Under the general direction of the Director of the Cardiovascular Surgical Unit and the Cardiothoracic Surgical Group, and within established policies and procedures, and in accordance with the New Hampshire Advanced Practice Registered Nurse Guidelines, Standards of Care and Practice established by the Joint Commission and other regulatory agencies and appropriate specialty organizations relevant to the care of the critically ill adult patient population, the incumbent performs the following functions:
Essential Functions: Clinical
Gathers pertinent information from all sources: history, diagnostic tests, comprehensive physical examinations, and behavioral and developmental assessments in order to establish appropriate priorities of care. Performs daily assessments of all patients when a consult has been requested, including interviews, physical exams, and diagnostic tests. Updates diagnoses/problem list and develops acute and long term plans of care for direct patient management as needed for each problem. Conducts daily CVSU rounds with members of the health care team to gather and exchange patient information: to formulate consensus, short and long term plans of care. Documents physical findings, lab data, diagnoses, plans of care and daily progress notes in the medical record. Provides serial clinical assessments and continuous patient management if needed for patients with complex health care needs. Arranges referrals and consultations with non-medical health care providers and arranges for medical consultations after discussion with primary provider. Writes orders, including diagnostic tests and medication orders (non-narcotic and narcotic) to accomplish acute and long term plan of care. Performs routine diagnostic and therapeutic procedures, including removal of pleural chest tubes and epicardial pacing wires. Performs treatments and administers pharmacological therapies, IV fluids, and blood products as needed in acute care situations. Manages oxygen therapy based on interpretation of clinical, x-ray, and blood gas results. Evaluates patient physiological and behavioral responses to interventions for revision of management plan and documents changes in the medical progress notes. Attends cardiopulmonary arrest situations and responds to the needs of compromised patients providing resuscitation as needed. Writes discharge / transfer summaries. Assists the staff to incorporate expert and evidence based practice to enhance patient outcomes through role modeling of best practice. Identifies and clarifies the CVSU Nurse Practitioner role to patients/ families and members of the health care team. Communicates with patients and their family members regarding any changing health care needs. Identifies educational needs of patients/families and assists with teaching. Addresses patient/family adaptation, coping skills, and the need for crisis and other interventions. Formulates, in collaboration with the patient, primary care/attending physician, primary nurse, and other members of the multidisciplinary team, a plan that includes discharge and follow up care. Provides and promotes effective and compassionate care for patients and their families. Ensures confidentiality of employee, legal, client/patient, budget, and all company matters. Performs procedures granted through the credentialing process. Works collaboratively with and provides direction to the members of the multi-disciplinary team.
Education: • Successful completion of a basic nursing program and an accredited nurse practitioner program. • Must be certified by a National Certification Corporation.
Experience: • Knowledge of expanded practice skills and in-depth knowledge of critically ill adults including cardiothoracic patients. Minimum of five years recent critical care and cardiac surgery experience (may be concurrent) which may include both RN and APRN practice.
Licensure/Certification: • Current registration in the State of NH as a Registered Nurse • NH APRN licensure or temporary APRN licensure; • DEA Number • CCRN, National Certification Corporation or American Academy of Nurse Practitioners • ACLS (Advanced Cardiac Life Support) certification required • BLS (Basic Life Support) certification required
Catholic Medical Center - 20 months ago