Nurse Practitioner ICU Intensivist Critical Care (Nights)

Baylor Scott & White Health•Waxahachie, TX

7d•Onsite

About The Position

The Nurse Practitioner Intensivist Medicine provides direct patient care in a critical care setting and has prescriptive authority. The provider is credentialed and privileged to practice as an independent provider and delivers care within the supervising physician’s scope of practice. Intensivist Medicine providers manage patients through rounding, procedures, hospital admissions, and discharges. This overnight ICU role provides high-acuity care in a collaborative hospital environment, with an average patient load of 12 per shift. The schedule is 7:00 PM to 7:00 AM on a 7-on/7-off rotation. The role includes inpatient rounding; evaluations of new and established patients; hospital and emergency department consultations; pre- and post-operative care; and individual in-basket management. Procedural opportunities include central lines, arterial lines, and intubations. The provider works with significant autonomy while collaborating with physicians and the ICU team. The provider assesses patients through physical examinations and medical histories; orders and interprets diagnostic tests; prescribes or recommends therapies; develops and evaluates treatment plans; counsels patients and families; maintains treatment records; and refers or consults when needs exceed the provider’s scope or expertise. The role may also include hospital rounds, admissions and discharges, and on-call support. Baylor Scott & White Health describes itself as the largest not-for-profit healthcare system in Texas and states that it promotes the well-being of individuals, families, and communities. Its stated values include serving faithfully, continually striving for better, supporting one another, and taking initiative to deliver an exceptional experience.

Requirements

Graduate of an accredited program.
Texas RN licensure or RN licensure with compact privilege from a Nurse Licensure Compact state, and Texas APRN licensure.
Current license to practice as a Nurse Practitioner in Texas.
Certification from an accredited board as an APRN for the patient population of focus.
One of the following certifications: Acute Care Nurse Practitioner Board Certification (ACNP-BC), Adult-Gerontology Acute Care Nurse Practitioner Board Certification (ACNPC-AG), or Neonatal Nurse Practitioner Board Certification (NNP-BC).
Basic Life Support (BLS) within 30 days of hire or transfer.
Advanced Cardiovascular Life Support (ACLS) within 30 days of hire or transfer.
Knowledge of diagnosis and treatment of injuries, diseases, and deformities, including symptoms, treatment alternatives, drug properties and interactions, and preventive care.
Knowledge of diagnostic, treatment, and rehabilitation practices and procedures for physical and mental dysfunctions.
Verbal and written communication skills.
Interpersonal skills.
Critical-thinking and complex problem-solving skills.
Skill in using computers and related software applications.
Ability to develop and implement comprehensive outcomes-based patient treatment plans.
Ability to counsel patients concerning medical and psychological or psychiatric conditions, treatment plans, and behavior modification.
Ability to interpret and evaluate laboratory and other diagnostic tests.

Nice To Haves

At least one year of Critical Care or Acute Care experience; new graduates are welcome.

Responsibilities

Assess patients’ physical and mental conditions through comprehensive or problem-focused examinations and medical histories.
Order, collect, interpret, and evaluate laboratory and other diagnostic tests.
Prescribe or recommend drug therapies and related treatments, and perform procedures under approved protocols.
Develop and implement comprehensive treatment plans based on assessment, evidence-based medicine, and standards of care; collaborate with physicians and team members as appropriate.
Evaluate patients’ responses to care and the effectiveness of treatment.
Counsel patients and families on medical processes, illness management, medications, nutrition, health promotion, and possible medication side effects or interactions.
Maintain records of patient treatment plans and outcomes.
Initiate timely consultation or referral when a problem exceeds the provider’s scope or expertise.
Provide consultation-level services for conditions related to the provider’s specialty and training.
Perform invasive procedures within the provider’s scope and knowledge as delegated by the supervising physician.
Conduct inpatient rounds and evaluations of new and established patients; provide hospital and emergency department consultations and pre- and post-operative care.
Assist with hospital admissions and discharges and provide on-call support as needed.
Manage an individual in-basket.
Provide overnight ICU care and perform central lines, arterial lines, and intubations.