Nurse Practitioner, NP - Critical Care - Winnie Palmer Hospital - Critical Care/Intensive Care
Company: Orlando Health
Location: Orlando
Posted on: May 18, 2024
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Job Description:
Nurse Practitioner, NP (Nights) - Critical Care - Winnie Palmer
Hospital
Position Summary
Department: WPH Critical Care
Status: Full-Time
Shift: Nights
Title: Nurse Practitioner, ARNP, APP, Advanced Practice
Provider
ORLANDO HEALTH WINNIE PALMER HOSPITAL FOR WOMEN AND BABIES
Located on the downtown Orlando Health campus, Orlando Health
Winnie Palmer Hospital for Women and Babies provides specialized
care that covers all facets of women's health, from comprehensive
gynecological services and minimally invasive surgeries to general
obstetrics and high-risk pregnancies and births. Orlando Health
Winnie Palmer welcomes nearly 14,000 babies each year. Our 350-bed
hospital includes 142 beds in neonatal intensive care units
(NICUs), making Orlando Health Winnie Palmer one of the largest
NICUs in the nation. We are proudly the first - and only - hospital
in Florida to offer in utero surgery to repair spina bifida. Named
a Top Teaching Hospital by The Leapfrog Group, our hospital also is
proudly recognized as a "Best Children's Hospitals in Neonatology"
by U.S. News & World Report and has held Magnet Recognition from
the American Nurses Credentialing Center since 2013.
Orlando Health Winnie Palmer is part of the Orlando Health system
of care, which includes award-winning hospitals and ERs, specialty
institutes, urgent care centers, primary care practices and
outpatient facilities that span Florida's east to west coasts and
beyond. Collectively, our 27,000+ team members honor our over
100-year legacy by providing professional and compassionate care to
the patients, families and communities we serve.
Orlando Health is committed to providing you with benefits that go
beyond the expected, with career-growing FREE education programs
and well-being services to support you and your family through
every stage of life. We begin your benefits on day one and offer
flexibility wherever possible, so that you can be present for your
passions.
"Orlando Health Is Your Best Place to Work" is not just something
we say, it's our promise to you.
Under the supervision of the physician, according to established
practice guidelines and utilizing evidence-based clinical practice
standards, provides inpatient management, consultations, and
co-management of critically ill patients.
Responsibilities
Essential Functions
* Possess specialized skill and knowledge unique to the ICU setting
in which they practice (Medical, Surgical, Neurosurgical,
Cardiovascular, etc)
* Provides direct clinical services for critically ill patients
according to established protocols and utilizes evidence-based
clinical
practice standards.
* Obtains comprehensive and focused history and physician exam on
critically ill patients
* Responsible for evaluating critically ill complex (multi-organ
failure) patients in the ICU and step down units by synthesizing
data, physical exam and pertinent medical history to assess
clinical scenario and prescribe appropriate interventions and
medications.
* Uses clinical judgment and evidence based medicine to order and
schedule appropriate laboratory and radiographic studies.
* Works with supervising physician to determine and place
appropriate specialty consultations.
* Evaluates critically ill patients in the ICU and step down units
by synthesizing data, physical exam and pertinent medical history
to
assess clinical scenario and prescribe appropriate interventions
and medications.
* Works in collaboration with supervising and consulting physicians
to formulate and implement plan for management of critical ill
patients.
* Performs complex procedures in the diagnosis and treatment of
medical and surgical problems (including but not limited to:
Central venous catheter placement, arterial catheter placement,
chest tube placement, lumbar puncture, thoracentesis,
paracentesis, endotracheal intubation, therapeutic bronchoscopy
-i.e removal of secretions and BAL.)
* Performs advanced cardiac life support. In a medical emergency,
the nurse practitioner will act on behalf of the supervising
medical staff member to maintain life support until a licensed
physician arrives to manage the patient.
* Removes catheters, drains, sutures and staples.
* Interprets arterial blood gas report and appropriate management
of invasive and noninvasive modes of mechanical ventilation.
* Assesses need for vasoactive medication and places appropriate
order sets and titration parameters.
* Interpretation of invasive and noninvasive hemodynamic
monitoring, waveforms and EKG and institutes appropriate
interventions.
