DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart center, cancer care, gerontology, emergency medicine, obstetrics/gynecology and cosmetic services. Sinai-Grace's joint replacement program features a revolutionary minimally invasive knee and hip replacement surgery that attracts patients from all over the country. Sinai-Grace operates more than 21 outpatient care sites and ambulatory surgery centers throughout Wayne and Oakland Counties and is one of 10 hospitals in the nation to be awarded a Robert Wood Johnson Foundation grant to help set the standards of cardiac care for hospitals and physicians throughout the nation.

Summary Description

The Trauma Nurse Practitioner (NP) is an advanced practice nurse who utilizes advanced knowledge and clinical expertise to perform services enhancing the efficiency of trauma services. The Trauma nurse practitioner facilitates care for patients who are traumatically injured. Diagnostic reasoning, advanced therapeutic interventions and education are key elements in the provision of care using a collaborative model. The Trauma NP works in collaboration with physicians as a member of the multidisciplinary trauma team. The Trauma NP provides care to the trauma patient using advanced skills in physical exam, diagnosis and treatment. The Trauma NP writes medical orders (medications, tests and invasive procedures) and may perform invasive procedures and perform or assist with surgical procedures. The Trauma NP also functions as a consultant, educator, researcher and resource for patient, families, community, nursing personnel and other health care providers. The Trauma Nurse Practitioner promotes system changes to enhance quality of care and organizational effectiveness/efficiency and actively participates on the Trauma Quality Improvement Process (TQIP), State of Michigan Trauma Quality Process Improvement (M-TQIP) Committee and trauma program quality assurance initiatives; conducts/utilizes research to promote health and improve health care delivery. The Trauma NP assumes responsibility for own professional development.

Appropriate privileges are required to provide patient services, prescribe pharmacological and perform medical interventions. The Trauma Nurse Practitioner obtains and maintains in good standing privileges to practice within the Detroit Medical Center as an Allied Health Professional through the Detroit Medical Center Medical Staff Organization.

A. PRACTICE. The Trauma NP provides patient services which enhance the quality and efficiency of patient care, all in support of but not in lieu of, physician services. None of the Trauma NP's services will include services billable by the physician team.

1. Identifies appropriate trauma patients upon referral and orders the initial trauma evaluation. Assesses the health status of patients through performing preliminary health histories, performing physical exams and analyzing data to formulate diagnoses. Develops prioritized, comprehensive problem list and prioritizes/prescribes interventions and diagnostic tests in collaboration with a physician or according to established protocols. Consistently collects patient data, which is prioritized according to the patient's immediate needs.

2. Monitors trauma outcomes to meet performance standards required by the American College of Surgeons-Trauma (ACS), DMC and personal expectations. Contributes to the plan of care developed in collaboration with the patient, family, the multidisciplinary trauma team and other health care professionals

3. Prescribes and implements trauma interventions identified in the interdisciplinary plan of care.

4. Performs patient visits according to patient condition, no less frequently than daily, to evaluate and document patient progress, in addition to physician visits.

5. Acts as a patient/family advocate to ensure trauma care services are delivered in an ethical and culturally sensitive manner. Assesses the patient's emotional and social status at visits and refers to psychosocial team when needed during and post-traumatic event.

6. Performs medication reconciliation.

B. EDUCATION

1. Provides Trauma education opportunities to develop and enhance performance, problem-solving and critical thinking skills of nursing staff.

2. Educates nursing staff and other health care providers in the development, implementation and evaluation of trauma teaching strategies for patients/families.

3. Instructs patients/families/caregivers about medical condition, post trauma management, follow-up care, medications, illness prevention, health promotion, coping strategies. The intent is to increase knowledge and the ability to manage the traumatic event and maximize coping strategies for patients, families/caregivers.

4. Precepts, teaches, coaches and mentors students, nurses and other health care providers on the spectrum of trauma care.

C. RESEARCH

1. Conducts trauma-related research independently or in collaboration with other nurses and/or other disciplines within the trauma center consistent with employer's research policies.

