About The Position

The Acute Inpatient APRN provides primary, acute, and specialty healthcare services autonomously and in partnership with other healthcare professionals, in accordance with state and federal regulations. Services include managing patients’ overall care; prescribing medications and treatments; ordering, conducting, and interpreting diagnostic tests; diagnosing and treating chronic and acute conditions; performing invasive procedures; counseling patients; and educating them about health-promoting choices and prevention of disease, injury, and illness. Unit-specific duties may also apply. The APRN assesses patients, makes differential diagnoses, develops and implements care plans, and manages acute and chronic health problems. The role involves collaboration with physicians and other health professionals, coordination of interdisciplinary care, documentation, referrals, patient education, and support for nursing staff and improvements in patient care standards. The position has no supervisory responsibilities. The role is based at Jackson Memorial Hospital in Miami, Florida, in the Critical Care department. It is full-time, with nights/variable scheduling and 12-hour shifts.

Requirements

  • Master’s degree in Nursing.
  • Generally, 5 to 7 years of related experience; units at BHH require 1 year of experience.
  • Valid Florida Advanced Practice RN license.
  • Valid APRN board certification in the specialty area.
  • American Heart Association Basic Life Support (BLS) certification and any additional applicable life support certification for healthcare providers upon hire, with at least 6 months of validity; certifications must be maintained at JHS throughout employment.
  • Maintain current unit-specific and organizational skills, competencies, certifications, and licensures required by regulations or nursing standards of practice for the specialty.
  • Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
  • Ability to communicate effectively orally and in writing.
  • Ability to handle difficult and stressful situations with professional composure.
  • Ability to understand and follow instructions and exercise sound, independent judgment.
  • Knowledge and skill in using job-appropriate technology and software applications.
  • Ability to understand, respect, and accommodate patients’ preferences and needs related to their individual beliefs, customs, and practices.
  • Ability to clearly and accurately provide information to doctors, nurses, patients, and family members.
  • Ability to demonstrate compassion and patience and maintain a non-judgmental approach toward patients, families, employees, and customers.
  • Clinical knowledge, skill, and ability to complete all required unit competencies as indicated in the unit competency checklist.

Responsibilities

  • Conduct health assessments, make differential diagnoses, and prescribe pharmacological and non-pharmacological treatments using clinical judgment.
  • Implement care plans through independent action, health counseling, and collaboration with members of the health team.
  • Provide clinical oversight and consultation regarding healthcare policies and procedures for on-site health services.
  • Promote health, prevent illness and injury, and manage acute and chronic health problems.
  • Perform physical examinations and preventive health measures within prescribed guidelines and physician instructions.
  • Order, interpret, and evaluate diagnostic tests to identify and assess patients’ clinical problems and healthcare needs.
  • Document physical findings and formulate plans and prognoses based on patients’ conditions.
  • Provide written home-going instructions and refer patients to appropriate community resources for follow-up.
  • Collaborate with other specialties and healthcare professionals to support interdisciplinary management and continuity of care for inpatients and outpatients.
  • Prepare comprehensive patient care plans with physicians and other health professionals as needed.
  • Prescribe or recommend medications and other treatments, including physical therapy, inhalation therapy, or related therapeutic procedures.
  • Refer patients to physicians for consultation or to specialized health resources for treatment.
  • Maintain detailed and accurate medical records.
  • Educate and coach nursing staff on best nursing practices.
  • Review nursing literature and suggest changes or improvements to patient care standards.
  • Integrate current knowledge of professional issues, healthcare trends, and technological advances into the scope of practice.
  • Follow unit-specific policies and procedures and perform duties listed on the unit-specific competency checklist.
  • Use job- and unit-specific equipment as required.
  • Demonstrate service excellence and CARE values: Compassion, Accountability, Respect, and Expertise.
  • Perform other related duties as assigned.
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