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

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 the 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 Mount Sinai Health System
• 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

• Licensure: New York State License with current registration as a registered nurse
• State Certification: Certified by the New York State Department of Education as a Nurse Practitioner with current registration as follows:
  • 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
• Education: Master’s degree program designed to prepare a NP to diagnose, treat, and prescribe for a patient’s condition that falls within their specialty area of practice or the successful completion of an approved supplemental education program, i.e., post-master’s NP certificate
• Experience: Previous progressive experience relevant to the area of clinical practice required
• 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), and The Neonatal Resuscitation Program (NRP) certificates as required by specialty

Knowledge, Skills and Abilities

• 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