RNFA

Thomas Jefferson University•Philadelphia, PA

2d•Onsite

About The Position

The advanced practice provider (Nurse Practitioner/Physician Assistant) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions. The APP assesses for risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. The APP collaborates with the interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. The APP manages diagnostic tests through ordering, interpretation, performance, and supervision, and formulates differential diagnoses by priority. The APP diagnoses complications and orders appropriate interventions, identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic health care needs. The APP utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum, implements and modifies plan of care, and prescribes diagnostic strategies and therapeutic interventions. The APP may perform advanced procedures consistent with privileges and competency validation. The APP maintains ongoing communication and collaboration with the interdisciplinary health care team and facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care. The APP documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary). Documentation is timely, meets acute care compliance standards and captures patient acuity. The APP demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of graduate students. The APP seeks opportunities for active engagement in research and the analysis of evidenced based practice, actively participates in Advance Practice Grand Rounds and specialty specific meetings, and maintains CEUs, and membership in a professional organization.

Requirements

Master’s degree
3-5 years of CT Surgery experience
At least 2 years of first assist experience
National Board Certification as an Acute Care Nurse Practitioner with RNFA or Physician Assistant
BLS certification

Responsibilities

Performs complete history & physicals and documents in the medical record.
Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
Serves as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
Assesses for risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.
Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
Manages diagnostic tests through ordering, interpretation, performance, and supervision.
Formulates differential diagnoses by priority.
Diagnoses complications and orders appropriate interventions.
Formulates a plan of care to address complex acute and chronic health care needs.
Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.
Implements and modifies plan of care.
Prescribes diagnostic strategies and therapeutic interventions.
May perform advanced procedures consistent with privileges and competency validation.
Maintains ongoing communication and collaboration with interdisciplinary health care team.
Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable.
Demonstrates Professional Practice behaviors including preceptor/mentoring, education and instruction of graduate students.
Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
Actively participates in Advance Practice Grand Rounds and specialty specific meetings.
Maintains CEUs, and membership in a professional organization.

Benefits

medical (including prescription)
supplemental insurance
dental
vision
life and AD&D insurance
short- and long-term disability
flexible spending accounts
retirement plans
tuition assistance
voluntary benefits
tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service