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Acute Care Nurse Practitioner

2 months ago


Baltimore, Maryland, United States University of Maryland Medical System Full time
Job Summary

We are seeking a highly skilled and experienced Acute Care Nurse Practitioner to join our team at the University of Maryland Medical System. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and collaborating with physicians to diagnose and treat patients.

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 service or practice setting.
    • Order, obtain, and interpret diagnostic tests as necessary.
    • 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 necessary.
    • 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, providing primary, secondary, and tertiary preventive care services.
    • Initiate appropriate referrals and specialty consultations or other agency involvement as needed.
    • Facilitate patient flow, collaborating with the multidisciplinary team, including case management, to ensure appropriate and timely discharge.
    • Provide specialty consultation as necessary.
    • 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.
  • Education Responsibilities
    • Provide formal and informal educational programs for other members of the healthcare team, consistent with evidence-based practice standards.
    • Participate in mentoring activities, precepting students, and promoting understanding of disease processes in the area of specialty or 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, acting as a community health resource for specialty disease entities.
  • Clinical Leadership/Outcomes
    • 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, establishing 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, completing annual reviews.
  • Customer Service
    • 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.
  • Professional Development and Organizational Leadership
    • 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.
  • Research Responsibilities
    • 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.