Nurse Practitioner-Heart Hospital Admin - Mount Sinai Hospital - Full Time - Days

Mount Sinai Health System•New York, NY

1d•Onsite

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical nursing education and certification in a distinct specialty. The NP diagnoses, treats, and prescribes for conditions within their specialty area. Medical orders, progress notes, and treatment plans do not require physician countersignature. In the Heart Hospital Admin setting at Mount Sinai Hospital, the NP assesses patients and families, develops and documents individualized plans of care, orders and interprets diagnostic and therapeutic services, prescribes medications, and provides education and counseling. The NP works with physicians and interdisciplinary teams, coordinates referrals and continuity of care, and maintains confidentiality. Depending on experience and practice arrangement, the NP works under a Collaborative Practice Agreement or a collaborative relationship with a physician. The position also includes professional development and practice responsibilities: maintaining clinical competence and credentialing, participating in peer review, research, committees, and educational activities, supporting nursing practice standards, and treating patients, families, and colleagues with dignity and respect.

Requirements

Current New York State registered nurse license and registration.
New York State Nurse Practitioner certification and 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 prescription and recordkeeping laws, including the required three-hour course.
A Collaborative Practice Agreement with a physician and designated protocols if the candidate has fewer than 3,600 hours of Nurse Practitioner practice experience; otherwise, a collaborative relationship with a physician based on employment in the NP role at Mount Sinai Hospital.
A master’s degree program preparing the NP to diagnose, treat, and prescribe within the specialty, or 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 who bill for professional services, regardless of hire date. The requirement may be deferred 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.
Ability to take patient histories and perform physical assessment techniques.
Ability to interpret and apply principles of nursing research utilization.
Ability to manage and coordinate a patient caseload and work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation.
Physical stamina and manual dexterity to perform tasks and skills required in the assigned area.
Excellent interpersonal and communication skills, creative problem-solving ability, critical thinking, and leadership.

Responsibilities

Assess patients’ and families’ 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 plans of care according to accepted standards and practice guidelines.
Educate and counsel patients on health promotion, maintenance, disease prevention, and management of acute and chronic illnesses.
Document findings and plans of care in patient 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 served in the assigned area.
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 individualized plans of care, and 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 FPPE or OPPE evaluations as required for continued Medical Staff credentialing.
Practice as a member of the allied health staff in accordance with Medical Staff rules, regulations, and Hospital Staff bylaws.
Support the mission, vision, philosophy, and goals of the Department of Nursing and MSHS, and demonstrate accountability for nursing practice.
Adhere to professional nursing ethics and provide humane, kind, and caring health care.
Serve as a resource for 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.
Help define, maintain, and interpret nursing practice standards and contribute to a positive image of advanced practice nursing.
Participate in departmental and interdisciplinary committees affecting nursing practice and patient care delivery.
Seek opportunities to enhance professional nursing practice and influence outcomes.
Treat coworkers, patients, and families with dignity and respect.
Demonstrate and document competency in specialty-specific procedures during orientation and annual performance review.