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Critical Care Specialist: Acute Nurse Practitioner or Physician Assistant
2 months ago
We are seeking a highly skilled and dedicated Critical Care Specialist to join our team at the University of Maryland Medical System. As a Critical Care Specialist, you will be responsible for providing high-quality patient care in our Intensive Care Unit (ICU). This is a challenging and rewarding role that requires strong clinical skills, excellent communication abilities, and a passion for delivering exceptional patient care.
Key Responsibilities- Clinical Responsibilities
- Collaborate with attending physicians to provide day-to-day organizational and clinical direction to the healthcare provider team.
- Perform comprehensive history and physical assessments for patients admitted to the ICU.
- Order, obtain, and interpret diagnostic tests as needed.
- Establish medical diagnoses based on history, assessment, and diagnostic findings.
- Design, order, and document treatment plans and plans of care, including prescriptions of medications based on a comprehensive review of the patient's history and diagnostic results.
- Initiate protocols and clinical pathways, evaluate the plan of care, and ensure timely intervention.
- Perform invasive procedures as needed.
- Collaborate with attendings and residents regarding admission, discharge, and transfer decisions.
- Present patients in the nurse practitioner's caseload on rounds.
- Communicate the plan of care with appropriate providers, including the collaborative physician, primary care provider, referring provider, nursing staff, and case manager.
- Communicate the plan of care with patients and family members, providing patient and family instruction related to the plan of care, disease process, new treatment plans, and medication regimens.
- Counsel and educate patients and family members in disease process, health maintenance, and health promotion activities. Provide primary, secondary, and tertiary preventive care services.
- Initiate appropriate referrals and specialty consultations or other agency involvement as needed.
- Facilitate patient flow and collaborate with the multidisciplinary team, including case management, to ensure appropriate and timely discharge.
- Provide specialty consultation as needed.
- Advocate for patients, ensuring patient and family participation in care, knowledge of treatment options, and understanding of patient rights.
- Consider the holistic needs of patients and orchestrate resources, such as pain service and palliative care.
- Perform other activities as delineated in individual nurse practitioner written agreements.
- Provide formal and informal educational programs for other members of the healthcare team, consistent with evidence-based practice standards.
- Participate in mentoring activities, precept students, and promote understanding of disease processes in the area of specialty/program.
- Function as a clinical resource for other team members, including interns, residents, fellows, nurses, and medical students.
- Provide community education, health promotion, and outreach.
- Act as a community health resource for specialty disease entities.
- Coordinate adequate nurse practitioner coverage on their service, working with the physician and nurse practitioner staff to ensure this coverage.
- Work with physician leaders and hospital administration to achieve service-specific outcome targets for key metrics, including clinical outcomes, length of stay, cost of care, and patient satisfaction.
- Participate in performance improvement activities aimed at improving clinical outcomes and minimizing variation.
- In collaboration with physician leadership and the multidisciplinary team, develop clinical pathways.
- Participate in and lead quality assurance activities, such as chart reviews and peer review, and establish standards of practice.
- Advance the patient care delivery process through the application of research, evidence-based practice standards, and industry best practices.
- Advise and influence hospital-level policy and procedure to improve the delivery of care.
- Introduce and evaluate new patient care delivery systems, models of care, and therapeutic and preventive interventions that target patient needs not met by current care delivery strategies.
- Actively participate and contribute to various department and division meetings and organizational initiatives.
- Maintain compliance and regulatory documentation for administrative purposes and reimbursement for services.
- Participate in accreditation readiness.
- Supervise ancillary staff, including completing annual reviews.
- Model and uphold a customer service focus to all internal and external customers.
- Demonstrate respect for all people in the work environment.
- Ensure confidentiality of patient information.
- Serve on department, hospital, and community committees.
- Maintain professional licensure, certification, and collaborative agreement as required by the Maryland State Board of Nursing and national certifying organizations.
- Participate in department educational opportunities, such as journal clubs and grand rounds.
- Participate in and present at local, regional, and national professional organizations.
- Pursue educational opportunities for professional growth, such as continuing education units and update conferences.
- Promote the organization to all customers, acting as a loyal and supportive informed spokesperson for the hospital.
- Serve as a clinical trial sub-investigator, participating in or coordinating all phases of industry-sponsored research.
- Doctorally prepared nurse practitioners are expected to conduct nursing research as the principal investigator, adding to the body of knowledge in the nursing domain.
