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

Mount Sinai Health Systems•New York, NY

1d•$85 - $85•Onsite

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical education and certification in a distinct specialty. The NP diagnoses, treats, and prescribes for conditions within the specialty area of practice. 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 and interprets diagnostic and therapeutic services, prescribes medications, and provides education and counseling. The NP coordinates with physicians and other health professionals, supports continuity of care, documents clinical findings, and maintains confidentiality. The role also includes professional development, participation in peer review and research, and contribution to standards and policies affecting nursing practice and patient care. The position requires a relevant master's degree or approved post-master's NP certificate, New York RN licensure and NP certification, relevant progressive clinical experience, and applicable professional credentials and certifications. A collaborative practice agreement or relationship applies according to the NP's experience and employment status, and all NPs undergo initial FPPE credentialing review.

Requirements

Current New York State registered nurse license and registration.
New York State Nurse Practitioner certification with current registration; eligibility requires graduation from a New York State-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 concerning prescriptions and recordkeeping, including the required 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; otherwise, a collaborative relationship with a physician based on employment in clinical NP practice at Mount Sinai Hospital. All NPs are initially placed on FPPE.
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, regardless of hire date. With approval from the Chief Nursing Officer or designee, this requirement may be deferred for up to one year.
Credentialing through the Medical Board's Credentialing Committee with approved Delineation of Privileges.
Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification.
Specialty-required certification(s), 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 patient histories and perform physical assessment techniques.
Ability to interpret and apply principles of nursing research utilization.
Physical stamina and manual dexterity to perform the tasks and skills required in the assigned area.
Excellent interpersonal and communication skills, creative problem-solving ability, and strong critical-thinking and leadership skills.

Responsibilities

Assess patients' and families' health status 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 according to established standards, policies, procedures, and protocols.
Provide care appropriate to the physical, psychosocial, educational, safety, and related needs of patients in the assigned area.
Initiate referrals to specialty services and foster 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 individualized plans of care based on diagnoses and patient needs, and 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 FPPE or OPPE evaluations as required by Medical Staff 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.
Maintain accountability for one's nursing practice, adhere to the nursing code of ethics, and treat coworkers, patients, and families with dignity and respect.
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 professional knowledge through self-directed learning, literature review, and educational programs.
Participate in defining, maintaining, and interpreting standards of nursing practice.
Contribute to a positive image of advanced practice nursing and participate in departmental and interdisciplinary committees affecting nursing practice and patient care.
Seek opportunities to enhance professional nursing practice and influence outcomes.
Demonstrate and document competency in specialty-specific procedures during orientation and annual performance review.
Manage and coordinate a patient caseload and work within the applicable Collaborative Practice Agreement or Collaborative Practice Relationship Attestation.