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

Mount Sinai Health System•New York, NY

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical nursing education and certification in a 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 role at Mount Sinai Hospital, the NP provides clinical care, develops and updates patient-specific plans of care, coordinates services, and supports continuity of care. The NP also contributes to professional development, interdisciplinary practice, research, peer review, and the standards and goals of the Department of Nursing and Mount Sinai Health System.

Requirements

Current New York State registered nurse license and registration.
New York State Nurse Practitioner certification and current registration; must be a graduate of a New York State-registered NP program or equivalent, or hold national-association NP certification by examination.
Completion of the required pharmacy component and instruction in New York State and federal laws concerning prescribing 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.
Master’s degree program preparing the candidate 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 for 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: 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 demonstrate and document competency in specialty-specific procedures during initial orientation and annual performance review.
Ability to interpret and apply nursing research utilization principles and to manage and coordinate a patient caseload.
Ability to work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as part of the health care team.
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, critical thinking, and leadership skills.

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 guidelines.
Educate and counsel patients on health promotion, maintenance, disease prevention, and acute and chronic illness management.
Document findings and plans of care in patient medical records.
Consult with physicians according to established standards, policies, procedures, and protocols.
Provide age-appropriate care based on patients’ physical, psychosocial, educational, safety, and related needs.
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.
Develop care plans based on diagnoses and individual patient needs; record, report, and interpret patients’ responses to care.
Review patient records with the collaborating physician at least every three months when practicing under a Collaborative Practice Agreement.
Complete required Focused Professional Practice Proctoring Evaluation (FPPE) or Ongoing Professional Practice Proctoring Evaluation (OPPE) processes for continued credentialing.
Practice 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 nursing ethics.
Serve as a resource to nurses and other health team members and 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.
Help define, maintain, and interpret nursing practice standards and support the professional image of advanced practice nursing.
Participate in departmental and interdisciplinary committees affecting nursing practice and patient care delivery.
Seek opportunities to improve professional nursing practice and patient outcomes, and treat coworkers, patients, and families with dignity and respect.