2. Analyzes and disseminates relevant trauma nursing research. Applies trauma research findings in clinical setting to improve practice in the field of trauma.

D. MANAGEMENT/LEADERSHIP

1. Acts as an independent practitioner. Utilizes independent judgment to effectively recommend changes in clinical practice and/or prescription of nursing interventions in patient care.

2. Utilizes continuous quality improvement to recommend system changes with trauma care. Integrates clinical and management trauma skills with fiscal responsibility.

3. Provides proactive leadership to attain excellence in clinical nursing practice and quality patient care at the trauma department, divisional and organizational levels.

4. Supervises clinical practice to ensure effective, efficient quality trauma care delivery

5. Demonstrates knowledge of and compliance with trauma policies

E. PROFESSIONAL

1. Maintains current knowledge and clinical expertise of trauma care through ongoing involvement in professional activities. Engages in collaborative appraisal of professional practice.

2. Acknowledges and evaluates ethical considerations with trauma patients. Assures informed consent.

3. Models professionalism and positive guest relations. Engages in activities that enhance/advance the profession of nursing as it relates to trauma. Sets professional trauma goals and demonstrates achievements.

4. Position will be 100% dedicated as the Trauma Nurse Practitioner and will be supporting all patients in the trauma service line.

COMPLIANCE STATEMENT
Supports the standards set forth in the DMC Code of Conduct by creating an atmosphere of commitment to legal and ethical standards, and as directed, implementing external and internal audit recommendations. Monitors activities to ensure compliance with applicable laws, regulations TJC requirements, and DMC policies and procedures.

*The essential functions of this job include but are not limited to those marked with an asterisk.

Qualifications:

Minimum Qualifications

1. Registered nurse licensure to practice in the state of Michigan.

2. State of Michigan Nurse Specialty Certification as a Nurse Practitioner.

3. Master's degree in nursing from an accredited nurse practitioner training program.

4. Two years clinical experience as a professional nurse.

5. Prefer three years trauma experience and be (ATLS) Advance Trauma Life Support trained within 6 month of hire and remain current.

6. National certification in advanced practice nursing specialty from one of the following certification bodies:

• American Nurses Credentialing Center (ANCC)
• National Certification Board of Pediatric Nurse Practitioners and Nurses (NCBPNPN)
• American Academy of Nurse Practitioners (AANP)

7. Eligible for approval of privileges to practice within the Detroit Medical Center as an Allied Health Professional through the Detroit Medical Center Medical Staff Organization. Application for Allied Health Professional credentialing must be submitted to the Detroit Medical Center Medical Affairs Office upon hire.

8. Prior to obtaining privileges through the Detroit Medical Center Medical Staff Organization, the Trauma nurse practitioner may:

a. Provide clinical services to trauma patients under the direct supervision of a nurse practitioner, who has obtained privileges through the Detroit Medical Center Medical Staff Organization, or the attending physician.

b. Prescribe medications and treatments, and order diagnostic tests as a delegated responsibility from the attending physician. The orders will be written as verbal orders and must be co-signed by the supervising nurse practitioner or attending physician within 24 hours.

9. In accordance with State of Michigan administrative rules R338.10403, "Only nurses certified in a nursing specialty field may hold themselves out to the public as nurse specialists using the title nurse anesthetist, nurse midwife, or nurse practitioner. Conduct contrary to this rule is deemed a violation of sections 16221(g) of the act." Therefore, prior to obtaining national certification in an advanced practice nursing specialty and State of Michigan Specialty Certification as a Nurse Practitioner, the title nurse practitioner may not be used and newly graduated nurse practitioners will be hired under Graduate Advanced Practice Nurse job description.

Skills Required

Effective verbal and written communication skills.
2. Interpersonal, educational and clinical skills necessary to teach or counsel patients, families, healthcare providers and the community on trauma care.
3. Leadership skills including demonstrated willingness to pursue and perform leadership roles with increasing levels of accountability comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support.
4. Creative thinking, self-direction, problem-solving and decision-making abilities and skills.
5. Clinical trauma expertise, theoretical knowledge and analytical abilities necessary to perform principle duties and responsibilities.

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