Advanced Practice Registered Nurse - Ophthalmology, Retinal

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The Advanced Practice Registered Nurse (APRN) delivers medical care to a wide variety of patients. The APRN also examines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care.

CORE JOB FUNCTIONS

• 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.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS
Education:

• Master's degree in a relevant field required.

Experience:

• Minimum 2 years of relevant experience.

Certification and Licensing:

• Graduate of a master’s in science in Nursing with approved ARNP Curriculum or higher Florida Licensure as ARNP from Florida Board of Nursing.

• Board Certification as ARNP from nationally accredited organization such as American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP)

Knowledge, Skills and Attitudes:

• 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.

Department Specific Functions

The APRN   will perform a patient assessment to include medical history and physical exam and in collaboration with the physician mentor and develop an appropriate plan of care in the direct management of patients with several eye conditions, including neuro-ophthalmology and glaucoma, as well as exploring areas of consult services, ocular surface services, oculoplastic, and tele-ophthalmology/virtual care. The APRN works directly with staff, administration, patients, and families to ensure quality care across the continuum as an expert in selected practice areas. The APRN integrates current knowledge of professional issues, trends in health care and technological advances into the scope of practice. Additionally, he/she participates in the collection of research data, quality improvement, discharge planning and coordination of patient care.

APRN role responsibilities within scope of license include:

• Follow non acute chronic neuro patients that need continued care

• Follow non acute (cornea, retina, glaucoma) patients that need continued care

• Facilitate visual fields, refractions, testing, etc.

• Facilitate referrals to subspecialties and other referral requests.

• Route international patients and second opinion requests

• Answer patient questions, emails

• Review records in advance of physician review

• Complete telehealth visits

• Measure prisms

Additionally, duties and responsibilities of this position include, but are not limited to:

Accountabilities:

I. Clinical Role

1. Provides care to a select group of patients by determining and rendering advanced nursing and medical interventions.

a. Assessment/Diagnosis: Assesses patients by interviewing/examining the patient, reviewing the patient’s medical history, physician’s diagnosis and orders, diagnostic test results to determine medical diagnosis, plan of care and monitor patient’s progress.

i. Performs physical assessment.

ii. Reviews the medical record including physician/consultation notes, lab and diagnostic tests results. Formulates medical diagnoses based on the above data.

iii. Collaborates with physicians through discussion and assessment of diagnoses.

b. Planning/Outcomes: Develops a plan of care from the assessment/diagnoses and physician collaboration.

i. Identifies expected outcomes based on the assessment/diagnoses and physician collaboration.

ii. Includes interventions in plan of care that reflects expected outcomes.

iii. Documents and coordinates plan of care.

iv. Provides patient/family education regarding disease processes, treatment options, treatment outcomes, possible complications, medications, discharge planning and lifestyle modification.

v. Integrates current knowledge of professional issues, trends in health care and technological advances into scope of practice.

c. Implementation: Institutes necessary actions as outlines in the plan of care.

i. Collaborates with team members to ensure implementation of plan as described.

ii. Implements physician orders per protocols.

iii. Communicates plan of care to team members.

iv. Assists in the management of family dynamics and coping mechanisms during patient care.

v. Engages in performance improvement activities to support the mental health needs of our patient population.

d. Evaluation: Evaluates the patient’s progress in attaining expected outcomes by follow-up with collaborating physician.

i. Evaluates as warranted by patient’s condition, daily, by assessment of physical findings, lab and diagnostic test results.

ii. Formulates new plan of care as determined by evaluation.

e. Consultation/Collaboration: Consults with collaborating physician(s) on implementation, evaluation, and revision of treatment plan.

i. Coordinates care with interdisciplinary healthcare team in the development and implementation of plan of care.

ii. Facilitates communication between the nursing staff and physicians with leadership skills and on-unit mentoring.

iii. Collaborates with members of the education department and units’ leadership team in planning educational opportunities and competency evaluation for nursing staff members.

iv. Conducts or participates in multidisciplinary rounds and ensures appropriate and quality care for patients.

v. Rotates and refers to support services as needed.

II. Research

Initiates and/or participates in hospital research activities. Utilizes research finding and nursing theory in clinical practice. Promotes evidence-based/knowledge-based nursing practice. Collects data for patient and program evaluation and participates in quality assessment and improvement activities.

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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