. Medical orders, progress notes, and treatment plans do not require countersignature by a physician.

Responsibilities

Clinical Practice

• Assess the health status of patients and families through comprehensive health history and physical examination.
• Initiate and order therapeutic and diagnostic procedures, consultations, and laboratory examinations; prescribe medication regimens; interpret findings; and alter the plan of care according to accepted standards and practice guidelines.
• Educate and counsel on 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 physicians according to established standards, policies, procedures, and protocols.
• Demonstrate knowledge and skills necessary to provide care appropriate to the age of patients served.
• 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 and employee confidentiality.
• Develop and record the plan of care based on diagnoses and individual patient needs, including interpreting client responses.
• Perform patient record reviews with the collaborating physician at least every three months if utilizing a collaborative practice agreement.
• Complete Focused Professional Practice Proctoring Evaluation (FPPE) or Ongoing Professional Practice Proctoring Evaluation (OPPE) as required for continued credentialing.
• Practice as a member of the allied health staff according to Medical Staff rules and hospital bylaws.

Professional Development

• Support the mission, vision, philosophy, and goals of the Department of Nursing and Mount Sinai Health System (MSHS).
• Demonstrate accountability for own nursing practice.
• Consider ethical issues in professional nursing practice and adhere to the code of ethics.
• Demonstrate a humanistic, kind, and caring attitude in healthcare delivery.
• Serve as a resource to nurses and other health team members.
• Participate in peer review and incorporate research findings into clinical practice.
• Engage in approved nursing and medical research studies.
• Maintain current knowledge through self-directed learning, literature review, and attendance at educational programs.
• Participate in defining, maintaining, and interpreting standards of nursing practice.
• Contribute to a positive image of advanced practice nursing within the medical center and community.
• Participate in departmental and interdisciplinary committees influencing nursing practice and patient care policies.
• Seek opportunities to enhance professional nursing practice and influence outcomes.
• Treat co-workers, patients, and families with dignity and respect.

Requirements

• New York State License with current registration as a Registered Nurse.
• State Certification as a Nurse Practitioner with current registration from the New York State Department of Education:
  • Graduate of a New York State registered Nurse Practitioner Program or equivalent, or
  • Certified as a Nurse Practitioner by a national association via examination.
• Completion of a pharmacy component of not less than the required semester hours or equivalent, including instruction in New York State and Federal laws relating to prescriptions and recordkeeping (3-hour course).
• Collaborative Practice Agreement with a physician and designated protocols if less than 3,600 hours of experience as a practicing Nurse Practitioner, or Collaborative Relationship with a physician based on employment in the NP role at Mount Sinai Hospital if documented work history exceeds 3,600 practice hours.
• Master’s degree program designed to prepare an NP to diagnose, treat, and prescribe, or successful completion of an approved supplemental education program (e.g., post-master’s NP certificate).
• Previous progressive experience relevant to the area of clinical practice.
• National Board Certification in Advanced Practice Nursing required for NPs hired after June 1, 2019, or for those who bill for professional services, regardless of hire date (may be deferred up to 1 year with approval).
• 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.
• Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), or Neonatal Resuscitation Program (NRP) certificates as required by specialty.

Skills

• Ability to perform history taking and physical assessment techniques.
• Competency in specialty-specific procedures with annual documentation and performance review.
• Ability to interpret and apply principles of nursing research utilization.
• Ability to manage and coordinate a patient caseload.
• Ability to work within a Collaborative Practice Agreement or Relationship Attestation as part of the healthcare team.
• Physical stamina and manual dexterity for a variety of tasks.
• Excellent interpersonal, communication, problem-solving, critical thinking, and leadership skills.