Nurse Practitioner - Pre Heart Transplant - Mount Sinai Hospital - Full Time - Day

Mount Sinai Health System•New York, NY

4h•$85 - $85•Onsite

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical nursing education and New York State certification in a distinct specialty area. The NP diagnoses, treats, and prescribes for conditions within that specialty. Medical orders, progress notes, and treatment plans do not require physician countersignature. In the Pre Heart Transplant setting at Mount Sinai Hospital, the NP assesses patients and families, develops and manages individualized plans of care, orders therapeutic and diagnostic procedures and consultations, prescribes medication regimens, interprets findings, and provides education and counseling. The NP documents care, coordinates referrals and continuity of care, consults with physicians as required, and participates in interdisciplinary care delivery. The position also includes professional development, peer review, research-related activities, and participation in committees and efforts to maintain nursing practice standards.

Requirements

Current New York State registered nurse license and registration.
New York State Nurse Practitioner certification and current registration; eligibility requires completion of a New York-registered NP program or equivalent, or national NP certification by examination.
Completion of the required pharmacy component and instruction in New York State and federal laws relating to prescriptions and recordkeeping (a 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; 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 billing for professional services; the requirement may be deferred up to one year with approval from the Chief Nursing Officer or designee.
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, such as ACLS, PALS, NALS, or NRP.
Ability to take histories and perform physical assessment techniques.
Ability to interpret and apply principles of nursing research utilization.
Physical stamina and manual dexterity to perform duties and skills in the assigned area.
Excellent interpersonal and communication skills, creative problem-solving ability, critical thinking, and leadership.

Responsibilities

Assess patients’ and families’ health status through comprehensive 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 in accordance with accepted standards and practice guidelines.
Educate and counsel patients on health promotion, maintenance, disease prevention, and management of acute and chronic illnesses.
Document findings and plans of care in patients’ medical records.
Consult with physicians according to established standards, policies, procedures, and protocols.
Provide care appropriate to patients’ physical, psychosocial, educational, safety, and age-related needs.
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.
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, 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 Staff bylaws.
Support the mission, vision, philosophy, and goals of the Department of Nursing and Mount Sinai Health System; demonstrate accountability and adhere to professional nursing ethics.
Serve as a resource to nurses and other health team members, participate in peer review, incorporate research findings into 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 and in departmental and interdisciplinary committees affecting nursing practice and patient care.
Promote advanced practice nursing, seek opportunities to improve professional practice and outcomes, and treat colleagues, patients, and families with dignity and respect.
Demonstrate and document competency in specialty-specific procedures during orientation and annual performance review.
Manage and coordinate a patient caseload and work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation.