Acute Care Nurse Practitioner House Officer - Intensive Care and Resuscitation

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Job Title

Nurse Practitioner (Acute Care) Intensive Care and Resuscitation House Officer (Proactive)

Location

Cleveland

Facility

Cleveland Clinic Main Campus

Department

Integrated Hospital Care Administration-Integrated Hospital Care Institute

Job Code

T98526

Shift

Day/Evening/Night/Weekend

Schedule

6:30am-7:30pm/6:30pm-7:30am

Job Summary

CLEVELAND CLINIC IS CURRENTLY SEEKING ACUTE CARE NURSE PRACTITIONERS FOR A SUCCESSFUL ACUTE CARE NURSE PRACTITIONER LED CRITICAL CARE HOUSE OFFICER POSITION AT EUCLID/AMET. ACUTE CARE NP EXPERIENCE IS PREFERRED, HOWEVER CANDIDATES WITH AT LEAST 3 YEARS OF CRITICAL CARE RN EXPERIENCE WILL BE CONSIDERED.

THE COVERAGE WILL BE 24/7 TO INCLUDE DAY AND NIGHT SHIFTS.

THE COVERAGE WILL BE FOR ALL SERVICES, AND DUTIES WILL INCLUDE BUT NOT LIMITED TO:

PATIENT EVALUATIONS
RAPID RESPONSE/CODES
URGENT PATIENT MANAGEMENT PROCEDURES (AIRWAY, CENTRAL LINES, A-LINES, CHEST TUBES AND OTHER PROCEDURES
CRITICAL ASSESSMENT OF PATIENTS AS REQUIRED
CONTINUAL COMMUNICATION WITH OTHER PROVIDERS INVOLVED WITH THE ADMITTED PATIENTS CARE
AND OTHER RESPONSIBILITIES AS NEEDED

ALL HIRES WILL GO THROUGH AN IN-DEPTH 3-4 MONTH FULLY PAID TRAINING BEFORE BEGINNING THEIR DUTIES AT EACH HOSPITAL. SCHEDULE WILL BE 13 SHIFTS PER MONTH AND WILL INCLUDE ROTATING NIGHTS, WEEKENDS AND HOLIDAYS.

THE APPROPRIATE CANDIDATE WILL HAVE A QUEST FOR AUTONOMOUS PRACTICE, WORKING AT TOP OF LICENSURE, AND A DESIRE TO BE AN INTEGRAL PART OF A COMMUNITY HOSPITAL SYSTEM. AS A HOUSE OFFICER, CAREGIVERS WILL LOOK TO YOU AS THE RESPONDER TO THEIR NEEDS FOR WHOLE HOSPITAL PATIENT CARE.

CARE DELIVERED FROM THE CRITICAL CARE HOUSE OFFICER IS RAPID, SHORT TERM AND CONCISE TO ALLEVIATE AN IMMEDIATE ISSUE WITH THE HOSPITALIZED PATIENT. HAND OFFS WILL OCCUR CONTINUALLY TO THE STAFF AND SERVICE OF WHICH THE PATIENT IS ADMITTED. TO THAT END, EXCELLENT COMMUNICATION SKILLS WILL BE PARAMOUNT.

NOT TO BE CONFUSED WITH A HOSPITALIST ROLE, THE HOUSE OFFICER WILL OVER-SEE THE CARE OF ALL ADMITTED PATIENTS WITHIN THE REGIONAL HOSPITAL. ALL SERVICES CAN AND WILL CALL FOR ASSISTANCE FROM THE HOUSE OFFICER.

GENEROUS SIGN ON BONUS AVAILABLE TO CANDIDATES WITH AT LEAST 3 YEARS OF APP EXPERIENCE.

APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care.

PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care in a variety of healthcare settings. Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730). Develops a working diagnosis and treatment plan based on histories and physical exam, providing continuing medical care, including daily examinations, writing orders, chart notes. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients within any setting in which patients have complex, acute, critical and chronic health conditions. Practices in any setting in which patients require complex monitoring and therapies and high intensity medical interventions and/or continuous vigilance within the range of high-acuity care.

