Advanced Practice Registered Nurse - Medicine, Hospital Medicine - Per Diem

University of Miami•Miami, FL

23h

About The Position

The Advanced Practice Registered Nurse (APRN) delivers medical care to a wide variety of patients. The APRN is also examines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care. For day shift positions: Core schedule is Monday through Friday. Shifts range from 8-12 hours depending on assignment. Works collaboratively with attending on medical team and/or ED, as necessary. Rounds with MD or individually as assigned. Bills for visits if assigned. Admits patients as necessary during duration of shift. Receives transfers (ICU/procedures) and coordinates floor assignments. Acts as a liaison with floor nursing staff, promotes nursing critical thinking and scope of practice. Collaborates with Care Coordination (Social Work, Case Management and Discharge Planning). Coordinates discharge efforts for medical team and ensures all discharge needs are met. Answers to Rapid Responses (Code Rescue) and Code Blues called for assigned patients. Collaborates with administration in process improvement activities. Collaborates with departmental initiatives to leverage hiring practices to promote equity amongst the Department (may be asked to join NP Hiring Committee). Removes Central Venous Catheters/Peripherally Inserted Central Catheters/Midlines (if trained to do so). Removes Temporary Dialysis Catheters (if trained to do so). Removes stitches from tracheostomies and percutaneous gastrostomy feeding tubes. Removes chest tubes (if trained to do so). Cross coverage for night shift if necessary. May be required to work during inclement weather and respond to catastrophic events, as necessary. For night shift positions: Core schedule is 14 shifts/month. (12-hour shifts). Monday through Sunday (7 days on/7 days off). Maintains flexibility in schedule to ensure all shifts at night are staffed. Performs floor night coverage of medical teams as assigned. Answers assigned team phone for entirety of shift. Maintains record of floor calls and delivers morning sign out to teams daily. Admits patients overnight to appropriate medical teams in collaboration with night Attending. Receives transfers (ICU/procedures) and coordinates floor assignments. Acts as a liaison with floor nursing staff, promotes nursing critical thinking and scope of practice. Collaborates with Care Coordination (Social Work, Case Management and Discharge Planning) if necessary. Answers to Rapid Responses (Code Rescue) and Code Blues called for assigned patients. Collaborates with administration in process improvement activities. Collaborates with departmental initiatives to leverage hiring practices to promote equity amongst the Department (may be asked to join NP Hiring Committee). Removes Central Venous Catheters/Peripherally Inserted Central Catheters/Midlines (if trained to do so). Removes Temporary Dialysis Catheters (if trained to do so). Removes stitches from tracheostomies and percutaneous gastrostomy feeding tubes. Removes chest tubes (if trained to do so). Cross coverage for day shift if necessary. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Requirements

Master’s degree in Nursing
Valid State of Florida APRN License
Acute Care Certitification
May hold DEA License if deemed necessary and appropriate by department.
Holds current and valid ACLS and BLS Certification from an American Heart Association approved vendor
Minimum 2 years of relevant experience
Ability to exercise sound judgment in making critical decisions.
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.

Responsibilities

Examines and treats patients independently and in autonomous collaboration with other health care professionals.
Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery.
May prescribe medications and order diagnostic tests.
Advises patients about continuing care.
Works collaboratively with attending on medical team and/or ED, as necessary.
Rounds with MD or individually as assigned.
Bills for visits if assigned.
Admits patients as necessary during duration of shift.
Receives transfers (ICU/procedures) and coordinates floor assignments.
Acts as a liaison with floor nursing staff, promotes nursing critical thinking and scope of practice.
Collaborates with Care Coordination (Social Work, Case Management and Discharge Planning).
Coordinates discharge efforts for medical team and ensures all discharge needs are met.
Answers to Rapid Responses (Code Rescue) and Code Blues called for assigned patients.
Collaborates with administration in process improvement activities.
Collaborates with departmental initiatives to leverage hiring practices to promote equity amongst the Department (may be asked to join NP Hiring Committee).
Removes Central Venous Catheters/Peripherally Inserted Central Catheters/Midlines (if trained to do so).
Removes Temporary Dialysis Catheters (if trained to do so).
Removes stitches from tracheostomies and percutaneous gastrostomy feeding tubes.
Removes chest tubes (if trained to do so).
Performs floor night coverage of medical teams as assigned.
Answers assigned team phone for entirety of shift.
Maintains record of floor calls and delivers morning sign out to teams daily.
Admits patients overnight to appropriate medical teams in collaboration with night Attending.