APRN Inpatient/ ED FNP/ Per diem/ Flexible Shift/ Emergency Medical/ Jackson West Medical Center

Miami, FL On Call/Pool JW-Emergency Medical Summary

The APRN Inpatient provides a wide range of primary, acute and specialty healthcare services, both autonomously and in partnership with other healthcare professionals, in accordance with State and Federal regulations. These services include managing patients overall care; prescribing medications and treatments; ordering, conducting and interpreting diagnostic tests, such as x-rays, EKGs and lab work; diagnosing and treating chronic and acute conditions, including injuries, infections, diabetes and high blood pressure; performing invasive procedures; counseling; and educating patients on positive health-promoting lifestyle choices and disease, injury and illness prevention. Incumbent in the job classification may perform unit specific duties based on the specialty.

Responsibilities ----------------

Uses clinical judgments in conducting health assessments making differential diagnosis, and prescribing pharmacological and non-pharmacological treatments. Plans are implemented through independent action, health counseling, and collaboration with other members of the health team. The APRN is responsible for clinical oversight and health center consultation regarding administration of health care policy and procedure of the delivery of on-site health services. The NP promotes optimum health, prevents illness and injury, and manages acute and chronic health problems in the on-site setting.

Responsibilities (continued) ---------------------------

Performs physical examinations and preventive health measures within prescribed guidelines and instructions of Physician. Orders, interprets, and evaluates diagnostic tests to identify and assess patients clinical problems and health care needs. Records physical findings, and formulates plan and prognosis, based on patients condition. Provides written home-going instructions. Makes referrals for follow-up to appropriate community resources. Collaborates with other specialties to ensure interdisciplinary management and continuity of care for both inpatients and outpatients.

Collaboration and Communication ------------------------------

Collaborates with Physician and other health professionals to prepare comprehensive patient care plan as necessary. Prescribes or recommends medications or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures. Refers patients to Physician for consultation or to specialized health resources for treatment. Maintains detailed and accurate medical records. Educates and coaches nursing staff on best nursing practices. Initiates search of nursing literature/suggests changes/improvement in patient care standards.

Integration and Professional Development --------------------------------------

Integrates current knowledge of professional issues, trends in health care and technological advances into scope of practice. This job has no supervisory responsibilities. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Review case delays. Involved in PI projects for the department.

Psychiatric Nurse Practitioner -----------------------------

Psychiatric nurse practitioners can capacitate psychiatric patients in the hospital setting, they can also provide one of the professional opinions on the "2 Physician certification" form (B-32). Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).

Requirements ------------

Generally requires 5 to 7 years of related experience. Experience as an APRN in the Emergency Room is required.

Education ----------

Masters degree in Nursing is required. Family Nurse Practitioner (FNP) certification is required.

Skills and Competencies ------------------------

### General Competencies

• Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with professional composure.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in use of job appropriate technology and software applications.

### Nursing Competencies

• Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices.
• Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members.
• Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers.

### Unit Specific Competencies

• Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list.
• Credentials Valid Florida Advanced Practice RN license required.
• Valid APRN Board certification in specialty area required.
• American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment.

Working Conditions -----------------

### Physical Requirements

• Job function requires extended standing or walking.
• Must be able to carry objects weighing 21 to 50 pounds.
• Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices.
• Jobs in this group require frequent visual acuity to perform activities related to extended use of computers.

### Environmental Conditions

• Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations.
• Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public.
• Function is subject to inside environmental conditions, with occasional outdoor exposures.
• Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment.
• May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards.
• Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment.

Reasonable Accommodations -------------------------

Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).