Nurse Practitioner- Telemetry ADS - Mount Sinai Hospital - Full Time - Night

Mount Sinai Health System•New York, NY
•Onsite

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical nursing education and New York State certification in a distinct 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 Telemetry setting, the NP assesses patients and families, develops and manages individualized plans of care, orders and interprets diagnostic and therapeutic procedures, prescribes medication regimens, and provides education and counseling. The NP works with physicians and interdisciplinary teams, makes specialty referrals, maintains patient records and confidentiality, and completes credentialing and practice evaluations as required. The role also supports nursing and health-system goals, contributes to professional standards and research, participates in peer review and committees, and serves as a resource to colleagues. This is a full-time night position at Mount Sinai Hospital and is covered by the NYSNA-MSH collective bargaining unit.

Requirements

  • New York State registered nurse license with current registration.
  • New York State Nurse Practitioner certification with current registration.
  • Graduate of a New York State-registered Nurse Practitioner program or equivalent, or certification as a Nurse Practitioner by a national association through examination.
  • Completion of the required pharmacy component and instruction in New York State and federal laws relating to prescriptions and recordkeeping, 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 experience; alternatively, a collaborative relationship with a physician based on employment in the NP role at Mount Sinai Hospital for applicants with more than 3,600 practice hours.
  • Master’s degree program preparing the NP to diagnose, treat, and prescribe within the 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 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 Credentialing Committee of the Medical Board with approved Delineation of Privileges.
  • Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification.
  • Ability to perform history taking and physical assessment techniques.
  • Ability to interpret and apply principles of nursing research utilization and to manage and coordinate a patient caseload.
  • Ability to work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as a member 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, and strong critical-thinking and leadership skills.
  • Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), and Neonatal Resuscitation Program (NRP) certificates as required by specialty.

Responsibilities

  • Assess patients’ 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 care plans according to accepted standards and practice guidelines.
  • Educate and counsel patients in 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 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 in managing information.
  • Develop individualized plans of care based on diagnoses and patient needs, and record, report, and interpret patients’ responses to care.
  • Review patient records with the collaborating physician in a timely manner and at least every three months when using a Collaborative Practice Agreement.
  • Complete Focused Professional Practice Proctoring Evaluation (FPPE) or Ongoing Professional Practice Proctoring Evaluation (OPPE) as required 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 and adhere to professional nursing ethics.
  • 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 a positive image of advanced practice nursing and participate in departmental and interdisciplinary committees affecting nursing practice and patient care.
  • Seek opportunities to enhance nursing practice and influence outcomes, and treat coworkers, patients, and families with dignity and respect.
  • Demonstrate and document competency in specialty-specific procedures during initial orientation and annual performance review.
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