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Performs and documents complete physical examinations and comprehensive health histories.
Functions independently to perform age-appropriate history and physical for patients.
Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities
Implements interventions to support the patient to regain or maintain physiologic stability.
Assists with the provision of care in accordance with facility, state, and federal regulations.
Monitors the effectiveness of interventions.
Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
Collaborates with multidisciplinary team members by making appropriate referrals.
Facilitates staff, patient and family decision making by providing educational tools.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Ability to exercise sound judgment in making critical decisions.
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.
Primarily performs duties across multiple UHealth facilities as needed including but not limited to UHealth Tower, Sylvester Comprehensive Cancer Center, Interventional Radiology Clinic, Lennar Foundation Medical Center, UHealth Doral, and with possible rotations at other locations as services are expanded.
Performs minimally invasive vascular and nonvascular procedures as mentioned in management protocol and collaborative agreement independently or under the general supervision of attending interventional radiologist and per hospital competencies including but not limited to:
Assist with Port Placements and Removals
Paracentesis
Thoracentesis
Central venous catheter insertion and removal
PICC Line insertion and removal
Tunneled catheter placement, exchange, and removal
FNA biopsies
Aspiration of superficial collections
Bone Marrow Biopsy
Tube removal for biliary, nephrostomy, gastrostomy, or abscess
Suture of simple and complex incisions and lacerations not requiring ligament or tendon repair
Assist physician with any additional interventional studies
Preceptor: Demonstrates ability to serve as a preceptor when assigned, including introducing new Nurse Practitioners to the service area, communicating and reinforcing core and job-specific expectations, validating initial competency, assessing learning needs, serving as a resource and providing feedback
Service educator: Serves as an education resource for staff
Pre-study assessment & post-study follow-up for interventional patients
Pre-assessment and assessment of interventional radiology patients undergoing imaging studies with IV contrast as required.
Assesses potential problems/contraindications for interventional radiology patients receiving IV contrast or those with uncontrolled medical problems, and takes appropriate actions to reduce the risk of patient injury
Co-manages with physicians those patients who are/become high-risk
Demonstrates the ability to extract pertinent patient clinical data in relation to the requested procedure
Monitors/communicates problems that may contribute to increased unnecessary length of hospital stay to appropriate clinicians
Conducts a pre-study-focused screening
Conducts a pre-anesthesia, pre-procedural, and focused physical screening
Relays information to patients regarding preparation for laboratory tests, examinations, and procedures
Obtains an accurate abbreviated age-specific, advanced health history review of systems including biophysical and psychosocial data
Performs intake of patients, including the taking of a brief medical history & performing physical exam
Documents all consultations to include focused medical history, physical exam, and summary of consultations, treatment options reviewed, risk and benefits of procedures offered, patient disposition, and the results of all testing under the indirect supervision of the attending interventional radiologist
Dictates all procedures that are performed independently with final approval by attending interventional radiologist
Triages interventional radiology patients via telephone and determines the need for emergency consultations based on acquired information and diagnostic testing necessary. Evaluate interventional radiology patients as needed for pre-screening issues related to contrast media allergies, contrast media pre-medication for allergies, and patients on hemodialysis or peritoneal dialysis
Participates in the development of individualized plans of care and ongoing follow-up.
Documents progress notes in the medical record
Provide verbal and written orders for medications as per collaborative protocol
Updates physicians as necessary regarding patient issues to ensure continuity of care
Defines the discharge plan of care including follow-up, medications, home care referral, etc
Helps to coordinate interventional procedures schedule to include requests from both the inpatient unit and outpatient referrals
Adheres to radiation safety regulations
Assures that pre- and post- procedure orders are carried out to include both pre-op and post-procedure instructions to patients, relatives, and staff
Assists with the transferring of patients to other institutions when necessary
Demonstrates knowledge and skills in interventional radiology procedures, contrast administration, response to contrast reactions, and extravasations related to interventional radiology procedures
Provides pre- and post-procedure patient education and counseling
Recognizes needs for/obtains physicians’ assistance, input, and guidance as indicated within limits of scope of practice
Works collaboratively with medical, technical and support staff
Facilitates/initiates inter/intra-departmental problem-solving and communication
Assists with & facilitates research activities
Participate in patient care conferences/tumor boards
Takes part in patient rounds with the responsible physicians as necessary
Diagnose health problems and manage the healthcare care of patients
Prescribe and Order Physical Therapy
Perform any other areas of management in which the APRN has been formally trained and educated to provide
Participate in on call weekend coverage as assigned.
Performs related duties as requires
Patient Management of vascular and non-vascular illnesses
Assists attending interventional radiologists with vascular interventional procedures
Positively impacts Interventional Radiology patients’ clinical management and provides ongoing continuity of care
Assists in the coordination of patient imaging studies and laboratory tests required for specific Interventional radiology tests and procedures through contact with the referring physicians and/or the patients directly
Assists in the management of & the education of patients referred to the Interventional Radiology service in addition to counseling of patients and their families
Assists collaborating physicians during procedures
Recognizes the need for and obtains physician’s input and guidance as indicated within the limits of the scope of practice
Aids in ensuring clearance for interventional procedures based on physical and lab assessment of patients
Facilitates/initiates inter/intra-departmental problem-solving and communication
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
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