Advance Practice Provider, STCP Cardiology

Orlando Health•Saint Cloud, FL

About The Position

In collaboration with a physician and according to the collaborative practice protocol, the Advance Practice Provider provides inpatient management, consultations, and co-management of medical and surgical patients in STCP Cardiology. The role assesses patients, develops diagnoses, and collaborates with the interdisciplinary team to implement treatment plans. It includes performing credentialed diagnostic and therapeutic procedures, managing patient care using evidence-based medicine, documenting care, educating patients, participating in rounds and quality initiatives, and supporting approved clinical research and trials. The provider assesses changes in patient status and initiates appropriate interventions in sub-acute, acute, and emergent situations, notifying the attending physician of unusual or unexpected events requiring direct physician consultation. The position also includes prescribing medications in coordination with the attending physician, ordering and scheduling appropriate laboratory and radiology studies, arranging specialty consultations, and performing procedures such as removing catheters, drains, sutures, and staples. The provider may serve as a role model and resource for staff, assist in teaching students, residents, and interns, participate in policy and procedure review, build relationships with community professional and health-related groups, communicate with diverse populations, and participate in basic science and clinical research projects.

Requirements

MN, MSN, DNP, PhD, or DNS degree in nursing.
Florida ARNP license.
For licensure applicants after July 1, 2006, national advanced certification from an approved nursing specialty board.
Current BLS/Healthcare certification.
ACLS certification if required by the department.
One year of nurse practitioner experience or two years of experience as a registered nurse in an acute-care facility specialty area.

Responsibilities

Assess patients' physical and psychosocial status through interviews, health histories, physical examinations, and diagnostic studies; recognize deviations from normal and develop diagnoses and treatment plans with the interdisciplinary team.
Perform credentialed diagnostic and therapeutic procedures to diagnose medical and surgical problems and prescribe necessary treatment and services.
Implement patient management based on laboratory results, physical assessments, diagnostic and follow-up studies, therapeutic measures, and admission and discharge care, using evidence-based medicine.
Identify, analyze, and resolve patient care issues to improve care and outcomes.
Dictate and document patient care accurately and in a timely manner.
Perform and document history and physical examinations; ensure they are reviewed and countersigned by a supervising medical staff member within 24 hours, and do not substitute them for a physician H&P.
Provide patient education and preventive health services.
Conduct or participate in multidisciplinary rounds and participate in weekend and holiday rounding as required.
Participate in quality initiatives to support consistent attainment of key quality indicators.
Support IRB-approved clinical research and trials, including ordering diagnostic tests, prescreening patients, recording results, administering protocol-based interventions, and documenting outcomes according to hospital and trial protocols.
Use clinical judgment and evidence-based medicine to order and schedule appropriate laboratory and radiology studies.
Work with the supervising physician to determine and place appropriate specialty consultations.
Remove catheters, drains, sutures, and staples.
Assess patients for changes in status and initiate appropriate interventions in sub-acute, acute, and emergent situations.
Notify the attending physician about unusual or unexpected events or problems requiring direct physician consultation.
Prescribe medications using evidence-based medicine, clinical judgment, and the plan of care discussed with the attending physician during rounds.
Write or dictate concise, thorough progress notes, consultation notes, history and physical notes, and clinical resumes.
Maintain regular and punctual attendance consistent with applicable policies and laws, and comply with Orlando Health policies and procedures.
Act as a role model and resource person for staff.
Assist in teaching students, residents, and interns in complex techniques and procedures.
Participate in review and revision of policies and procedures.
Establish relationships with professional and other health-related groups in the community.
Communicate effectively, verbally and in writing, with diverse populations, including physicians, employees, patients, and families.
Participate in basic science and clinical research projects.