1+ months

Advanced Nurse Practitioner - Trauma

AtlantiCare Regional Medical Center
Atlantic City, NJ 08401
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  • Job Code
    112961273
  • Jobs Rated
    74th
AtlantiCare Regional Medical Center

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.


Atlantic City, NJ

POSITION SHIFT: Varies

POSITION STATUS: Full-Time

REQ_NUM: 11-24177

Department: APG Trauma

Hours Per Week 40

Holidays Required? Yes

Job Category: Advanced Nurse Practitioner

Location: Atlantic City

Weekends Required? Yes


Minimum Qualifications:
  • Master's degree in nursing from an accredited school or as grandfathered by NJ Law required.
  • Current licensure as a RN in the State of NJ and certified by the State Board of Nursing.
  • Certification within are of specialty required and granted privileges from ARMC medical staff.
  • NRNNP, C or RNCNS, C registry unencumbered.
  • BLSHCP required.

POSITION SUMMARY

The Advanced Practice Nurse provides high quality, cost-effective patient care that supports established specialty practice objectives and strategic organizational goals.

The Advanced Practice Nurse establishes preventive measures, diagnoses and treats illnesses and disorders in a competent manner that is consistent with medical practice and joint protocols as established with the collaborating physician. This position ensures that patient care is delivered in a cost-effective manner, managing and utilizing resources optimally. By demonstrating compassion and respect for the individual, the Advanced Practice Nurse provides care that meets the customer's expectations.

The Advanced Practice Nurse works collaboratively with physician leaders, administration and staff to improve clinical outcomes. This position participates in quality improvement efforts organization-wide and plays an active role as a member of the appropriate divisional and departmental committees. The Advanced Practice Nurse maintains current technical knowledge and seeks educational and professional opportunities to enhance clinical practice and competency.

The Advanced Practice Nurse contributes towards the organization's educational programs and teaching activities. This position participates in the peer review process to enhance clinical practice, demonstrating sound judgment and respect for colleagues.

QUALIFICATIONS

EDUCATION: Master's degree in nursing from an accredited school or as grandfathered by NJ Law required.

LICENSE/CERTIFICATION: Current licensure as a Registered Nurse in the State of New Jersey and certified by the State Board of Nursing. Certification within area of specialty required and granted privileges from Atlantic CityMedicalCenter medical staff. NRNNP,C or RNCNS,C registry unencumbered. ACLS also required APG -- Cardiology. BLSHCP required.

EXPERIENCE: Minimum 2 years experience in field of specialty as RN in State of New Jersey. Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.

PERFORMANCE EXPECTATIONS

Demonstrates the ability to perform the department specific competencies as listed on the Assessment and Evaluation Tool.

WORK ENVIRONMENT

Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, blood-borne pathogens, and potential injury.

Physical demands include but are not limited to considerable stooping, kneeling, crouching, pushing heavy equipment and excessive standing and walking. Lifting approximately 25-30 lbs frequently.

The department specific Assessment and Evaluation Tool lists the essential functions of this position.

REPORTING RELATIONSHIP

This Advanced Practice Nurse reports to the physician with respect to clinical matters and patient care. This position also reports to Nursing or Departmental Leadership for administrative matters.

The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

Nurse Practitioner Job Description -- Surgical Critical Care

Professional practice for NPs is governed by institutional guidelines, professional practice standards and relevant statutes and regulations.

Job Description

The Surgical Critical Care (SCC) nurse practitioner (NP) has specialized skills and knowledge related to the unique ICU setting in which he/she practices. The SCC NP provides direct patient care to critically ill, complex (multiorgan) patients in an intensive care setting--along with providing critical care consultation and rapid response team (RRT) evaluation.

Performs routine bedside or clinical procedures, as described in the duties and responsibilities section below. Assists in the operating room or in other invasive procedures, as required; records brief operative or post-procedure notes; writes postoperative orders.

The SCC NP works collaboratively with the SCC attending physician who provides clinical leadership in developing the multidisciplinary plan of care for the patient and reports to Lead Trauma / SCC APN.

Among the duties of the SCC NP include:

Presenting in daily academic rounds; obtaining patient histories and performing physical examinations; collecting and documenting data in the medical record; conducting approved diagnostic and therapeutic procedures; ordering and interpreting laboratory and radiographic studies; initiating and adjusting mechanical ventilation and medications, including vasopressor infusions, as indicated; conducting family discussions; coordinating ICU admission and discharges; and providing professional consultations. The SCC NP contributes to excellence in patient care, research, teaching, and consultation while providing leadership to the organization and nursing profession. The NP must be familiar with and abide by all ICU policies and protocols and common practices. All care provision should be founded on Evidence Based Medical Practice and Research.

