Advanced Practice Provider - Intensivist - Full Time - Days

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patients needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Responsibilities:

Essential Job Functions

Coordinate patient care in the critical care setting by utilizing the processes of assessment and diagnosis of health status.

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient-centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers, and others as appropriate to the patient's condition.
• Develop and implement treatment, ordering diagnostic tests, performing therapeutic procedures and prescribing medications according to clinical guidelines.
• Follow-up and evaluation plans for patient outcomes.
• Collaborate with physicians and other disciplines as appropriate and provides regular and consistent feedback.
• Use appropriate assessment techniques and diagnostic information. Performs tests relevant to patient condition and record findings.
• Order appropriate ancillary tests.
• Derive diagnosis from the assessment data and diagnostic information as data becomes available.
• Incorporate research into clinical practice as appropriate.

Implement interventions consistent with the established plan of care in a safe and appropriate manner.

• Apply established therapeutic practices to patient's problem.
• Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
• Generate consults/referrals to appropriate services and specialties as needed to further diagnose and/or progress of care.

Evaluate patient care to determine response to care/interventions for optimal patient outcome.

• Recognize and address patient and family capabilities and limitations (physical and mental).
• Monitor outcomes and documents patient response to interventions.
• Seek out new treatment methods necessary to ensure patient progress.

Provide patient and family teaching and education specific to the patient's health care.

• Interview and advise specific to patient needs providing education on a timely basis.
• Provide education including but not limited to proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
• Work collaboratively with physicians and other team members to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
• Use adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.

Maintain a professional behavior in attitudes, demeanor and interactions to achieve organization's mission.

• Communicate effectively with physicians, staff and patients.
• Is approachable and professional in working with other health professionals, patients and their family.
• Maintain a professional appearance, behavior and work environment.
• Initiate action to correct, prevent and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e., falls, needle sticks, patient concerns).
• Communicate to appropriate personnel regarding unresolved issues.
• Serve as a role model in the provision of emerging care.
• Serve as a reliable/knowledgeable resource for staff.
• Participate in meetings, research on special projects and professional organizations.
• Serves as a liaison between patient, family, physician and hospital staff.

Comply with the bylaws, rules and regulations of the organization as they pertain to the Nurse Practitioners or Physician Assistants.

• Know and follow organization policy and procedures.
• Follow Medical Protocols for professional discipline.
• Maintain certification/licensure.
• Follow guidelines of regulatory bodies (FDA etc.).

Maintain complete patient records.

• Document data appropriately.
• Document treatment plan of care that is individualized, appropriate and reflects patient's needs.
• Document interventions.
• Document consultations with other practitioners/physicians.

Participate in performance improvement and outcome management.

• Identify concerns in patient care and follows up according to hospital policy.
• Participate in patient satisfaction and other quality improvement initiatives.
• Participate in tracking of variances in care.
• Utilizes advance knowledge of study design, reliability/validity and statistical versus clinical significance to develop protocols and change nursing practice.
• Facilitates and/or participates in care conferences to provide insight in to the medical plan of care and in-depth review of disease processes.
• Participate in the Clinical Peer Review process by performing initial case reviews.

Provide appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Right Task
• Right Person
• Right Communication (clear, concise, correct, complete)
• Right Feedback

Schedule:

Work Schedule: Days 6a-6p. Three 12 hour shifts per week. Rotating weekdays/weekends/holidays.

Job Description:

Job Requirements

Education

• Graduate of Masters of Science in Nursing (MSN) or Doctorate of Nursing Practice (DNP) program.
• Satisfactory completion of annual mandatory education requirements.

Experience

• A minimum of three years nursing experience required.
• Experience as a Nurse Practitioner in the acute care and/or clinic setting preferred.

License/Certifications

• Current valid Registered Nurse (RN) License, valid compact multi-state license , or a temporary permit while awaiting licensure required.
• Current Nurse Practitioner (APRN.NP.NE or ARNP>IA) licensure for work state required.
• Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Current American Heart Association Advanced Cardiac Life Support (ACLS) required.

Skills/Knowledge/Abilities

• Strong leadership, problem-solving and medical judgement skills required.
• Ability to perform numerous tasks at once.

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Climbing
  • Crawling
  • Kneeling
  • Sitting
• Frequently Performed (34%-66%):
  • Balancing
  • Carrying
  • Crouching
  • Distinguish colors
  • Keyboarding/typing
  • Lifting
  • Pulling/Pushing
  • Reaching
  • Stooping/bending
  • Twisting
• Constantly Performed (67%-100%):
  • Grasping
  • Hearing
  • Reaching
  • Seeing/Visual
  • Speaking/talking
  • Walking

Job Hazards

• Not Related:
  • Electrical Shock/Static
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%): - Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
• Occasionally (34%-66%):
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
• Frequent (67%-100%):
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.