About The Position

The Nurse Practitioner (NP) is a registered nurse with advanced clinical nursing education and New York State certification in a distinct specialty area. NPs independently diagnose, treat, and prescribe for conditions within their specialty. Medical orders, progress notes, and treatment plans do not require physician countersignature. In this role, the NP assesses patients and families, develops and manages individualized plans of care, orders and interprets diagnostic and therapeutic services, prescribes medication, provides education and counseling, and documents care. The NP collaborates with physicians and the interdisciplinary team as required, supports continuity of care, maintains confidentiality, and fulfills applicable credentialing and practice requirements. The NP also contributes to professional development and nursing practice through peer review, research, continuing learning, committee participation, and service as a resource to colleagues. The position is in the Heart Hospital Admin unit at Mount Sinai Hospital and is listed as full-time, day shift. The position is part of the NYSNA-MSH collective bargaining unit.

Requirements

  • Current New York State registered nurse license and registration.
  • New York State Nurse Practitioner certification with current registration.
  • Graduate of a New York State-registered Nurse Practitioner program or equivalent, or national association Nurse Practitioner certification by examination.
  • Completion of the required pharmacy component and instruction in New York State and federal prescription and recordkeeping laws, including a three-hour course.
  • A Collaborative Practice Agreement with a physician and designated protocols if the applicant has fewer than 3,600 hours of Nurse Practitioner practice experience; alternatively, a Collaborative Relationship with a physician based on employment in clinical NP practice at Mount Sinai Hospital for applicants with more than 3,600 NP practice hours.
  • 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 regardless of hire date; with approval, the requirement may be deferred for up to one year.
  • Credentialing through the Medical Board Credentialing Committee and 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), and/or Neonatal Resuscitation Program (NRP).
  • Ability to take patient histories and perform physical assessment techniques.
  • Ability to demonstrate and document competency in specialty-specific procedures during initial orientation and annual performance review with a collaborating physician or 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.

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 patient medical records.
  • Consult with physicians according to established standards, policies, procedures, and protocols.
  • Provide care appropriate to the physical, psychosocial, educational, safety, and other needs of patients in the assigned area and across relevant age groups.
  • 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 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 and at least every three months when practicing under 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.
  • Demonstrate accountability for nursing practice, adhere to professional ethics, and treat colleagues, 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 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 that influence nursing practice and patient care.
  • Seek opportunities to enhance professional nursing practice and influence outcomes.
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