NP/PA Inpatient Critical Care (NIGHT SHIFT)

Job Summary:
Responsible for providing direct patient care and supervising the care of patients who are admitted to and consulted on by the hospital intensivist and any others as defined by the Collaborative agreement the NP has with the collaborating physician. Provides direct patient care for patients diagnosed with various multi-system conditions including, but not limited to respiratory disease, illness and failure, and general medical care for patient's admitted to other specialty services, utilizing evidence based practice. Responsible for prompt recognition of acute change in patient status necessitating emergent change in plan of care. Patient care may include daily rounds independent of physicians, performing detailed history and physicals on admission, diagnosing and treating patient with current scope of care, collaborating and consulting multidisciplinary team to optimize patient care and outcomes. Formal consults will be made to Hospitalist team and other specialist when deemed necessary. Will work closely with ancillary departments to ensure appropriate and timely work up and disposition of all patients. May provide comprehensive discharge plan to facilitate proper transition of care. Serves as both role model and resource to nursing and outpatient office staff. Provide ongoing staff education as needed. Provide patient education on ongoing basis. Maintain current credentialing/privileges, CEU requirements, licensure and certification as required. Serves as liaison between outpatient clinic physicians, Critical Care Intensivist, Hospitalist service and Primary Care physicians to coordinate patient care services in order to optimize patient care and maximize utilization of resources.

This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation.

Education:
Required: Masters of Science degree in Nursing (MSN), Nurse Practitioner specialty

Preferred: Acute Care Nurse Practitioner

Experience:
Required: Demonstrated competence in nursing specialty with minimum of 3 years experience as an RN in practicing specialty.

Preferred:
Critical Care, Emergency department, or Cardiology experience

Position Requirement(s): License/Certification/Registration
Required:
Licensed to practice nursing in the state of Tennessee
Licensed as an Advanced Practice Nurse (APN) in the state of Tennessee
National certification in a specialty (such as ACNP, FNP, GNP)
Certificate of fitness from the state of Tennessee (as required by specialty)
BLS prior to going to the unit/ department and maintained going forward
ACLS certification required
DEA number with the ability to prescribe schedules II,III, IV, V

The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents.

Preferred: N/A

Department Position Summary:
The Intensivist Nurse Practitioners will work in the ICU's for EHS as well as respond to codes. This position is coverage for nights and weekends as well as days. The position of the Advanced Practice Nurse for Pulmonary Critical Care services is to provide clinical expertise and continuity of care for patients admitted to the ICU's who are followed by Pumonary Critical Care Intensivists. Care of this subset of patients is a continuum from the time of admission through discharge or final disposition. The Intensivist Nurse Practitioner will work collaboratively with Pulmonary Critical Care Intensivists, Ed physicians and the Hospitalists. They will serve as patient/physician liaisons with all referring physicians. The Intensivist Nurse Practitioner must have a strong knowledge base of the pulmonary system, advanced nursing principle, strong leadership skills, organizational functions, policies, regulations evidenced based practice, and new developments. The Intensivist Nurse Practitioner will:

Work collaboratively with Pulmonary Intensivist, ED, Hospitalists, and referring physicians.

Maintain and update policies, procedures, and algorithms in keeping with current evidence-based practice

Serve as both a resource and role model/mentor to RN staff

Keep current with all required continuing education

Provide patient/family teaching to improve outcomes and patient satisfaction

Role Specific responsibilities include but are not limited to:

Perform detailed History and Physical

Order and interpret, and provide treatment as necessary: CXR, EKG, Laboratory studies, and other diagnostic radiologic studies

Provide staff education

Provide patient and family education

Provide physician referrals as needed

Recognize and treat acute changes in patient status

Collaborate with physician sponsor and ancillary departments as needed

Generate accurate provider charges

Round on patients daily