Nurse Practitioner Per Diem

University of California, Irvine•Orange, CA

12d

About The Position

The Nurse Practitioner works in the Department of Surgery and manages and coordinates inpatient care for cardiac surgery patients across all acuity levels, including in the intensive care unit. The role includes inpatient consultations; patient evaluation; ordering and interpreting diagnostic studies; developing and implementing treatment plans; and managing daily care. The Nurse Practitioner participates in shift handoffs and rounds with the cardiac surgery team, including surgeons, residents, fellows, APPs, nurses, and consulting services. They evaluate potential surgical patients, help resuscitate and stabilize critically ill patients in the Emergency Department and ICU, and coordinate care throughout hospitalization. Responsibilities also include coordinating procedures and surgeries; admitting and discharging patients; completing admission histories and physicals, orders, discharge summaries, instructions, and medication management; reviewing critical results; triaging patient and nursing calls; obtaining medical histories; performing initial and daily physical examinations; and addressing healthcare needs using a trauma-informed approach. The Nurse Practitioner provides multidisciplinary care coordination, treatment, education, monitoring, and communication with patients, families, and referring providers. NPs with RNFA credentials may assist in the operating room. The role functions within the individual's approved scope of practice and privileges, with accountability for standards of care, quality, and professional development. Credentialing and approval of privileges must be completed before the first working day. The position is represented by the California Nurses Association (CNA) union. The NP is accountable to and evaluated by the supervising or collaborating physician, a physician designee in the same specialty, or the Administrative Manager.

Requirements

Ability to establish and maintain effective working relationships across the program and UCI Health System.
Ability to exercise diplomacy and flexibility when interacting with physicians, nurses, other paramedical personnel, administrators, emergency personnel, and law enforcement officers.
Customer service skills appropriate to the job.
Ability to communicate medical information clearly to diverse audiences in person and by telephone.
Excellent written and verbal communication skills.
Writing skills to prepare clear medical reports, laboratory data, and progress notes.
Ability to maintain a work pace appropriate to the workload.
Skills, knowledge, and ability essential to successful performance of assigned duties; ability to be trained to use specialized medical equipment and procedures.
Understanding of and adherence to privacy, confidentiality, and security policies for Protected Health Information and other sensitive information.
Successful completion of an accredited Nurse Practitioner Program.
Current, active, unrestricted California Registered Nurse license.
Current, active, unrestricted California Nurse Practitioner license.
Current, active, unrestricted Furnishing license and DEA registration.
Active National Provider Identifier (NPI).
NP national board certification as Adult Gerontology Acute Care AGACNP-BC or ACNPC-AG.
Current BLS and ACLS certifications.
At least 2 years of Nurse Practitioner clinical experience.
At least 2 years of Cardiac inpatient Nurse Practitioner clinical experience.
At least 2 years of experience as a cardiac or cardiac surgery nurse practitioner.
Ability to obtain UCIMC Allied Health Professional Privileges prior to hire.

Nice To Haves

Knowledge of Windows and MS Office applications, including Excel, Word, Quest, Access, PowerPoint, and Outlook.
Bilingual in Spanish and/or Vietnamese.
Familiarity with UC policies and procedures.
Minimum 3 years of critical care experience.

Responsibilities

Manage and coordinate inpatient care for cardiac surgery patients across acuity levels, including ICU care.
Perform inpatient consultations; evaluate patients; order and interpret diagnostic studies; develop and implement treatment plans; and manage daily care.
Participate in shift sign-out and handoffs, and round and communicate with the cardiac surgery team and consulting services.
Evaluate potential surgical patients and participate in resuscitation and stabilization of critically ill patients in the Emergency Department and ICU.
Coordinate patient care throughout hospitalization, including procedures and surgeries.
Admit and discharge patients, including completing admission histories and physicals, orders, discharge summaries, instructions, and medications.
Review critical laboratory and diagnostic results and triage patient and nursing phone calls.
Obtain comprehensive medical histories and perform initial and daily physical examinations.
Address patient healthcare needs using a trauma-informed approach.
Provide multidisciplinary care coordination, treatment, education, monitoring, and communication with patients, families, and referring providers.
Maintain timely and compliant documentation and demonstrate clinical judgment, communication, and ongoing professional development.
Assist in the operating room when holding RNFA credentials.
Practice within approved scope and privileges and maintain accountability for care standards and quality.