Nurse Practitioner - Palliative Care - Mount Sinai Hospital - Full Time - Day - 3 (12hr shifts)

Mount Sinai Health System•New York, NY

2d•Onsite

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical nursing education and certification in a specialty area. The NP diagnoses and treats patients and prescribes for conditions within the NP’s specialty. Medical orders, progress notes, and treatment plans do not require physician countersignature. This role provides palliative care at Mount Sinai Hospital on a full-time day schedule consisting of three 12-hour shifts. The NP assesses patients and families, develops and adjusts individualized plans of care, coordinates referrals and interdisciplinary care, documents clinical findings, and supports continuity of care. The NP also contributes to professional development, research utilization, peer review, and nursing practice standards, while complying with applicable hospital and medical staff requirements. The position requires a New York State RN license and NP certification, a relevant master’s degree or approved post-master’s NP certificate, and prior progressive experience relevant to the clinical practice area. National board certification in advanced practice nursing is required for NPs hired effective June 1, 2019, and for NPs billing for professional services; an approved deferral may be granted for up to one year. Medical staff credentialing with approved privileges, DEA certification, and BLS certification are required. Specialty-dependent certifications may also be required.

Requirements

Current New York State registered nurse license and registration.
New York State Nurse Practitioner certification and current registration.
Graduation from a New York State-registered Nurse Practitioner program or equivalent, or national association NP certification by examination.
Completion of the required pharmacy component and instruction in New York State and federal laws concerning prescriptions and recordkeeping, including the stated three-hour course.
A Collaborative Practice Agreement with a physician and designated protocols if the NP has fewer than 3,600 hours of NP practice experience; alternatively, a Collaborative Relationship with a physician based on employment in clinical NP practice at Mount Sinai Hospital for those with more than 3,600 practice hours.
A master’s degree program preparing the NP to diagnose, treat, and prescribe within the specialty, or successful completion of an approved supplemental education program such as a post-master’s NP certificate.
Previous progressive experience relevant to the area of clinical practice.
National Board Certification in Advanced Practice Nursing for NPs hired effective June 1, 2019, and for NPs who bill for professional services; an approved deferral may be granted for up to one year.
Credentialing through the Medical Board Credentialing Committee with approved Delineation of Privileges.
Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification.
Specialty-required certifications as applicable: Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), or Neonatal Resuscitation Program (NRP).
Ability to take health histories and perform physical assessment techniques.
Ability to demonstrate and document competency in specialty-specific procedures during initial orientation and annual performance review with the collaborating physician or an appropriately credentialed designee.
Ability to interpret and apply principles of nursing research utilization.
Ability to manage and coordinate a patient caseload.
Ability to work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as part of the healthcare team.
Physical stamina and manual dexterity to perform tasks and skills in the assigned area.
Excellent interpersonal and communication skills, creative problem-solving ability, critical-thinking skills, and leadership ability.

Responsibilities

Assess the health status of patients and families through comprehensive health histories and physical examinations.
Initiate and order selected therapeutic and diagnostic procedures, consultations, and laboratory examinations; prescribe medication regimens; interpret findings; and adjust plans of care according to accepted standards and practice guidelines.
Educate and counsel patients on health promotion, maintenance, disease prevention, and management of acute and chronic illnesses.
Document clinical findings and plans of care in the patient’s medical record.
Consult with physicians in accordance with established standards, policies, procedures, and protocols.
Provide care appropriate to the physical, psychosocial, educational, safety, and other needs of patients in the assigned area.
Initiate referrals to specialty services and promote continuity of care.
Participate in team meetings and conferences to support interdisciplinary care delivery.
Maintain patient and employee confidentiality in the management of information.
Develop plans of care based on diagnoses and individual patient needs; record, report, and interpret patients’ responses to those plans.
Review patient records with the collaborating physician in a timely manner and at least every three months when using a Collaborative Practice Agreement.
Complete required Focused Professional Practice Proctoring Evaluation (FPPE) or Ongoing Professional Practice Proctoring Evaluation (OPPE) for continued credentialing.
Practice as a member of the allied health staff in accordance with medical staff rules and regulations and hospital bylaws.
Support the mission, vision, philosophy, and goals of the Department of Nursing and Mount Sinai Health System.
Maintain accountability for nursing practice and adhere to professional nursing ethics.
Serve as a resource to nurses and other health team members and participate in peer review.
Incorporate research findings into clinical practice and participate in approved nursing and medical research studies.
Maintain current knowledge through self-directed learning, literature review, and educational programs.
Participate in defining, maintaining, and interpreting nursing practice standards.
Contribute to the professional image of advanced practice nursing and participate in departmental and interdisciplinary committees affecting nursing practice and patient care.
Seek opportunities to enhance nursing practice and influence outcomes, and treat coworkers, patients, and families with dignity and respect.