APRN-Internal Medicine

Mount Sinai Medical Center•Aventura, FL

About The Position

The APRN functions as an advanced practitioner within the internal medicine nursing specialty. In collaboration with physicians, the role orders and interprets diagnostic tests, reviews admission information within established time frames, and determines whether the level of care is appropriate under hospital criteria. The APRN interviews patients and completes a comprehensive medical history and physical examination within 24 hours of admission, then documents the history, examination, assessment, and treatment plan according to unit policies and standards. The position coordinates patient care by initiating referrals and collaborating with medical staff and other healthcare professionals. It provides consultation on nursing practice and patient outcomes, helps secure services and resources, and provides patient and family education. The APRN participates in interdisciplinary treatment planning and patient care conferences, responds professionally to complex situations, and initiates or assists with medical emergencies on the unit. The role also contributes to staff competency assessment, patient and environmental safety, infection prevention, and departmental performance improvement. It attends and participates in departmental meetings and in-service programs.

Requirements

State of Florida Advanced Practice Registered Nurse license.
ACLS certification.
CPR certification.
Advanced Practice Registered Nurse qualification and a Master of Science in Nursing.

Nice To Haves

At least one year of experience as an APRN is preferred.

Responsibilities

Provide advanced-practice care within the nursing specialty.
Consult on nursing practice and assigned patient outcomes.
Order and interpret diagnostic tests in collaboration with a physician.
Review admission data within designated time frames and assess the suitability of the level of care using hospital-established criteria.
Procure services and advocate for patients, families, and the hospital in obtaining scarce resources throughout the continuum of care.
Facilitate and provide patient and family education on admission as indicated.
Participate in interdisciplinary treatment-planning conferences and guide the team during patient care conferences.
Apply advanced knowledge of diagnostic and therapeutic procedures and nursing care for patients on the unit.
Interview patients and complete a comprehensive medical history and physical examination within 24 hours of admission.
Document patient history, physical examination, assessment, and treatment plan in accordance with unit policy and standards.
Initiate referrals, collaborate with medical staff and other healthcare professionals, and coordinate patient care management.
Respond calmly and professionally to complex situations and initiate or assist with medical emergency activities on the unit.
Assist the Unit Director in assessing, evaluating, and documenting nursing staff competency, and provide input on staff clinical performance.
Manage the care environment by assessing fall and other risks, ensuring unit safety, reporting deficiencies to the Nurse Director, and coordinating the therapeutic milieu.
Identify improvement needs and participate in the department's performance improvement program; provide ongoing feedback to the Nurse Director.
Promote infection surveillance, prevention, and control by using and teaching hygienic practices.
Attend and actively participate in departmental meetings and in-service programs, offering suggestions and input.