Nurse Practitioner or Physician Assistant

We have an exciting opportunity to join our team as a Nurse Practitioner
- Cardiac Cath Lab
- Per Diem
- Cardiac Cath Lab
- Per Diem -.

In this role, the successful candidate Nurse practitioners (NP) are dedicated to providing quality, professional, cost-effective health care to all patients at NYULH
- Suffolk.
NPs provide services as a licensed independent practitioner (LIP) collaborating with a licensed physician fulfilling a broad range of medical services that would otherwise be provided by the physician. A NP shall be permitted to provide any service within his/her scope of training/skills outlined in the collaborative agreement between the NP and the collaborating physician that has been approved by the Credentials Committee. NPs may provide care for all patients throughout the hospital as permitted by their certification and licensure. NPs work collaboratively with the patient's physicians, assisting in providing high-quality care, and a well-planned, timely discharge. NPs provide patient-centered care as members of interdisciplinary teams emphasizing evidence-based practice and accepted standards of care. A NP shall document according to the practices included in the Clinical Documentation Initiative (CDI). NPs with Registered Nurse First Assistant (RNFA) documentation working in surgery have the primary responsibility of assisting in surgery. A NP working in surgery must have a collaborative agreement with a surgeon. A NP working in surgery will also perform surgical functions in other areas of the hospital as needed by the surgeons or the Chief PA. A NP on the Trauma Team must have privileges to first assist in surgery, experience in emergency medicine, and current Advanced Trauma Life Support (ATLS) documentation, or acquire it within six months. A NP on the Trauma Team may be required to be on-call.

Job

Responsibilities:

Assessment and Reassessment of Patients

Introduces/identifies self as a nurse practitioner Assists the physician with patient management focusing on quality care and a well-planned, timely dischargeCommunicates professionally and effectively with the patient's physician, and as appropriate, consulting physicians, case managers, nurses, and other Hospital staff any patient information that may affect discharge or the patient's hospital course. Performs initial and ongoing assessment/history and physical examination Assesses/reassesses patient's condition and care planOrders and interprets tests/results(lab, radiology, ekg, etc.) based on patient needOrders medications and treatments Documents care in the chart in accordance with hospital policies and proceduresFormulates diagnosesFormulates and implements patient care and treatment plans. Discusses patient care and treatment plans, expectations, needs, and any other information with physicians, nurses, case managers, and other hospital staff. Uses established Long Island Health Network (LIHN) guidelines, if applicable. Obtains consents for blood/blood product transfusion, CAT scan and MRI contrast administration, and for procedures performed by the PA Initiates consults with physicians and other hospital staff including those for hospice and palliative care Initiates and participates in care related to end-of-life issues including Do Not Resuscitate/Intubate (DNR DNI) and Medical Orders for Life Sustaining Treatment (MOLST) documentation Manages medical/surgical patient care including emergencies requiring BLS/ACLS/PALS (if adult or family NP)Performs Trauma assessments/reassessments following ATLS (Trauma Team)Performs peri
- and intraoperative assessments/reassessments Performs peri
- and intraprocedure assessments/reassessmentsRounds with physicians and other hospital staffOrders, applies, reapplies, and removes restraintsDocuments in patient chart or the computer all pertinent patient information following departmental and hospital policies, and using the CDI education.
Writes legiblyDates, times, and signs all chart entriesUses name stampDocuments any patient or family education Documents results of tests ordered, or disposition of care Completes all procedure notesDocuments communication with physiciansSigns, dates, times verbal/telephone orders by the end of each shiftFully completes and submits billing forms by the end of each shiftCompletes discharge documentation including discharge/transfer summaries, discharge instructions, writing/issuing discharge orders, prescriptions, and any other associated documentation required for discharge

Technical Procedures

Explains procedure to patient/familyUses sterile technique, including barrier precautions, when needed Performs procedur