* Interprets radiographic tests, including but not limited to CT
scan, MRI and X-rays.
* Operates with the highest degree of independence in provision of
patient care services with minimal physician supervision and
generally in a highly specialized area
* Performs emergent lifesaving procedures in cases such cardiac
arrest, respiratory arrest, massive hemorrhage, or similar
catastrophe.
* Performs preliminary daily rounds independently and daily
multidisciplinary rounds (i.e., attending physicians, fellows,
pharmacist, dietician, respiratory therapist)
* Assesses patient for changes in status and capable of instituting
appropriate interventions in sub-acute, acute and emergent
situations.
* Notifies attending physician about unusual or unexpected events
or problems requiring direct physician consultation.
* Initiates necessary emergent interventions to stabilize acutely
deteriorating patients.
* Prescribes medication using evidence based medicine, clinical
judgment and plan of care as discussed in rounds as agent for
supervision physician.
* Writes and/or dictates concise thorough patient progress notes,
consult notes, history and physical notes and clinical resumes.
* Documents the preparation, procedure, outcome and complications
of therapeutic and diagnostic procedures performed.
* Explains the necessity, preparation, nature and anticipated
effects of procedures or tests to patients, patient's family and
staff.
* Provides family-centered care by communicating with family
regarding the changing health care status of their family
member.
* Provides family education as needed and works to answer or
address family's questions or concerns.
* Assesses family adaptation, coping skills and need for crisis or
other intervention.
* Utilizes current research and evidence based medicine approach in
all clinical practice.
* Supports IRB approved clinical research/trials through a variety
of activities including but not limited to: ordering diagnostic
tests,
prescreening patients, recording laboratory and diagnostic results,
administering therapeutic interventions per trial protocols and
documenting outcomes per hospital and trial protocols.
* Remains in compliance with national accreditation and state
licensure
* Participates and supports accreditation, compliance, policies,
procedures and regulatory activities.
* Embodies professionalism through conduct, appearance,
communication, mutual respect, ethical decision making and
leadership skills.
* Demonstrates responsibility for professional practice through
active participation in professional organizations and
continuing
education.
* Contributes to excellence in patient care, research, teaching and
consulting.
* Provides appropriate patient and family education.
* Maintains reasonably regular, punctual attendance consistent with
Orlando Health policies, the ADA, FMLA and other federal,
state and local standards.
* Maintains compliance with all Orlando Health policies and
procedures.
Other Related Functions
* Participates in basic science and clinical research projects.
* Other duties as assigned.
Qualifications
Education/Training
Graduate of accredited nurse practitioner program with a Master's
Degree and completion of a board certification if graduated after
July 2006. New hires and Team Members placed in this job after May
1, 2021 must obtain acute care certification.
Licensure/Certification
* ARNP license in the state of Florida.
* Maintains current ACLS and BLS.
* Fundamental Critical Care Support (FCCS) Certificate, or obtain
the FCCS certification within 6 months of hire if preapproved by
the Physician Director of Critical Care Services
Experience
If graduated before July 2006, and without certification, must have
2 years experience as a nurse practitioner in a critical care APP
role
Education/Training
Graduate of accredited nurse practitioner program with a Master's
Degree and completion of a board certification if graduated after
July 2006. New hires and Team Members placed in this job after May
1, 2021 must obtain acute care certification.
Licensure/Certification
* ARNP license in the state of Florida.
* Maintains current ACLS and BLS.
* Fundamental Critical Care Support (FCCS) Certificate, or obtain
the FCCS certification within 6 months of hire if preapproved by
the Physician Director of Critical Care Services
Experience
If graduated before July 2006, and without certification, must have
2 years experience as a nurse practitioner in a critical care APP
role
Essential Functions
* Possess specialized skill and knowledge unique to the ICU setting
in which they practice (Medical, Surgical, Neurosurgical,
Cardiovascular, etc)
* Provides direct clinical services for critically ill patients
according to established protocols and utilizes evidence-based
clinical
practice standards.
* Obtains comprehensive and focused history and physician exam on
critically ill patients
* Responsible for evaluating critically ill complex (multi-organ
failure) patients in the ICU and step down units by synthesizing
data, physical exam and pertinent medical history to assess
clinical scenario and prescribe appropriate interventions and
medications.
