Advanced Practice Registered Nurse
Job Details
Full Job Description
Department:
ICU
Shift/Status:
Per Diem Nights and Days
General
Description:
The APRN is responsible for promoting and
demonstrating Parrish Healthcare's Culture of Choice®; and is an
Allied Health Professional member of Parrish Medical Center's Medical
Staff. The APRN is responsible for ensuring strategic goals and
objectives are met or exceeded by providing the leadership, direction,
and oversight to effectively fulfill our mission to provide Healing
Experiences for Everyone all the Time® and achieve organizational
strategic (Game Plan) goals. This position reports to the ICU
Intensivist and the Chief Nursing Officer.
Key
Responsibilities:
- The APRN may interview
patients, obtain and record health histories, perform physical and
development assessments, order appropriate diagnostic tests, diagnose
health problems, manage the health care of those patients for which
the ARNP has been educated, provide health teaching and counseling,
initiate referrals, and maintain health records. Care may be provided
in any setting where critical care or infectious disease patients may
be encountered throughout the facility. The APRN provides
patient-centered care and consults and/or collaborates with other
members of the interprofessional team as appropriate following patient
evaluation, discussion and agreeance of ICU Intensivist on
call:
- Assist with admission, follow up, management, transfer, and discharge of ICU patients
- Obtain and complete history and physical exams
- Order and interpret appropriate diagnostic tests including but not limited to laboratory tests, diagnostic imaging studies, EKGs, ABGs, and other diagnostic testing deemed appropriate.
- Evaluate, assess, and manage patients requiring rapid response team
- Provide follow up management and care to infectious disease consultations
- In the event of emergencies, the ARNP will follow ACLS protocol to provide immediate care and consult with physicia
- Write discharge orders, prescriptions, summaries and provide discharge education when appropriate Treatments that may be initiated by the APRN under direct supervision of the ICU Intensivist on call. ARNP will keep a log of the procedures performed. The credentialed APRN may perform procedures without direct supervision. The Intensivist will review and sign off on the procedure at a later time. Suture of simple and complex lacerations not requiring ligament or tendon repair
- Incision and drainage of abscesses
- Foreign body removal
- Airway management
- Endotracheal intubation
- Ventilator management
- Insertion of femoral or internal jugular central line
- Insertion of radial arterial line
- Chest tube insertion
- Needle decompression
- Thoracentesis
- Paracentesis
- Lumbar puncture
- Drug therapies that the ARNP may prescribe, initiate,
monitor, alter, or order following discussion and approval of the ICU
Intensivist on call based on the APRN's credentialed
privileges:
- Agents of electrolyte, caloric, and water balance
- Analgesics and antipyretics
- Antihistamines and decongestants
- Anti-infective agents
- Anti-inflammatory drugs
- Autonomic drugs
- Blood derivatives
- Blood formation
- Cardiovascular drugs
- Central nervous system agents
- Coagulation agents
- Diagnostic agents
- Enzymes
- Expectorants and cough preparations
- Gastrointestinal drugs
- Hormone and synthetic drugs
- Local anesthetics
- Ophthalmic drugs
- Pulmonary drugs
- Serums, toxoids, and vaccines
- Spasmolytic
- Vasopressors
- Vitamins
- Controlled substances as defined in Section 893.03, Florida Statutes: ARNPs can prescribe or dispense a controlled substance as defined in Section 893.03, Florida Statutes, if the ARNP graduated from a program with a master's or doctoral degree in a clinical nursing
- Performs other duties as assigned.
- Knows fire, disaster and safety procedures and regulations as pertains to the work are
Requirements:
Formal Education:
- Master's in Nursing required, Doctorate of Nursing preferred.
Work Experience:
- Two or more years of clinical experience as a nursing practitioner at a physician practice or in a hospital with a related specialty is strongly preferred.
Required
Licenses, Certifications, Registrations:
- Nurse Practitioner and Registered Nurse licenses in the state.
- Board certification as a Nurse Practitioner in Acute Care required.
- National board certification as a Nurse Practitioner from an accredited agency.
- BLS/ACLS
Parrish Healthcare is a caring community of healthcare
professionals passionate about excellence and fulfilling our mission
of providing Healing Experiences For Everyone All The
Time®.
Parrish Healthcare has a Culture of Choice®. This means
a we have a healing work environment that empowers people to aspire to
be their very best. We partner passionate, talented and skilled people
in the right role with the right resources. We provide a clear and
strategic direction to achieve superior results on behalf of the
communities we serve.