Advanced Practice Registered Nurses / Physician Assistants
St. Joseph Hospital, located in the beautiful state of New Hampshire, has an opening in our St. Joseph Hospital Critical Care/ICU Unit Title: PA/NP, Critical Care/ICU PURPOSE OF POSITION: To work collaboratively with families and a multidisciplinary health team in an inpatient hospital-based critical care specialty unit with 24/7 coverage including night, overnight, weekend, and or holidays to provide acute/chronic health care to patients, including clinical management for a critical care population. Procedurally based and high acuity patients. Provide leadership through education, consultation and research. This position requires a high degree of confidence in performing duties independently without close physician supervision.
RESPONSIBILITIES: •Provide first call coverage for the hospital’s critical care physician team •Evaluate patients being admitted to the ICU from the emergency department, hospital wards, and operating rooms •Formulate a plan of care, request appropriate diagnostic tests, enter appropriate medication, nursing and life-support device orders •Maintain a high degree of collaboration with the ICU nurses in managing the patient’s critical care needs •Communicate with the critical care provider team when deemed necessary JOB REQUIREMENTS: Technical Skills: Technical skills for the position include: •Placement of central venous access •Placement of arterial lines •Endotracheal intubation •Basic ventilator management (the ICU has 24-7 staffing by expert Respiratory Care providers) •To be lead on code blue status Assessment and Diagnosis •Collects & documents comprehensive data in a systematic & ongoing process pertinent to the patient's health or situation, involving the patient/family/caregiver when appropriate. •Initiates & interprets age-appropriate & condition-specific laboratory tests & diagnostic procedures. •Analyzes & prioritizes complex data to determine the differential diagnoses & revises diagnoses as appropriate to initiate the plan of care. •Assessment & diagnoses derived are developmentally appropriate & specific to areas of growth & development, age, cultural sensitivity, & family dynamics. Outcomes Identification and Planning •Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. •Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. •Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. •Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. •Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. •Maintains documentation & updates accordingly outcomes, goals & the plan of care. Care Management, Education, and Treatment
•Maintains competency in skills/procedures •Promotes self-management & family centered care •Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment •Provides leadership in care management to achieve optimal quality, cost-effective care; •Documents & communicates with healthcare team members to achieve an integrated delivery of services •Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver •Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system •Makes appropriate referrals and discusses recommendations with patient/family/caregiver •Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice •Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies. •Consistently integrates age specific and culturally diverse concepts into patient care, taking into consideration both the patient's chronological age and level of functioning.
Prescriptive Authority •Prescribes appropriate pharmacologic/non-pharmacological agents & interventions that are both universal & unique to the patient, & monitors/evaluates effects. Evaluation •Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed •Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes •Includes the patient/family/caregiver & other healthcare providers •Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately •Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate. Professional Practice •Participates in quality improvement activities or research to improve the care delivery process & patient care outcomes •Uses & communicates results to initiate change in practice •Uses creativity, new knowledge, & innovation to improve care •Takes action to achieve goals identified during performance appraisal & peer review, resulting in changes in practice & role performance •Participates in lifelong learning that improves skills & competence in clinical practice/role performance •Serves as preceptor, role model, or mentor •Contributes to the professional development of peers/colleagues to improve pediatric health care & to foster the profession's growth •Integrates ethical considerations & research findings into practice •Provides leadership by participating on committees or in professional organizations, or writing/publishing/presenting •Advocates for the patient/family/caregiver •Serves as a leader, influencing both healthcare/APP practice & policy. Required: ·Master's Degree in Nursing AND Current license to practice nursing in the State of New Hampshire ·Certification as an advanced practice nurse appropriate to meet requirements of Nurse Practitioner position (e.g., PNP/A, ) required AND Certificate to prescribe as applicable -PA Degree - 3-5 years of critical care experience
Please call Heather Fowler at (207) 460-9001 or email at email@example.com To learn more about our hospital, please visit our website at https://www.stjosephhospital.com/nashua-career/career-opportunities
No third party recruiters please We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally pro
Internal Number: 1111
About Covenant Health
At St. Joseph Hospital in Nashua, a member of Covenant Health, we believe in providing our employees with a place to grow professionally and personally in an environment that is both challenging and rewarding. We seek to recruit and retain outstanding candidates for each position within our organization, and we view all of our dedicated employees as a living embodiment of our healing Mission. If you are interested in becoming a part of our Mission, please consider a career at St. Joseph Hospital in Nashua.