Advanced Practice Nurse II or Physician Assistant

FTE-Full time-80 hours-Bi-weekly
Shift-Days

Acute Care background or certification required.  This position is inpatient and outpatient. Will consider PA or APN: Saturday hours rotation. Ambulatory clinic rotation. 
The APRN II is a nurse prepared with graduate level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. Advanced clinical practice in nursing includes the following components: assessment of patient health status, diagnostic testing, diagnoses, development of treatment plans, implementation of treatment plans, follow-up and evaluation of the patient’s response to treatment, accurate documentation of the patient’s status, and patient advocacy. APRNs are clinical experts who design, implement and evaluate patient-specific and population-based programs of care and promote care through a variety of methods. APRNs function at all levels of the healthcare system within three sphere of influence: client, personnel, and organization. APRNs must have a collaborating physician(s) in an associated Standard Care Arrangement. The APRN II must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.

Job Requirements:

Master's Degree in Nursing 
Graduate from NP, CNS or midwife program 
Specialty certification in area of expertise 
Registered Nurse with APRN Licensure
Demonstrated expertise in area of clinical specialization
Professional membership in specialty nursing organization required within one year of start date
3-4 years experience Clinical in Nursing Nursing practice in geriatric, occupational health, or other applicable setting.

Acute Care background or certification required.  This position is inpatient and outpatient. 

Job Responsibilities:

Collaborates and consults with the interdisciplinary healthcare team, the patient and family when diagnosing, prioritizing problems, and implementing interventions. Provides consultation and initiates referrals to other healthcare team members and promotes collaboration among other members of the interdisciplinary healthcare team. Assists interdisciplinary team members, patients, and families in selecting therapies that integrate perspectives of cost and quality of benefits. Collaborates with other disciplines in teaching, consultation, management, and research activities to improve outcomes in nursing practice and enhance the healthcare environment.
Provides effective leadership. Integrates analysis of cost and benefits in care decisions. Designs/Develops innovative solutions for patient care problems that utilize resource efficiency while maintaining or improving quality and advancing best practices. Provides leadership in the development and application of consensus derived protocols or evidence-based practice (EBP) guidelines in the clinical setting. Participates, as opportunities arise, in healthcare-related decision-making at the system, local, state, and national levels with an emphasis on improving patient outcomes. Serves in key roles by participating in/leading committees, councils, and administrative teams. 
Utilizes, participates in, and disseminates research, evidence-based practice, or quality improvement projects to enhance clinical practice and patient outcomes. May serve as primary or co-investigator, or member of the investigative team in conducting nursing or collaborative research. Critically evaluates existing practice based on current research findings and integrates changes into practice through an EBP project. Evaluates processes of care by serving a as leader or team member in relevant Quality Improvement projects. Promotes mentoring and education to nursing by serving as a Journal Club mentor and facilitates learning in critically appraising the literature.
Provides education to patients, families, and healthcare providers to promote best practice. Serves as a teacher, mentor, role model to nurses in the promotion of nursing research, EBP. Serves as preceptor, role model and mentor to staff nurses and colleagues as well as nursing students. Teaches, coaches, and supports nurses and other healthcare professionals to advance the care of patients. Provides education to the patient and their family for health promotion including secondary prevention strategies. Collaborates in the assessment, development, implementation and evaluation of patient and staff educational needs.
Ensures nursing practice is conducted in an ethical and legal manner. Abides by the Ohio Scope of Practice as an APRN. Provides safe, compassionate, competent, and ethical care. Demonstrates the highest level of accountability for professional practice. Preserves the patient’s dignity. Serves as a patient advocate by promoting advanced directives and adherence to the patient's wishes. Contributes and promotes the discussions of end-of-life decisions and palliative care with the patient, family members, physician and the health care team as appropriate.
At least 50% of position involves direct management of the patient’s and/or family’s care. Independently performs and documents a complete history and physical examination, including psychosocial assessment. Prescribes drugs and therapeutic devices consistent with the formulary under section 4723.50 of the Ohio Revised Code. Assesses for interactive and synergistic effects of multiple pharmacologic and non-pharmacologic interventions. Orders laboratory and radiologic tests and interprets the results. Collaborates with physician(s) to plan to implement a comprehensive plan of care. Discusses patient’s care with family members. Performs duties per the Standard Care Arrangement.

Other Job-Related Information:

The TriHealth Nursing Vision, Mission, and Philosophy speak to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions:

Climbing - Occasionally
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Consistently
Interpersonal Communication - Consistently
Kneeling - Occasionally
Lifting