NP Responsibilities:

Patient Care
  • Provide a thorough review of the patient's record and perform pertinent physical exam.
  • Participate in daily clinical rounds and transitions of care, including giving and receiving handoff whenever a change in providers occurs.
  • Write daily SCC orders.
  • Assess patients for changes in clinical status and institute appropriate interventions in collaboration with the SCC attending physician.
  • Stabilize new ICU admissions and formulate plan of care with SCC attending.
  • Perform and supervise central line insertion and removal, arterial blood gas acquisition and arterial line insertion and removal, ventilator management (includes NIPPV), cardiopulmonary resuscitation according to advanced cardiopulmonary life support protocols, nasal/orogastric tube placement/feeding tube placements, and venipuncture, utilizing ultrasound guidance when appropriate.(Basic Competencies)
  • Perform under supervision: emergent intubation (only in times that mask ventilation has failed or is not emergently available and in-house physician support is not immediately available), ultrasonography, thoracentesis, emergent tension pneumothorax relief with needle decompression and or/placement of a chest tube and removal, and lumbar puncture.
  • Order and review laboratory tests.
  • Arrange/schedule diagnostic studies taking place both inside and outside the ICU (i.e. Interventional Radiology (IR) procedures, endoscopy, magnetic resonance imaging, computed tomography scan, positron-emission tomography scan, and nuclear medicine).
  • Follow up emergency testing results even prior to entry of these results into the computerized record.
  • Accompany and monitor the patient on transport for all procedures outside the ICU and throughout the duration of the procedure, if required and requested by the SCC attending.
  • Interface with consultative services and provide coordination with the critical care and primary care teams.
  • Coordinate patient care with members of the multidisciplinary team to include physicians, fellows, residents, nurses, pharmacy, social work, physical therapy, home care, case management, and appropriate supports.
  • Participates in Surgical Critical Care Rounds
  • Provides family with clinical updates, results of diagnostic studies, and goals of care.

Consultative and RRT
  • Provide SCC consultation upon request.
  • Participate in daily consult rounds.
  • Identify and triage unstable patients requiring immediate interventions or ICU admission in consultation with the SCC attending and/or ICU fellow.
  • Perform a targeted review of the patient's record and physical exam, present case, and formulate initial plan to SCC fellow or attending.
  • Stabilize new ICU admissions prior to arrival in ICU, and accompany and monitor these patients on intrahospital transports if needed (ICU, operating room, or Interventional Radiology).
  • Provide follow-up of patients on the SCC consult service, including recent ICU discharges, ventilator management patients, and patients not accepted for ICU admission if requested by the SCC attending.
  • Attend and participate in codes in the ICU (and outside of the ICU if requested by the SCC attending.)
  • Coordinate ICU admissions and discharges with SCC attending, SCC fellow, charge nurse, and NP/house staff.

Teaching
  • Provide support and education to clinical nursing staff regarding clinical management issues.
  • Precept new NP students (NP and medical).
  • Data Control, Quality Improvement, and Research
  • Perform and participate in quality/performance improvement activities and clinical research.

Interaction with Residents during their Trauma / Surgical Critical Care Rotation
  • Collaborate with the Resident in performing a History and Physical Exam, writing daily progress notes, ordering diagnostic studies and formulating a care plan with emphasis on neuro critical care.
  • Perform Bedside assessment with the resident and/or independently prior to rounds and when warranted throughout the scheduled shift
  • Collaborate with the Resident with respect to decision making
  • Be present for all family communication and updates on the patient
  • Discuss all findings and pertinent information in collaboration with the team and the Intensivist
  • Reinforce that ANY change must be communicated up the chain of command to the attending.

It is both expected AND required that any change, needs to be communicated to the attending, even if you have stabilized the patient.

Source Documentation: Job Descriptions in Critical Care Copyright 2012 Society of Critical Care Medicine

