NP SICU Walter Reed Nurse Practitioner Surgical ICU

3 days ago


Bethesda, Maryland, United States MDPerm Full time

Nurse Practitioner to work in the Surgical Intensive Care Unit at Walter Reed National Military Medical Center in Bethesda, MD

Providing critical care for our wounded Marines, Soldiers, Sailors, and Airmen

QUALIFICATIONS OF THE NURSE PRACTITIONER - SICU:

  • Degree/Education: HCW must have a Master of Science (MSN) with completion of a Nurse Practitioner Program (NPP).
  • Experience: Must have a minimum of two (2) years of experience in medical and surgical applications as a Nurse Practitioner.
  • Board Certification: Certified as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate
  • Licensure/Registration: Current, full, active, and unrestricted license as a Nurse Practitioner.
  • DEA number in the United States Drug Enforcement Administration for schedule 11-V controlled substances.
  • Certifications: BLS; Basic Cardiac Life Support (BCLS) by the American Heart Association; Pediatric Advanced Life Support (PALS) Certification, and Advanced Cardiac Life Support (ACLS) is required for the Critical Care Unit,
  • US Citizen (to access government computer systems)

DUTIES OF THE NURSE PRACTIONER - SICU:

  • Performs a thorough history taking, clinical assessment, and physical examination of both inpatients and outpatients. Document ongoing assessment and formulates plan of care in collaboration with medical staff.
  • Develops and implements treatment plans in accordance with best practices for utilizing evidence-informed medicine.
  • Orders, analyzes and treats patients based on results of diagnostic tests.
  • Monitors clinical laboratory and radiological studies for the team and manages results and related treatment plans with the ordering provider.
  • Utilizes principles of current and up to date theory when providing care to patients
  • Demonstrates thorough knowledge of current disease processes while conducting a comprehensive health history and physical examination or problem-focused assessment, depending on the patient's status.
  • Perform minor procedures within your scope of practice both on the ward and in the clinic.
  • Knowledgeable of surgical procedures and the postoperative course of patients undergoing bowel surgery.
  • Maintains proficiency with advanced treatment modalities to include Negative-Pressure, Minimally Invasive Surgical Therapy (MIST), ultrasound debridement, conservative sharps debridement, and other invasive procedures, independently upon the completion of certification and within the scope of practice.
  • Demonstrates knowledge and skill to develop and implement policies and procedures to manage patients.
  • Ability to develop and revise plan of care as indicated by the patient's response to treatment and evaluate overall plan for effectiveness.
  • Prescribes medications, therapies, labs/ X-rays test, etc as indicated.
  • Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques.
  • The Contractor shall educate the patient and family regarding pain management.
  • Coordinates surgical procedures for team surgeons as indicated and conduct postoperative discharge follow-up phone calls within 48-72 hours of discharge to assess for medication/vitamin compliance fluid intake/diet toleration, possible dehydration and need for IV fluids. Comfortable caring for patients who are critically ill, who may require ventilator support, vasopressors, and invasive monitoring.
  • Demonstrates ability to perform treatments and provide services to level lof icensure.
  • Serves as a mentor to nursing, medical, and physical therapy students as well as residents and nurse practitioner students.
  • Formulates a teaching plan based upon identified learning needs and evaluates the effectiveness of learning; family is included in teaching as appropriate.
  • Provides continuous long-term post-operative care and ongoing education to all patients undergoing surgery. Provides pre and post-op assessments and patient/family education.
  • Knowledgeable of medications and their correct administration based on age of the patient and clinical condition.
  • Contractor shall have the ability to perform reassessment and management for all patients and per policy. This includes neonate, pediatric, geriatric, and the general population.
  • The Contractor shall be the resource person to physicians, nursing and other hospital staff.
  • Serves as mentor to the Registered Nurses on staff and within the facility; communicates appropriately and clearly to nurse managers, nursing staff and physicians.
  • Consult other healthcare professionals/departments as appropriate to provide an interdisciplinary approach to the patient's needs.
  • Complete thorough timely documentation for visits and treatment plans for the management of patients through in-depth progress notes and dictation summaries to include writing admission, transfer and discharge orders and referring patients for consultation when indicated (i.E. Dermatology, vascular, infectious disease, social services).
  • Develops and produces educational handouts/materials for the patients and other services within the facility including participation in clinical rounds and conferences.
  • Collaborates in the development and implementation of clinical protocols, standard operating procedures, and clinical practice guideline in line with the mission of the facility support.
  • Oversees the complex patient and stalled-healing patient reports during the weekly team meeting.
  • Functions as the Provider of the Month (POM) responsible for team pager management, coordination of inpatient treatment and evaluation, and new consult review.
  • Assigns the daily clinical duties to the staff in the absence of the clinical supervisor.
  • Attends interdisciplinary team meetings, seminars, conferences and continuing education classes.
  • Monitor vitamin /mineral levels- order tests and lab adjust vitamin and mineral supplements as needed.
  • Collaborates with other members of the health care team to ensure comprehensive patient-centered care.
  • Serves as a liaison between physicians, patients and manufacturers of clinical products.
  • Knowledgeable of the clinical products currently available on the medical market.
  • The Contractor shall met with sales representatives, evaluate products, make recommendations for products/ equipment.

SCHEDULE:

The work schedule consists of 8-hour days, Monday through Friday.

Pay: $148, $157,000.00 per year

Work Location: In person



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