Nurse Practitioner - ICU, PRN Nights

Memorial Hermann Health System•Houston, TX

About The Position

This Nurse Practitioner supports an 8-bed CVICU and a 22-bed ICU, providing comprehensive patient care through assessment, diagnosis, treatment, management, and in-hospital follow-up across the disease process, in accordance with the Texas Nurse Practice Act and Memorial Hermann Health System standards of care. The practitioner works as part of an interdisciplinary team under the authority and supervision of an attending physician and discusses cases with an intensivist each shift. Responsibilities are shared among five attending physicians and a team of 10 nurse practitioners. The position is scheduled for 7 p.m. to 7 a.m. and requires at least one shift per week. The practitioner fields RN calls, admissions, and emergent procedures, carrying a Spectra Link to receive calls from unit nurses. The role requires procedural capability. Orientation involves two to three days per week for at least two weeks. Credentialing takes approximately two to three months, and work begins after credentialing is complete.

Requirements

Graduate of a Nurse Practitioner program approved by the State of Texas.
Current State of Texas license to practice professional nursing.
Certification by the American Nurse Credentialing Center, National Certification Center in the area of specialty, American Association of Nurse Practitioners, or American Association of Critical-Care Nurses Acute Care Nurse Practitioner certification.
Current Basic Life Support certification.
Current ACLS, PALS, or Neonatal Resuscitation Program certification.
Two years of clinical nursing experience in the area of intended practice.
Two years of Nurse Practitioner experience and at least one year of ICU Nurse Practitioner experience, as specified in the role details.
Ability to perform procedures.
At least one shift per week is required.

Nice To Haves

Master of Nursing degree preferred.
Acute Care Nurse Practitioner program approved by the State of Texas if the intended practice area is Trauma.
ATLS certification if the area of practice is Trauma; required within six months of hire.

Responsibilities

Provide assessment, triage, and therapeutic management of patient and family needs throughout the disease process as part of an interdisciplinary team.
Act under the authority and supervision of the attending physician in accordance with regulations, hospital policy, protocols, guidelines, and clinical pathways.
Obtain medical histories and perform physical examinations.
Review and order diagnostic tests and radiographic results.
Formulate and manage patient treatment plans and outcomes.
Perform interventions including arterial line placement, central line placement (internal jugular or femoral), pulmonary artery catheter placement, lumbar puncture, intubations, chest tube removal, and thoracentesis.
Make rounds with interdisciplinary teams.
Collaborate in the development and evaluation of patient care.
Update clinical guidelines, protocols, and pathways; work autonomously and accept accountability for outcomes.
Sign orders in accordance with institutional and state board requirements.
Collaborate in research and teaching projects and apply research to practice.
Educate patients and families about care and available resources using interpersonal and verbal communication skills.
Participate in process improvement and multidisciplinary clinical outcome improvement activities using advanced nursing expertise.
Ensure safe care for patients, staff, and visitors and follow Memorial Hermann policies, procedures, and standards, including budgetary specifications for time, supplies, productivity, and service quality.
Meet mandatory and continuing education and skills competency requirements; support department goals; serve as a preceptor, mentor, and resource to less experienced staff.
Model Memorial Hermann service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Field RN calls, admissions, and emergent procedures during the shift; carry a Spectra Link for calls from unit RNs.
Perform other duties as assigned.