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

Mount Sinai Health Systems•New York, NY

2d•$85 - $85

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical nursing education and certification in a distinct specialty area. 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 palliative care role at Mount Sinai Hospital, the NP assesses patients and families, develops and coordinates individualized plans of care, orders diagnostic and therapeutic services, prescribes medication regimens, interprets findings, and adjusts care in line with accepted standards and practice guidelines. The NP educates patients and families, documents care, coordinates referrals, and collaborates with physicians and interdisciplinary teams. The position also involves professional practice responsibilities, including maintaining credentials and competency, participating in peer review and research, keeping clinical knowledge current, contributing to nursing standards and policies, and supporting respectful, ethical, patient-centered care. This is a full-time day position scheduled for three 12-hour shifts.

Requirements

New York State registered nurse license with current registration.
New York State Nurse Practitioner certification with current registration; applicants must meet the stated education or national-certification pathway for NP certification.
Master’s degree program preparing the candidate to diagnose, treat, and prescribe within the NP specialty area, 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 is required for NPs hired effective June 1, 2019, and for NPs billing for professional services; the requirement may be deferred for up to one year with approval from the Chief Nursing Officer or designee.
Credentialing through the Credentialing Committee of the Medical Board with approved Delineation of Privileges.
Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification.
Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), or Neonatal Resuscitation Program (NRP) certification as required by specialty.
A Collaborative Practice Agreement with a physician and designated protocols if the NP has fewer than 3,600 hours of NP practice experience; or a Collaborative Relationship with a physician based on clinical NP employment at Mount Sinai Hospital if the NP has more than 3,600 practice hours.
Ability to take health histories and perform physical assessment techniques.
Ability to demonstrate and document competency in specialty-specific procedures according to established standards.
Ability to interpret and apply nursing research utilization principles.
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, and leadership.

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 modify plans of care according to accepted standards and practice guidelines.
Educate and counsel patients and families 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 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.
Develop individualized plans of care based on diagnoses and 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.
Maintain accountability for nursing practice and adhere to professional nursing ethics.
Serve as a resource to nurses and other health team members; participate in peer review and approved nursing or medical research.
Incorporate research findings into clinical practice and maintain current knowledge through independent learning, literature review, and educational programs.
Participate in defining, maintaining, and interpreting nursing practice standards and in departmental and interdisciplinary committees affecting practice and patient care.
Support the professional image of advanced practice nursing and seek opportunities to improve practice and outcomes.
Treat coworkers, patients, and families with dignity and respect.