Advanced Practice Registered Nurse - Ophthalmology, Glaucoma - Full Time

University of Miami•Miami, FL

5d•Onsite

About The Position

The Advanced Practice Registered Nurse (APRN) delivers medical care to a wide variety of patients. The APRN 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. Performs and documents complete physical examinations and comprehensive health histories. Functions independently to perform age-appropriate history and physical for patients. Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs. Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities Implements interventions to support the patient to regain or maintain physiologic stability. Assists with the provision of care in accordance with facility, state, and federal regulations. Monitors the effectiveness of interventions. Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients. Collaborates with multidisciplinary team members by making appropriate referrals. Facilitates staff, patient and family decision making by providing educational tools. Adheres to University and unit-level policies and procedures and safeguards University assets. 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. Examination of Glaucoma Patients includes, but not limited to the following: 1. Eliciting and recording chief complaint and interval history. 2. Eliciting and recording patient and family medical history. 3. Measurement of visual acuity at a distance and near. 4. Lensometry: measurement of the optical characteristics of spectacle lenses with the lensometer and/or auto lensometer. 5. Retinoscopy 6. Refraction: using phoropter, auto refractor, and trial frame at distance and near. 7. Confrontation visual fields and Amsler grid testing. 8. Pupillary evaluation. 9. Central corneal thickness measurements using portable handheld pachymeter. 10. Intraocular pressure assessment: a. Goldmann applanation tonometry b. Handheld electronic tonometry c. Rebound tonometry 11. Administering visual fields examination: a. Confrontation visual field b. Humphrey visual field c. Portable head mounted visual field 12. Assist physician with patient care (monitoring vitals and assist if patient distress) during office-based procedures: a. Laser procedures: capsulotomy, trabeculoplasty, iridotomy b. Minor slit lamp procedures: suture removal, bleb needling 13. Administration of ocular imaging including OCT (optical coherence tomography) and ocular photography (slit lamp, fundus and external photography). 14. Interpretation of glaucoma testing including visual field, OCT, and photographs. 15. Insertion and removal of hard, soft and contact lenses, including those used for bandage of the cornea. 16. Administration of diagnostic pharmaceutical agents. 17. Binocular indirect ophthalmoscopy. 18. Observe refractive abnormalities and ocular disease. 19. Prescription of eyeglasses, contact lenses, and low vision aids. 20. Examining patients of all ages, including children and the elderly.

Requirements

Master's degree in nursing from an accredited program
Minimum 2 years of relevant experience.
Previous experience as an ARNP or a comparable position in a hospital and/or clinical setting.
Valid State of Florida APRN License
CPR and ACLS certification required
Skilled in using office software, technology, and relevant computer applications.
Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.

Nice To Haves

Previous experience in an eye care setting
Certification by the American Nurses Credentialing Center for Nurse Practitioners

Responsibilities

Delivers medical care to a wide variety of patients.
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.
Prescribes medications and orders diagnostic tests.
Advises patients about continuing care.
Performs and documents complete physical examinations and comprehensive health histories.
Functions independently to perform age-appropriate history and physical for patients.
Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
Implements interventions to support the patient to regain or maintain physiologic stability.
Assists with the provision of care in accordance with facility, state, and federal regulations.
Monitors the effectiveness of interventions.
Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
Collaborates with multidisciplinary team members by making appropriate referrals.
Facilitates staff, patient and family decision making by providing educational tools.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Elicits and records chief complaint and interval history.
Elicits and records patient and family medical history.
Measures visual acuity at a distance and near.
Performs Lensometry: measurement of the optical characteristics of spectacle lenses with the lensometer and/or auto lensometer.
Performs Retinoscopy.
Performs Refraction: using phoropter, auto refractor, and trial frame at distance and near.
Performs Confrontation visual fields and Amsler grid testing.
Performs Pupillary evaluation.
Performs Central corneal thickness measurements using portable handheld pachymeter.
Assesses Intraocular pressure using Goldmann applanation tonometry, handheld electronic tonometry, and rebound tonometry.
Administers visual fields examination: Confrontation visual field, Humphrey visual field, and portable head mounted visual field.
Assists physician with patient care (monitoring vitals and assist if patient distress) during office-based procedures like laser procedures (capsulotomy, trabeculoplasty, iridotomy) and minor slit lamp procedures (suture removal, bleb needling).
Administers ocular imaging including OCT (optical coherence tomography) and ocular photography (slit lamp, fundus and external photography).
Interprets glaucoma testing including visual field, OCT, and photographs.
Inserts and removes hard, soft and contact lenses, including those used for bandage of the cornea.
Administers diagnostic pharmaceutical agents.
Performs Binocular indirect ophthalmoscopy.
Observes refractive abnormalities and ocular disease.
Prescribes eyeglasses, contact lenses, and low vision aids.
Examines patients of all ages, including children and the elderly.