___________________________ _______________________ ________________

APN Signature License Number Date

PI112961273

<b>AtlantiCare Regional Medical Center</b><br/><br/>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.<br/><br/><br/>Atlantic City, NJ<br/><br/><b>POSITION SHIFT: </b>Varies<br/><br/><b>POSITION STATUS: </b>Full-Time<br/><br/><b>REQ_NUM: </b>11-24177<br/><br/><b>Department: </b>APG Trauma<br/><br/><b>Hours Per Week </b>40<br/><br/><b>Holidays Required? </b>Yes<br/><br/><b>Job Category: </b>Advanced Nurse Practitioner<br/><br/><b>Location: </b>Atlantic City<br/><br/><b>Weekends Required? </b>Yes<br/><br/><br/><STRONG>Minimum Qualifications</STRONG>:<br><UL><LI><STRONG>Master's degree in nursing from an accredited school or as grandfathered by NJ Law required.</STRONG></LI><LI><STRONG>Current licensure as a RN in the State of NJ and certified by the State Board of Nursing. </STRONG></LI><LI><STRONG>Certification within are of specialty required and granted privileges from ARMC medical staff.</STRONG></LI><LI><STRONG>NRNNP, C or RNCNS, C registry unencumbered.</STRONG></LI><LI><STRONG>BLSHCP required.</STRONG></LI></UL><br><STRONG>POSITION SUMMARY</STRONG><br><br>The Advanced Practice Nurse provides high quality, cost-effective patient care that supports established specialty practice objectives and strategic organizational goals.<br><br>The Advanced Practice Nurse establishes preventive measures, diagnoses and treats illnesses and disorders in a competent manner that is consistent with medical practice and joint protocols as established with the collaborating physician. This position ensures that patient care is delivered in a cost-effective manner, managing and utilizing resources optimally. By demonstrating compassion and respect for the individual, the Advanced Practice Nurse provides care that meets the customer's expectations.<br><br>The Advanced Practice Nurse works collaboratively with physician leaders, administration and staff to improve clinical outcomes. This position participates in quality improvement efforts organization-wide and plays an active role as a member of the appropriate divisional and departmental committees. The Advanced Practice Nurse maintains current technical knowledge and seeks educational and professional opportunities to enhance clinical practice and competency.<br><br>The Advanced Practice Nurse contributes towards the organization's educational programs and teaching activities. This position participates in the peer review process to enhance clinical practice, demonstrating sound judgment and respect for colleagues.<br><br>Q<STRONG>UALIFICATIONS</STRONG><br><br><STRONG>EDUCATION: </STRONG>Master's degree in nursing from an accredited school or as grandfathered by NJ Law required.<br><br><STRONG>LICENSE/CERTIFICATION: </STRONG>Current licensure as a Registered Nurse in the State of New Jersey and certified by the State Board of Nursing. Certification within area of specialty required and granted privileges from Atlantic CityMedicalCenter medical staff. NRNNP,C or RNCNS,C registry unencumbered. ACLS also required APG -- Cardiology. BLSHCP required.<br><br><STRONG>EXPERIENCE: </STRONG>Minimum 2 years experience in field of specialty as RN in State of New Jersey. Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.<br><br><STRONG>PERFORMANCE EXPECTATIONS</STRONG><br><br>Demonstrates the ability to perform the department specific competencies as listed on the Assessment and Evaluation Tool.<br><br><STRONG>WORK ENVIRONMENT</STRONG><br><br>Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, blood-borne pathogens, and potential injury.<br><br>Physical demands include but are not limited to considerable stooping, kneeling, crouching, pushing heavy equipment and excessive standing and walking. Lifting approximately 25-30 lbs frequently.<br><br>The department specific Assessment and Evaluation Tool lists the essential functions of this position.<br><br><STRONG>REPORTING RELATIONSHIP</STRONG><br><br>This Advanced Practice Nurse reports to the physician with respect to clinical matters and patient care. This position also reports to Nursing or Departmental Leadership for administrative matters.<br><br><STRONG>The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.</STRONG><br><br><STRONG>Nurse Practitioner Job Description -- Surgical Critical Care</STRONG><br><br>Professional practice for NPs is governed by institutional guidelines, professional practice standards and relevant statutes and regulations.<br><br><STRONG>Job Description</STRONG><br><br>The Surgical Critical Care (SCC) nurse practitioner (NP) has specialized skills and knowledge related to the unique ICU setting in which he/she practices. The SCC NP provides direct patient care to critically ill, complex (multiorgan) patients in an intensive care setting--along with providing critical care consultation and rapid response team (RRT) evaluation.<br><br>Performs routine bedside or clinical procedures, as described in the duties and responsibilities section below. Assists in the operating room or in other invasive procedures, as required; records brief operative or post-procedure notes; writes postoperative orders.<br><br>The SCC NP works collaboratively with the SCC attending physician who provides clinical leadership in developing the multidisciplinary plan of care for the patient and reports to Lead Trauma / SCC APN.<br><br><STRONG>Among the duties of the SCC NP include:</STRONG><br><br>Presenting in daily academic rounds; obtaining patient histories and performing physical examinations; collecting and documenting data in the medical record; conducting approved diagnostic and therapeutic procedures; ordering and interpreting laboratory and radiographic studies; initiating and adjusting mechanical ventilation and medications, including vasopressor infusions, as indicated; conducting family discussions; coordinating ICU admission and discharges; and providing professional consultations. The SCC NP contributes to excellence in patient care, research, teaching, and consultation while providing leadership to the organization and nursing profession. The NP must be familiar with and abide by all ICU policies and protocols and common practices. All care provision should be founded on Evidence Based Medical Practice and Research.