Nurse Practitioner, Critical Care I (Pool) - Critical Care/Intensive Care
Company: Orlando Health
Location: Orlando
Posted on: May 25, 2023
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Job Description:
Nurse Practitioner, Critical Care I (Pool)Position Summary Under
the supervision of the physician, according to established practice
guidelines and utilizing evidence-based clinical practice
standards, provides inpatient management, consultations, and
co-management of critically ill patients. Responsibilities
Essential Functions Possess specialized skill and knowledge unique
to the ICU setting in which they practice (Medical, Surgical,
Neurosurgical, Cardiovascular, etc) Provides direct clinical
services for critically ill patients according to established
protocols and utilizes evidence-based clinical practice standards.
Obtains comprehensive and focused history and physician exam on
critically ill patients Responsible for evaluating critically ill
complex (multi-organ failure) patients in the ICU and step down
units by synthesizing data, physical exam and pertinent medical
history to assess clinical scenario and prescribe appropriate
interventions and medications. Uses clinical judgment and evidence
based medicine to order and schedule appropriate laboratory and
radiographic studies. Works with supervising physician to determine
and place appropriate specialty consultations. Evaluates critically
ill patients in the ICU and step down units by synthesizing data,
physical exam and pertinent medical history to assess clinical
scenario and prescribe appropriate interventions and medications.
Works in collaboration with supervising and consulting physicians
to formulate and implement plan for management of critical ill
patients. Performs complex procedures in the diagnosis and
treatment of medical and surgical problems (including but not
limited to: Central venous catheter placement, arterial catheter
placement, chest tube placement, lumbar puncture, thoracentesis,
paracentesis, endotracheal intubation, therapeutic bronchoscopy
-i.e removal of secretions and BAL.) Performs advanced cardiac life
support. In a medical emergency, the nurse practitioner will act on
behalf of the supervising medical staff member to maintain life
support until a licensed physician arrives to manage the patient.
Removes catheters, drains, sutures and staples. Interprets arterial
blood gas report and appropriate management of invasive and
noninvasive modes of mechanical ventilation. Assesses need for
vasoactive medication and places appropriate order sets and
titration parameters. Interpretation of invasive and noninvasive
hemodynamic monitoring, waveforms and EKG and institutes
appropriate interventions. Interprets radiographic tests, including
but not limited to CT scan, MRI and X-rays. Operates with the
highest degree of independence in provision of patient care
services with minimal physician supervision and generally in a
highly specialized area Performs emergent lifesaving procedures in
cases such cardiac arrest, respiratory arrest, massive hemorrhage,
or similar catastrophe. Performs preliminary daily rounds
independently and daily multidisciplinary rounds (i.e., attending
physicians, fellows, pharmacist, dietician, respiratory therapist)
Assesses patient for changes in status and capable of instituting
appropriate interventions in sub-acute, acute and emergent
situations. Notifies attending physician about unusual or
unexpected events or problems requiring direct physician
consultation. Initiates necessary emergent interventions to
stabilize acutely deteriorating patients. Prescribes medication
using evidence based medicine, clinical judgment and plan of care
as discussed in rounds as agent for supervision physician. Writes
and/or dictates concise thorough patient progress notes, consult
notes, history and physical notes and clinical resumes. Documents
the preparation, procedure, outcome and complications of
therapeutic and diagnostic procedures performed. Explains the
necessity, preparation, nature and anticipated effects of
procedures or tests to patients, patient's family and staff.
Provides family-centered care by communicating with family
regarding the changing health care status of their family member.
Provides family education as needed and works to answer or address
family's questions or concerns. Assesses family adaptation, coping
skills and need for crisis or other intervention. Utilizes current
research and evidence based medicine approach in all clinical
practice. Supports IRB approved clinical research/trials through a
variety of activities including but not limited to: ordering
diagnostic tests, prescreening patients, recording laboratory and
diagnostic results, administering therapeutic interventions per
trial protocols and documenting outcomes per hospital and trial
protocols. Remains in compliance with national accreditation and
state licensure Participates and supports accreditation,
compliance, policies, procedures and regulatory activities.
Embodies professionalism through conduct, appearance,
communication, mutual respect, ethical decision making and
leadership skills. Demonstrates responsibility for professional
practice through active participation in professional organizations
and continuing education. Contributes to excellence in patient
care, research, teaching and consulting. Provides appropriate
patient and family education. Maintains reasonably regular,
punctual attendance consistent with Orlando Health policies, the
ADA, FMLA and other federal, state and local standards. Maintains
compliance with all Orlando Health policies and procedures. Other
Related Functions Participates in basic science and clinical
research projects. Other duties as assigned. Qualifications
Education/Training Graduate of accredited nurse practitioner
program with a Master's Degree and completion of a board
certification if graduated after July 2006. New hires and Team
Members placed in this job after May 1, 2021 must obtain acute care
certification. Licensure/Certification ARNP license in the state of
Florida. Maintains current ACLS and BLS. Fundamental Critical Care
Support (FCCS) Certificate, or obtain the FCCS certification within
6 months of hire if preapproved by the Physician Director of
Critical Care Services Experience If graduated before July 2006,
and without certification, must have 2 years experience as a nurse
practitioner in a critical care APP role
Education/Training Graduate of accredited nurse practitioner
program with a Master's Degree and completion of a board
certification if graduated after July 2006. New hires and Team
Members placed in this job after May 1, 2021 must obtain acute care
certification. Licensure/Certification ARNP license in the state of
Florida. Maintains current ACLS and BLS. Fundamental Critical Care
Support (FCCS) Certificate, or obtain the FCCS certification within
6 months of hire if preapproved by the Physician Director of
Critical Care Services Experience If graduated before July 2006,
and without certification, must have 2 years experience as a nurse
practitioner in a critical care APP role
Essential Functions Possess specialized skill and knowledge unique
to the ICU setting in which they practice (Medical, Surgical,
Neurosurgical, Cardiovascular, etc) Provides direct clinical
services for critically ill patients according to established
protocols and utilizes evidence-based clinical practice standards.