Job Details

Intern Role

Responsibilities:

• Completes patient history and performs patient assessment. Identifies, organizes and interprets relevant data according to RN scope of practice.
• Discusses findings with responsible provider.
•  Works as part of an interdisciplinary care team along with patient, family and significant others to develop plan of care.
• Focuses on cost-effective ways to maximize wellness, prevent illness, disease and disability.
• Develops and implements the nursing component of the plan of care as appropriate.
•  Provides health education to patients and families.
• Evaluates learning needs and abilities of patients and families and adapts education to meet those needs.
• Documents education and participates in the development of the educational plan. Assists in the preparation of department specific education for patients and/or colleagues.
•  Provides care for patients of all ages as per scope of practice.
• Utilizes the health care resources appropriately.
• Other duties as assigned.

Education:

• MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APN licensed role to an APN licensed role, eligible to sit for national graduate nursing certification exam leading to a certificate of authority in the State of employment.

Certifications:

• Licensed in the applicable state as a Registered Nurse (RN).

Complexity of Work:

• Current demonstrated clinical competence in nursing role.
• Good verbal, written and interpersonal skills.

Work Experience:

• Minimum 2 years of recent nursing experience preferred.

Physical Requirements:

• Requires full range of motion; manual and finger dexterity and eye-hand coordination.
• Requires standing and walking for extensive periods of time.
• Requires corrected hearing and vision to normal range.
• Requires some exposure to communicable diseases or bodily fluids.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.

NP Role Job Responsibilities:

• Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
• Must be able to work with collaborating physician.
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board
• Autonomously takes initiative responding to and taking the lead in rapid response, codes and stroke alerts, admissions to the ICU, as well as performing specialized procedures , such as,  blood draws, IV starts, intubation, arterial line placement, central venous catheter placement , ventilator management, in addition to other specific procedures as necessitated by the patient situation.  Must be prepared to function independently in house as the sole provider in hospital.
• Provides information and answers routine questions of patients and families regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.
• Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
• May participate in medical team rounds; collaborates with nursing, medical and other healthcare team members.
• Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
• Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
• May serve as clinical preceptor for PA/APRN students and other health professionals.
• May serve as Faculty for onboarding new employees.
• Demonstrates a high standard of moral and ethical behavior.  Demonstrates compassion and professionalism and a commitment to excellent patient care.
• Work/shift requirement: provide 24 hour, 7 days  per week  coverage, typically one NP/PA per shift (13-13 hour shifts per month and one 13 hour call shift per month)
• Other duties as assigned.

Education:

• APRN: EDUCATION:  Graduate of an accredited MSN/ACNP/AG-ACNP training program.
• PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program.
• Master's degree in Physician Assistant Studies and/or applicable state license through the
• State Medical Board for certificate to practice.

Certifications:

• APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.
• National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).
• PA: Current certification as a Physician Assistant through the NCCPA (or successor).
• Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.
• Required: Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) the American Heart Association (AHA).
• Preferred: Emergency Neurological Life Support (ENLS), Fundamental Critical Care Support, Advanced Trauma Life Support.

Competencies (Complexity of Work):

• Excellent analytical and decision making skills are required.
• Strong written and verbal communication skills
• Ability to perform advanced assessment and diagnosis.
• Critical thinking skills, decisive judgment and the ability to work autonomously.
• Must be able to lead in critical situation (codes, rapid response, brain attacks) as sole provider in house.
• Must be able to work in a stressful environment and take appropriate action.

 Work Experience:

• APRN: Two years clinical advanced practice nursing experience preferred.
• PA: Two years relative clinical experience preferred.
• Not currently considering PA for hire at this time (formulary too exclusive)

Physical Requirements:

• APRN/PA: Typical physical demands include the ability to walk and stand for long periods of time.
• Manual and finger dexterity and eye/hand coordination to perform physical examinations.
• Requires corrected vision and hearing to a normal range.
• Occasionally lifts and carries items weighing up to 50 pounds.
• May require exposure to communicable diseases and/or body fluids.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster. 

Cleveland Clinic is pleased to be an equal employment opportunity employer.