This full-time position offers the opportunity to work within a highly collaborative medical team that provides advanced care to highly complex patients, and will help develop, implement and evaluate a plan of general medical care for this select population ranging in age from young adults to the elderly. Helps establish a collaborative relationship within the team and between other medical staff and primary nurses. Promotes continuity of care and communication between patient, family, and all caregivers. Enables efficient use of resources by establishing clarity of goals, identifying areas of safety risk, and by acting as the patient's advocate. Serves as a role model and mentor for professional nursing practice. Establishes line of communication between caregivers at other institutions as well as primary and specialized providers outside the hospital. REPORTS TO:
The Advance Practice Nurse is accountable to the medical director of the Complex Care Service for medically delegated tasks. PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) Provides direct care to a select population in collaboration with the physician.
2) Performs and records the patient history and physical exam and discusses findings with the physician.
3) Utilizes advanced nursing knowledge to identify, prevent or solve complex and/or recurring patient care problems.
4) Follows and manages patients (in collaboration with the physician) enhancing continuity of care.
5) Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician.
6) Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines.
7) Collaborates with unit or clinic staff and providers to facilitate a comprehensive plan of care and coordinate resources.
8) Writes orders which are in accordance with current guidelines.
9) Maintains and practices in accordance with practitioner guidelines per state and hospital regulations.
10) Provides consultation to both nurses and physicians.
10.1) Serves as a resource to staff in area(s) of expertise.
10.2) Serves on appropriate intra and interdepartmental committees.
11) Participates in the development of formal and informal educational programs for the unit-based nursing staff.
11.1) Develops educational programs within area of expertise.
11.2) Collaborates with unit staff, clinical teachers, clinical specialists, staff specialist and other health care professionals to meet staff and patient educational needs.
12) Monitors patient outcomes in accordance with defined standards of patient care.
12.1) Collaborates with nurse managers, clinical nurses and medical staff to plan, implement and evaluate pertinent change in practice and health care delivery.
12.2) Identifies system-wide factors contributing to undesirable outcomes, such as complications, length of stay and overutilization.
12.3) Facilitates patient movement through the system and efficient use of resources through interdepartmental collaboration.
13) Supports research efforts to advance knowledge and to promote research-based practice.
13.1) Evaluates own practice and program effectiveness.
13.2) Identifies pertinent nursing and health delivery problems for investigation.
13.3) Evaluates current research findings for clinical specialty and determines applicability to unit practice.
13.4) Assists nursing and medical colleagues in research efforts.
13.5) Conducts own research.
14) Responsible for own professional growth and maintenance of required credentials.
14.1) Maintains the standards and educational requirements specific to the position and licensure.
14.2) Identifies own learning needs and goals.
14.3) Takes responsibilities for leadership and participation on committees and task forces of the DON and the hospital.
14.4) Maintains and updates clinical knowledge and skills based on current health care practice/research. Note: This position is funded for 1 year.Qualifications :EDUCATION:
Current Massachusetts licensure as a registered nurse in the expanded role.
Master's Degree in Nursing.
National certification in advanced practice nursing area.
Current federal (DEA) and Massachusetts licensure (MCSR) to dispense controlled substances. SKILLS/ABILITY:
- Must be able to work independently and collaboratively with other health professionals
- Excellent patient and family management skills
- Time Management: Exceptional organizational skills and ability to prioritize effectively and complete tasks; Flexibility to handle multiple tasks and deadline pressures.
- Leadership: Highly motivated, independent and capable of performing in a complex environment; Strong sense of initiative and perseverance to carry through to completion of tasks; Demonstrates forthrightness and integrity. Ability to identify issues/projects and initiate plans to address asking for direction when appropriate.
- Interpersonal/communication: Excellent interpersonal, written and oral communication.
- Information Systems/Technology Skills: Computer skills (including operating systems, word processing, electronic mail, Internet)
- Critical Thinking/Decision Making: Ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions.
- Discretion and Confidentiality: Ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff.
- Safety/Compliance: Knowledge in aspects of safety applicable to position; Knowledge of and compliance with institutional, JCAHO, HIPAA, and other regulatory bodies standards.