<br><br><STRONG>NP Responsibilities:</STRONG><br><br><STRONG>Patient Care</STRONG><br><UL><LI>Provide a thorough review of the patient's record and perform pertinent physical exam.</LI><LI>Participate in daily clinical rounds and transitions of care, including giving and receiving handoff whenever a change in providers occurs.</LI><LI>Write daily SCC orders.</LI><LI>Assess patients for changes in clinical status and institute appropriate interventions in collaboration with the SCC attending physician.</LI><LI>Stabilize new ICU admissions and formulate plan of care with SCC attending.</LI><LI>Perform and supervise central line insertion and removal, arterial blood gas acquisition and arterial line insertion and removal, ventilator management (includes NIPPV), cardiopulmonary resuscitation according to advanced cardiopulmonary life support protocols, nasal/orogastric tube placement/feeding tube placements, and venipuncture, utilizing ultrasound guidance when appropriate.(Basic Competencies)</LI><LI>Perform under supervision: emergent intubation (only in times that mask ventilation has failed or is not emergently available and in-house physician support is not immediately available), ultrasonography, thoracentesis, emergent tension pneumothorax relief with needle decompression and or/placement of a chest tube and removal, and lumbar puncture.</LI></UL><UL><LI>Order and review laboratory tests.</LI></UL><UL><LI>Arrange/schedule diagnostic studies taking place both inside and outside the ICU (i.e. Interventional Radiology (IR) procedures, endoscopy, magnetic resonance imaging, computed tomography scan, positron-emission tomography scan, and nuclear medicine).</LI><LI>Follow up emergency testing results even prior to entry of these results into the computerized record.</LI><LI>Accompany and monitor the patient on transport for all procedures outside the ICU and throughout the duration of the procedure, if required and requested by the SCC attending.</LI><LI>Interface with consultative services and provide coordination with the critical care and primary care teams.</LI><LI>Coordinate patient care with members of the multidisciplinary team to include physicians, fellows, residents, nurses, pharmacy, social work, physical therapy, home care, case management, and appropriate supports.</LI><LI>Participates in Surgical Critical Care Rounds</LI><LI>Provides family with clinical updates, results of diagnostic studies, and goals of care.</LI></UL><br><STRONG>Consultative and RRT</STRONG><br><UL><LI>Provide SCC consultation upon request.</LI><LI>Participate in daily consult rounds.</LI><LI>Identify and triage unstable patients requiring immediate interventions or ICU admission in consultation with the SCC attending and/or ICU fellow.</LI><LI>Perform a targeted review of the patient's record and physical exam, present case, and formulate initial plan to SCC fellow or attending.</LI><LI>Stabilize new ICU admissions prior to arrival in ICU, and accompany and monitor these patients on intrahospital transports if needed (ICU, operating room, or Interventional Radiology).</LI><LI>Provide follow-up of patients on the SCC consult service, including recent ICU discharges, ventilator management patients, and patients not accepted for ICU admission if requested by the SCC attending.</LI><LI>Attend and participate in codes in the ICU (and outside of the ICU if requested by the SCC attending.)</LI><LI>Coordinate ICU admissions and discharges with SCC attending, SCC fellow, charge nurse, and NP/house staff.</LI></UL><br><STRONG>Teaching</STRONG><br><UL><LI>Provide support and education to clinical nursing staff regarding clinical management issues.</LI><LI>Precept new NP students (NP and medical).</LI><LI><STRONG>Data Control, Quality Improvement, and Research</STRONG></LI><LI>Perform and participate in quality/performance improvement activities and clinical research.</LI></UL><br><STRONG>Interaction with Residents during their Trauma / Surgical Critical Care Rotation</STRONG><br><UL><LI>Collaborate with the Resident in performing a History and Physical Exam, writing daily progress notes, ordering diagnostic studies and formulating a care plan with emphasis on neuro critical care.</LI></UL><UL><LI>Perform Bedside assessment with the resident and/or independently prior to rounds and when warranted throughout the scheduled shift</LI><LI>Collaborate with the Resident with respect to decision making</LI><LI>Be present for all family communication and updates on the patient</LI><LI>Discuss all findings and pertinent information in collaboration with the team and the Intensivist</LI><LI>Reinforce that ANY change must be communicated up the chain of command to the attending.</LI></UL><br>It is both expected AND required that any change, needs to be communicated to the attending, even if you have stabilized the patient.<br><br>Source Documentation: Job Descriptions in Critical Care Copyright 2012 Society of Critical Care Medicine<br><br>___________________________ _______________________ ________________<br><br>APN Signature License Number Date<br><br><br/><br/> <img src="https://analytics.click2apply.net/v/5DxXLjC4lQPqt8O6Cpn1Q"> <p>PI112961273</p>

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Posted: 2019-08-20 Expires: 2019-09-21

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Advanced Nurse Practitioner - Trauma

AtlantiCare Regional Medical Center
Atlantic City, NJ 08401

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