Nurse Practitioner Lead - Critical Care Pulmonology
Company: Denver Health
Location: Denver
Posted on: April 28, 2024
Job Description:
We are recruiting for a Nurse Practitioner Lead - Critical Care
Pulmonology to join our team!We are here for life's journey.Where
is your life journey taking you?Being the heartbeat of Denver means
our heart reflects something bigger than ourselves, something that
connects us all:Humanity in action, Triumph in hardship,
Transformation in health.DepartmentPulmonary PhysiciansJob
SummaryClinical Expectations: Under general supervision, works as
full member of the MICU multi-professional critical care team.
Contributes to excellence in patient care, research, teaching, and
provides leadership to the organization. Functions as a medical
intensive under the supervision of the MICU Director or designee.
Collaborates with resident physicians in internal medicine and
manages the critical care aspects of the assigned patient's
intensive care stay in the MICU and progressive care unit (PCU)
from admission to transfer or discharge. Demonstrates an advanced
level of medical and nursing knowledge, clinical/technical
competence including expertise in central line insertion, airway
intubation, arterial cannulation, lumbar puncture and similar
procedures.The Critical Care Nurse Practitioner will additionally
have responsibility for quality and performance metrics and
improvements in conjunction with the MICU leadership and will be
required to contribute to educational and research activities in
the MICU/PCU.Administrative Expectations: Oversee professional,
clinical, and educational activities of the department's APPs.
Ensure a culture of open dialogue and 360o feedback with all staff,
promote healthy team norms, and develop pathways to support staff
and promote wellness. Promote a culture of diversity and inclusion
within the Department. Proactively identify and address areas of
inequity. Recognize and promote the value of enhancing diversity in
the healthcare workforce. Promote and support a system of
recruitment, development, and succession planning for APPs and
other staff leadership positions, with a focus on developing
opportunities for professional advancement for APPs. Promote
implementation of and adherence to standardized clinical workflows.
Establish open non-judgmental dialogue, welcome constructive
criticism, and demonstrate timely responsiveness. Maintain
appropriate levels of transparency and respectful accountability.
Effectively manage disagreements among staff.The Lead APP will
serve as a liaison between the department's APPs, department's
division heads, and working closely with unit nurse manager. The
Lead APP will be in charge of scheduling for the groupEssential
Functions:
- Performs and documents in the medical record a complete history
and physical examination for acute and complex chronically ill
patients. (15%)
- Orders and collects data using appropriate assessment
techniques, relevant supporting diagnostic information and
diagnostic procedures where indicated. Formulates differential
diagnoses by priority. Identifies expected outcomes from diagnosis,
and formulates and documents a plan of care to address immediate
critical care needs. Incorporates clinical research findings in the
development and implementation of standards of care. Utilizes
current research and evidence-based decision-making in all clinical
practice. (15%)
- Assesses for risks associated with the care of the acute and
complex chronically ill patient including medication side effects,
immobility, impaired nutrition, fluid and electrolyte imbalance,
immunocompetence, invasive interventions and diagnostic procedures.
(10%)
- Coordinates daily rounds with the Attending and Intensivist
physician teams, presents 24 hour patient report, and collaborates
in plan of care. Collaborates with interdisciplinary health care
team in making diagnoses of acute and complex chronic conditions.
(10%)
- May serve as the first responder for both nursing and house
staff in the event of patient status changes, orders, and in
situations requiring procedural and resuscitative interventions.