* Uses clinical judgment and evidence based medicine to order and
schedule appropriate laboratory and radiographic studies.
* Works with supervising physician to determine and place
appropriate specialty consultations.
* Evaluates critically ill patients in the ICU and step down units
by synthesizing data, physical exam and pertinent medical history
to
assess clinical scenario and prescribe appropriate interventions
and medications.
* Works in collaboration with supervising and consulting physicians
to formulate and implement plan for management of critical ill
patients.
* Performs complex procedures in the diagnosis and treatment of
medical and surgical problems (including but not limited to:
Central venous catheter placement, arterial catheter placement,
chest tube placement, lumbar puncture, thoracentesis,
paracentesis, endotracheal intubation, therapeutic bronchoscopy
-i.e removal of secretions and BAL.)
* Performs advanced cardiac life support. In a medical emergency,
the nurse practitioner will act on behalf of the supervising
medical staff member to maintain life support until a licensed
physician arrives to manage the patient.
* Removes catheters, drains, sutures and staples.
* Interprets arterial blood gas report and appropriate management
of invasive and noninvasive modes of mechanical ventilation.
* Assesses need for vasoactive medication and places appropriate
order sets and titration parameters.
* Interpretation of invasive and noninvasive hemodynamic
monitoring, waveforms and EKG and institutes appropriate
interventions.
* Interprets radiographic tests, including but not limited to CT
scan, MRI and X-rays.
* Operates with the highest degree of independence in provision of
patient care services with minimal physician supervision and
generally in a highly specialized area
* Performs emergent lifesaving procedures in cases such cardiac
arrest, respiratory arrest, massive hemorrhage, or similar
catastrophe.
* Performs preliminary daily rounds independently and daily
multidisciplinary rounds (i.e., attending physicians, fellows,
pharmacist, dietician, respiratory therapist)
* Assesses patient for changes in status and capable of instituting
appropriate interventions in sub-acute, acute and emergent
situations.
* Notifies attending physician about unusual or unexpected events
or problems requiring direct physician consultation.
* Initiates necessary emergent interventions to stabilize acutely
deteriorating patients.
* Prescribes medication using evidence based medicine, clinical
judgment and plan of care as discussed in rounds as agent for
supervision physician.
* Writes and/or dictates concise thorough patient progress notes,
consult notes, history and physical notes and clinical resumes.
* Documents the preparation, procedure, outcome and complications
of therapeutic and diagnostic procedures performed.
* Explains the necessity, preparation, nature and anticipated
effects of procedures or tests to patients, patient's family and
staff.
* Provides family-centered care by communicating with family
regarding the changing health care status of their family
member.
* Provides family education as needed and works to answer or
address family's questions or concerns.
* Assesses family adaptation, coping skills and need for crisis or
other intervention.
* Utilizes current research and evidence based medicine approach in
all clinical practice.
* Supports IRB approved clinical research/trials through a variety
of activities including but not limited to: ordering diagnostic
tests,
prescreening patients, recording laboratory and diagnostic results,
administering therapeutic interventions per trial protocols and
documenting outcomes per hospital and trial protocols.
* Remains in compliance with national accreditation and state
licensure
* Participates and supports accreditation, compliance, policies,
procedures and regulatory activities.
* Embodies professionalism through conduct, appearance,
communication, mutual respect, ethical decision making and
leadership skills.
* Demonstrates responsibility for professional practice through
active participation in professional organizations and
continuing
education.
* Contributes to excellence in patient care, research, teaching and
consulting.
* Provides appropriate patient and family education.
* Maintains reasonably regular, punctual attendance consistent with
Orlando Health policies, the ADA, FMLA and other federal,
state and local standards.
* Maintains compliance with all Orlando Health policies and
procedures.
Other Related Functions
* Participates in basic science and clinical research projects.
* Other duties as assigned.
Keywords: Orlando Health, Kissimmee , Nurse Practitioner, NP - Critical Care - Winnie Palmer Hospital - Critical Care/Intensive Care, Healthcare , Orlando, Florida
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