Nurse Practitioner - ICU, PRN Days

Memorial Hermann Health System•Houston, TX

About The Position

The Nurse Practitioner provides comprehensive patient care through systematic assessment, diagnosis, treatment, management, and in-hospital follow-up throughout the disease process, in accordance with the Texas Nurse Practice Act and Memorial Hermann standards of care. The role supports an 8-bed CVICU and a 22-bed ICU, works under the authority and supervision of attending physicians, and is part of an interdisciplinary team. Responsibilities are split among five attending physicians and discussed with the intensivist each shift. The team includes 10 NPs: four day, two night, and four PRN staff. The position is scheduled for 7 a.m. to 7 p.m. and requires at least one shift per week. The NP fields RN calls, admissions, and emergent procedure needs, carrying a Spectra Link to receive calls from unit RNs. The role requires procedural capability. Credentialing takes approximately two to three months, and work starts after credentialing. Orientation is expected to require two to three days per week for at least two weeks. Memorial Hermann describes its goal as delivering high-quality, efficient care and exceptional experiences for its community, while prioritizing safety, compassion, personalization, and efficiency. The organization highlights opportunities to practice alongside top professionals and mentions generous PTO, including personal days and a spiritual holiday.

Requirements

Graduate of a Nurse Practitioner program approved by the State of Texas.
Current Texas license to practice professional nursing.
Certification in the area of specialty from the American Nurse Credentialing Center, National Certification Center, American Association of Nurse Practitioners, or American Association of Critical-Care Nurses Acute Care Nurse Practitioner certification.
Basic Life Support certification.
Current ACLS, PALS, or Neonatal Resuscitation Program certification.
Two years of clinical nursing experience in the area of intended practice.
At least two years of NP experience and at least one year of ICU NP experience, as specified in the position details.
Must be able to perform procedures.
At least one shift per week is required.
Commitment to the Partners-in-Caring process and Memorial Hermann’s values of innovation, accountability, empowerment, collaboration, compassion, and results.

Nice To Haves

Master of Nursing degree preferred.
For practice in Trauma, graduation from a State of Texas-approved Acute Care Nurse Practitioner program; Master of Nursing preferred.
For practice in Trauma, ATLS certification within six months of hire.

Responsibilities

Provide assessment, triage, and therapeutic management of patient and family needs throughout the disease process as part of an interdisciplinary team.
Act under the authority and supervision of the attending physician in accordance with regulations, hospital policy, protocols, guidelines, and clinical pathways.
Obtain medical histories and perform physical examinations.
Review and order diagnostic tests and radiographic results; formulate and manage patient treatment plans and outcomes.
Perform interventions including arterial and central line placement, pulmonary artery catheter placement, lumbar puncture, intubations, chest tube removal, and thoracentesis.
Make rounds with interdisciplinary teams.
Collaborate in the development and evaluation of patient care.
Update clinical guidelines, protocols, and pathways; work autonomously and accept accountability for outcomes.
Sign orders in accordance with institutional and state board requirements.
Collaborate in research and teaching projects and apply research to practice.
Educate patients and families about care and resources using interpersonal and verbal communication skills.
Participate in process improvement and multidisciplinary clinical outcome improvement activities using advanced nursing expertise.
Ensure safe care for patients, staff, and visitors and follow Memorial Hermann policies, procedures, and standards, including time and supply management, productivity, and quality of service.
Meet mandatory and continuing education requirements and maintain skills competency.
Support department-based goals and serve as a preceptor, mentor, and resource to less experienced staff.
Field RN phone calls, admissions, and emergent procedure needs; carry a Spectra Link to receive calls from unit RNs.
Other duties as assigned.