(10%)
- Prescribes diagnostic strategies and therapeutic interventions
both pharmacologic, non-pharmacologic and surgical, needed to
achieve expected outcomes. Prescriptive authority for prescribing,
ordering, and or administering drugs; including (but not limited
to) schedule II, III, IV, and V drugs and necessary medical
devices. (5%)
- May perform advanced procedures consistent with privileges and
competency validation, including minor suturing, complex wound
management, line and tube placements and removals. (5%)
- Provides supervisory leadership for the MICU NP program
including scheduling, recruitment and retention, credential review
and continuing evaluation and assesment. (10%)
- Documents/dictates key components of patient's progress via
daily progress note, transfer, and discharge summary, and/or clinic
note where applicable. (H&P, daily progress notes, plan of
care, problem lists, procedure notes, acute event note, discharge
summaries in medical record per specific patient unit or service,
death summary) (5%)
- Assesses educational needs of the patient-care staff and
provide one-on-one as well as formal education as needed. Maintains
ongoing communication and collaboration with interdisciplinary
health care team. Implements and evaluates appropriate educational
programs for DHMC MICU patient care staff and other healthcare
providers as appropriate. (5%)
- Assesses educational needs of the patients / families and
provide culturally-sensitive patient/family education interventions
as indicated. Use non-technical language when educating patients
and families. Document all pre and post-care education in patients'
medical record. (5%)
- Collaborates with MICU, SICU and PCU leadership in advancing
cross-unit, cross-disciplinary performance initiatives. Actively
participates in Grand Rounds, APN council meetings, faculty and
unit meetings, M&M presentations. (5%)Education:
- Master's Degree From an accredited program as a nurse
practitioner RequiredWork Experience:
- 1-3 years Critical Care NP Required
- 1-3 years Critical Care nursing RequiredLicenses:
- ACLS-Advanced Cardiac Life Support - AHA - American Heart
Association Required and
- BLS-Basic Life Support (BLS/CPR) - AHA - American Heart
Association Required and
- NPRXN-Nurse Practitioner Prescriber - DORA - Department of
Regulatory Agencies Required and
- NP-Nurse Practitioner - AANPCB - American Academy of Nurse
Practitioners Certification Board Required or
- NP-Nurse Practitioner - DORA - Department of Regulatory
Agencies RequiredKnowledge, Skills and Abilities:
- Knowledge of medical principals and procedures.
- Knowledge of community resources for appropriate
procedures.
- Skill in eliciting history from patients, performing physical
exams and formulating assessments of and treatment plans for
patients.
- Ordering appropriate diagnostic studies to aid in
diagnosis.
- Knowledge of appropriate administration and prescription of
medications.
- Skill in utilizing the principles and practices of effective
and persuasive communication to elicit information, negotiate
problem resolution, and/or garner support for various programs or
policies.
- Skill in obtaining information from patients, calming and
reassuring patients and motivating patients to accept treatments.
Ability to exercise initiative and judgment in selecting proper
treatment.
- Ability to respond appropriately in emergency situations.
- Ability to prepare accurate reports.
- Ability to establish and maintain effective working
relationships with employees, other departments and the
public.
- A strong foundation in evidenced based practice and education
and has a responsibility for ensuring adherence to critical care
pathways and protocols and ensures an environment of safe quality
care.
- Ability to demonstrate sound clinical judgment, professional
communication skills, timely and compliant documentation, and is
responsible for professional development and competency
validation.
- Computer skills required.ShiftWork TypeRegularSalary$112,200.00
- $121,400.00 / yrBenefits
- Outstanding benefits including up to 27 paid days off per year,
immediate retirement plan employer contribution up to 9.5%, and
generous medical plans
- Free RTD EcoPass (public transportation)
- On-site employee fitness center and wellness classes
- Childcare discount programs & exclusive perks on large brands,
travel, and more
- Tuition reimbursement & assistance
- Education & development opportunities including career pathways
and coaching
- Professional clinical advancement program & shared
governance
- Public Service Loan Forgiveness (PSLF) eligible employer+ free
student loan coaching and assistance navigating the PSLF
program
- National Health Service Corps (NHCS) and Colorado Health
Service Corps (CHSC) eligible employerOur Values
- Respect
- Belonging
- Accountability
- TransparencyAll job applicants for safety-sensitive positions
must pass a pre-employment drug test, once a conditional offer of
employment has been made.Denver Health is an integrated,
high-quality academic health care system considered a model for the
nation that includes a Level I Trauma Center, a 555-bed acute care
medical center, Denver's 911 emergency medical response system, 10
family health centers, 19 school-based health centers, Rocky
Mountain Poison & Drug Safety, a Public Health Institute, an HMO
and The Denver Health Foundation.As Colorado's primary, and
essential, safety-net institution, Denver Health is a
mission-driven organization that has provided billions in
uncompensated care for the uninsured. Denver Health is viewed as an
Anchor Institution for the community, focusing on hiring and
purchasing locally as applicable, serving as a pillar for community
needs, and caring for more than 185,000 individuals and 67,000
children a year.Located near downtown Denver, Denver Health is just
minutes away from many of the cultural and recreational activities
Denver has to offer.We strongly support diversity in the workforce
and Denver Health is an equal opportunity employer (EOE).Denver
Health values the unique ideas, talents and contributions
reflective of the needs of our community. For more about our
commitment to diversity visit:
Keywords: Denver Health, Commerce City , Nurse Practitioner Lead - Critical Care Pulmonology, Healthcare , Denver, Colorado
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