Obtains comprehensive and focused history and physician exam on
critically ill patients Responsible for evaluating critically ill
complex (multi-organ failure) patients in the ICU and step down
units by synthesizing data, physical exam and pertinent medical
history to assess clinical scenario and prescribe appropriate
interventions and medications. Uses clinical judgment and evidence
based medicine to order and schedule appropriate laboratory and
radiographic studies. Works with supervising physician to determine
and place appropriate specialty consultations. Evaluates critically
ill patients in the ICU and step down units by synthesizing data,
physical exam and pertinent medical history to assess clinical
scenario and prescribe appropriate interventions and medications.
Works in collaboration with supervising and consulting physicians
to formulate and implement plan for management of critical ill
patients. Performs complex procedures in the diagnosis and
treatment of medical and surgical problems (including but not
limited to: Central venous catheter placement, arterial catheter
placement, chest tube placement, lumbar puncture, thoracentesis,
paracentesis, endotracheal intubation, therapeutic bronchoscopy
-i.e removal of secretions and BAL.) Performs advanced cardiac life
support. In a medical emergency, the nurse practitioner will act on
behalf of the supervising medical staff member to maintain life
support until a licensed physician arrives to manage the patient.
Removes catheters, drains, sutures and staples. Interprets arterial
blood gas report and appropriate management of invasive and
noninvasive modes of mechanical ventilation. Assesses need for
vasoactive medication and places appropriate order sets and
titration parameters. Interpretation of invasive and noninvasive
hemodynamic monitoring, waveforms and EKG and institutes
appropriate interventions. Interprets radiographic tests, including
but not limited to CT scan, MRI and X-rays. Operates with the
highest degree of independence in provision of patient care
services with minimal physician supervision and generally in a
highly specialized area Performs emergent lifesaving procedures in
cases such cardiac arrest, respiratory arrest, massive hemorrhage,
or similar catastrophe. Performs preliminary daily rounds
independently and daily multidisciplinary rounds (i.e., attending
physicians, fellows, pharmacist, dietician, respiratory therapist)
Assesses patient for changes in status and capable of instituting
appropriate interventions in sub-acute, acute and emergent
situations. Notifies attending physician about unusual or
unexpected events or problems requiring direct physician
consultation. Initiates necessary emergent interventions to
stabilize acutely deteriorating patients. Prescribes medication
using evidence based medicine, clinical judgment and plan of care
as discussed in rounds as agent for supervision physician. Writes
and/or dictates concise thorough patient progress notes, consult
notes, history and physical notes and clinical resumes. Documents
the preparation, procedure, outcome and complications of
therapeutic and diagnostic procedures performed. Explains the
necessity, preparation, nature and anticipated effects of
procedures or tests to patients, patient's family and staff.
Provides family-centered care by communicating with family
regarding the changing health care status of their family member.
Provides family education as needed and works to answer or address
family's questions or concerns. Assesses family adaptation, coping
skills and need for crisis or other intervention. Utilizes current
research and evidence based medicine approach in all clinical
practice. Supports IRB approved clinical research/trials through a
variety of activities including but not limited to: ordering
diagnostic tests, prescreening patients, recording laboratory and
diagnostic results, administering therapeutic interventions per
trial protocols and documenting outcomes per hospital and trial
protocols. Remains in compliance with national accreditation and
state licensure Participates and supports accreditation,
compliance, policies, procedures and regulatory activities.
Embodies professionalism through conduct, appearance,
communication, mutual respect, ethical decision making and
leadership skills. Demonstrates responsibility for professional
practice through active participation in professional organizations
and continuing education. Contributes to excellence in patient
care, research, teaching and consulting. Provides appropriate
patient and family education. Maintains reasonably regular,
punctual attendance consistent with Orlando Health policies, the
ADA, FMLA and other federal, state and local standards. Maintains
compliance with all Orlando Health policies and procedures. Other
Related Functions Participates in basic science and clinical
research projects. Other duties as assigned.
Keywords: Orlando Health, Orlando , Nurse Practitioner, Critical Care I (Pool) - Critical Care/Intensive Care, Healthcare , Orlando, Florida
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