About The Position

Memorial Hermann is hiring an Advanced Practice Provider for acute and critical care on a PRN basis. The provider will cover the Cardiology consult team and Critical Care and deliver comprehensive patient care through assessment, diagnosis, treatment, management, and in-hospital follow-up. Care is provided under the authority and supervision of the attending physician and in accordance with applicable regulations, hospital policies, protocols, guidelines, clinical pathways, and the Texas Nurse Practice Act. The role requires one shift per pay period, with flexible day or night coverage. Credentialing takes approximately two to three months. The provider participates in interdisciplinary care, evaluates patient needs and outcomes, develops and manages treatment plans, performs procedures within the scope of practice, collaborates on care guidelines and improvement activities, and educates patients and families. The position also supports research, teaching, professional development, and organizational goals while maintaining safe, compassionate, personalized, and efficient care.

Requirements

  • Advanced practice provider experience is required; new graduates are not considered.
  • AGACNP or Physician Assistant qualification is required; Family Nurse Practitioners are not accepted for this role.
  • Two years of APP critical care experience with a strong critical care RN background, or two years of PA critical care experience.
  • For the nurse practitioner qualification: graduate of a Nurse Practitioner Program approved by the State of Texas.
  • For trauma practice, graduate of an Acute Care Nurse Practitioner Program approved by the State of Texas.
  • Current State of Texas license to practice professional nursing.
  • Certification by the American Nurse Credentialing Center, National Certification Center in the specialty, American Association of Nurse Practitioners, or AACN Acute Care Nurse Practitioner Certification.
  • Basic Life Support certification.
  • Current ACLS, PALS, or NRP certification.
  • For trauma practice, ATLS certification within six months of hire.
  • Two years of clinical nursing experience in the area of intended practice.

Nice To Haves

  • Master of Nursing preferred.
  • Procedures experience preferred but not required.

Responsibilities

  • Provide assessment, triage, and therapeutic management of patient and family needs throughout the disease process as part of an interdisciplinary team.
  • Obtain medical histories and perform physical examinations.
  • Review and order diagnostic tests and radiographic results.
  • Formulate and manage patient treatment plans and outcomes.
  • Provide interventions that may include arterial line placement, central line placement (internal jugular or femoral), pulmonary artery catheter placement, lumbar puncture, intubations, chest tube removal, and thoracentesis.
  • Make rounds with interdisciplinary teams.
  • Collaborate in the development and evaluation of patient care.
  • Update clinical guidelines, protocols, and pathways; work autonomously and accept accountability for outcomes.
  • Sign orders in accordance with institutional and state board requirements.
  • Collaborate in research and teaching projects and apply research to practice.
  • Educate patients and families about care and resources.
  • Participate in process improvement and multidisciplinary clinical outcome improvement activities.
  • Ensure safe care for patients, staff, and visitors and adhere to Memorial Hermann policies, procedures, standards, and budgetary specifications.
  • Meet mandatory and continuing education and skills competency requirements and support department-based goals.
  • Serve as a preceptor, mentor, and resource to less experienced staff.
  • Model Memorial Hermann service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
  • Perform other duties as assigned.
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