We are recruiting for a Nurse Practitioner Lead - Critical Care Pulmonology tojoin our team!
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DepartmentPulmonary Physicians
Job Summary
Clinical Expectations: Under general supervision, works as full member ofthe MICU multi-professional critical care team. Contributes to excellence inpatient care, research, teaching, and provides leadership to theorganization. Functions as a medical intensive under the supervision of theMICU Director or designee. Collaborates with resident physicians in internalmedicine and manages the critical care aspects of the assigned patient'sintensive care stay in the MICU and progressive care unit (PCU) fromadmission to transfer or discharge. Demonstrates an advanced level of medicaland nursing knowledge, clinical/technical competence including expertisein central line insertion, airway intubation, arterial cannulation,lumbar puncture and similar procedures.
The Critical Care Nurse Practitioner will additionally have responsibility forquality and performance metrics and improvements in conjunction with the MICUleadership and will be required to contribute to educational and researchactivities in the MICU/PCU.
Administrative Expectations: Oversee professional, clinical, andeducational activities of the department's APPs. Ensure a culture of opendialogue and 360o feedback with all staff, promote healthy team norms, anddevelop pathways to support staff and promote wellness. Promote a culture ofdiversity and inclusion within the Department. Proactively identify andaddress areas of inequity. Recognize and promote the value of enhancingdiversity in the healthcare workforce. Promote and support a system ofrecruitment, development, and succession planning for APPs and other staffleadership positions, with a focus on developing opportunities forprofessional advancement for APPs. Promote implementation of and adherence tostandardized clinical workflows. Establish open non-judgmental dialogue,welcome constructive criticism, and demonstrate timely responsiveness.Maintain appropriate levels of transparency and respectful accountability.Effectively manage disagreements among staff.
The Lead APP will serve as a liaison between the department's APPs,department's division heads, and working closely with unit nurse manager.The Lead APP will be in charge of scheduling for the group
Essential Functions:
Performs and documents in the medical record a complete history and physicalexamination for acute and complex chronically ill patients. (15%)Orders and collects data using appropriate assessment techniques, relevantsupporting diagnostic information and diagnostic procedures where indicated.Formulates differential diagnoses by priority. Identifies expected outcomesfrom diagnosis, and formulates and documents a plan of care to addressimmediate critical care needs. Incorporates clinical research findings in thedevelopment and implementation of standards of care. Utilizes current researchand evidence-based decision-making in all clinical practice. (15%)Assesses for risks associated with the care of the acute and complexchronically ill patient including medication side effects, immobility,impaired nutrition, fluid and electrolyte imbalance, immunocompetence,invasive interventions and diagnostic procedures. (10%)Coordinates daily rounds with the Attending and Intensivist physician teams,presents 24 hour patient report, and collaborates in plan of care.Collaborates with interdisciplinary health care team in making diagnoses ofacute and complex chronic conditions. (10%)May serve as the first responder for both nursing and house staff in the eventof p tient status changes, orders, and in situations requiring proceduraland resuscitative interventions. (10%)Prescribes diagnostic strategies and therapeutic interventions bothpharmacologic, non-pharmacologic and surgical, needed to achieve expectedoutcomes. Prescriptive authority for prescribing, ordering, and oradministering drugs; including (but not limited to) schedule II,III, IV, and V drugs and necessary medical devices. (5%)May perform advanced procedures consistent with privileges and competencyvalidation, including minor suturing, complex wound management, line andtube placements and removals. (5%)Provides supervisory leadership for the MICU NP program includingscheduling, recruitment and retention, credential review and continuingevaluation and assesment. (10%)Documents/dictates key components of patient's progress via daily progressnote, transfer, and discharge summary, and/or clinic note whereapplicable. (H&P, daily progress notes, plan of care, problemlists, procedure notes, acute event note, discharge summaries in medicalrecord per specific patient unit or service, death summary) (5%)Assesses educational needs of the patient-care staff and provide one-on-one aswell as formal education as needed. Maintains ongoing communication andcollaboration with interdisciplinary health care team. Implements andevaluates appropriate educational programs for DHMC MICU patient care staffand other healthcare providers as appropriate. (5%)Assesses educational needs of the patients / families and provideculturally-sensitive patient/family education interventions as indicated.Use non-technical language when educating patients and families. Document allpre and post-care education in patients' medical record. (5%)Collaborates with MICU, SICU... For full info follow application link.