Senior Acute Care Nurse Practitioner or Physician Assistant: Medical ICU Role: Night Shift Medical ICU (MICU) at University of Maryland Medical System

Job Description

This is a night shift, position working onsite, in our Medical ICU which monitors 20-30 remote patients. There is opportunity to pick-up additional hours if desired.  Experience working with patients in a telemedicine environment required.  Currently this is an On-Site position.

Principal Responsibilities

The following statements are designed to describe the general nature and level of work being performed by the provider assigned to this classification. This description is not intended to be an exhaustive list of all job responsibilities performed by this individual.

A detailed description specific to performance functions will be described in the Nurse Practitioner's collaborative written agreement.

1. Clinical Responsibilities
   • In collaboration with the attending physician, provides day to day organizational and clinical direction and leadership of the healthcare provider team.
   • Performs comprehensive history and physical assessment for patients admitted/scheduled to service/practice setting.
   • Orders, obtains and interprets appropriate diagnostic tests.
   • Establishes medical diagnosis based on history, assessment, and diagnostic findings.
   • Designs, orders and documents appropriate treatment plans/plans of care including prescriptions of medications based on a comprehensive review of HPI and diagnostic results.
   • Initiates protocols/clinical pathways, evaluates the plan of care ensuring timely intervention.
   • Performs invasive procedures.
   • Collaborates with attendings and residents regarding admission, discharge and transfer decisions.
   • Presents patients in the nurse practitioners caseload on rounds.
   • Communicates plan of care with appropriate providers including the collaborative physician, the primary care provider, the referring provider, the nursing staff, and the case manager.
   • Communicates plan of care with the patients and family members. Provides patient and family instruction related to the plan of care, disease process, new treatment plans, and medication regimens.
   • Counsels and educates patients and family members in disease process, health maintenance and health promotion activities. Provides primary, secondary, and tertiary preventive care services.
   • Initiates appropriate referrals and specialty consultations or other agency involvement as needed.
   • Facilitates patient flow. Collaborates with the multidisciplinary team including case management ensuring appropriate and timely discharge.
   • Provides specialty consultation.
   • Advocates for patients ensuring patient/family participation in care, knowledge of treatment options, and understanding of patient rights.
   • Considers the holistic needs of patients and orchestrates resources (i.e. Pain service, palliative care)
   • Performs other activities as delineated in individual nurse practitioner written agreements.

Qualifications

1. Master of Science Degree with completion of a Nurse Practitioner program. Registered and currently recorded with the Maryland Board of Examiners of Nurses and Certified as a Nurse Practitioner in the State of Maryland. Certified in area of specialty. (DEA and CDS eligible).
2. CPR required
3. ACLS/BCLS as required for inpatient work.
4. A minimum of one (1) year experience as a Registered Nurse is required.
5. Demonstrated ability to promote professionalism through involvement in professional organizations, teaching, research, publishing, and/or certification in area of specialty.
6. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs.
7. Highly effective verbal and written communication skills are required to interact with patient families, departmental units, medical and nursing staff on all essential matters. Demonstrated/documented effective interpersonal skills.
8. Maintains updated hospital safety and other mandatory training.
9. Updated immunizations as recommended per practice area.

Working Conditions

1. Weekend, shift work, holiday, on-call and overtime may be required.
2. There is potential for regular exposure to patients possessing infectious diseases in the work environment; requires observance of "Universal Precautions" by wearing gloves, goggles, and mask, is required.

Patient Safety

Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.

1. Takes action to correct observed risks to patient safety.
2. Reports adverse events and near misses to appropriate management authority.
3. Implements policies, procedure, and standards consistently in the performance of assigned duties.
4. Develops effective working relationships and maintains good communication with other team members.
5. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.