Department: Inpatient Hospitalist
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 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 the specialty is preferred.
National board certification as a Nurse Practitioner from an accredited agency.
BLS/ACLS