Physician Assistant or Nurse Practitioner - ICU - Full Time, Nights New

1122828_RR00086938 Job ID: 1122828_RR00086938

NYU Langone Hospital—Suffolk is a 306-bed medical center, providing care to residents of eastern Long Island. The hospital facility is home to the Knapp Cardiac Care Center—an advanced heart disease diagnostic and treatment facility—as well as a modern ambulatory surgical pavilion with specialized services including women’s imaging, a sleep laboratory, and bariatric surgery. Our Provisional Level 2 Trauma Center delivers comprehensive and specialized care for patients with traumatic injuries. The Stroke Center at NYU Langone Hospital—Suffolk is designated by the New York State Department of Health as a Primary Stroke Center, with expert neurologists available to provide treatment 24 hours a day, 7 days a week. Additionally, NYU Langone Hospital—Suffolk has multiple outpatient sites, including an outpatient wound care center, a hemodialysis center, and various primary care and specialty offices. For more information, go to NYU Langone Hospital—Suffolk , and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube, and Instagram.

Position Summary

Nurse practitioners (NP) are dedicated to providing quality, professional, cost-effective health care to all patients at NYU Langone Hospital—Suffolk.

At NYU Langone Hospital—Suffolk, NPs provide services as a licensed independent practitioner (LIP) collaborating with a licensed physician fulfilling a broad range of medical services that would otherwise be provided by the physician. A NP shall be permitted to provide any service within his/her scope of training/skills outlined in the collaborative agreement between the NP and the collaborating physician that has been approved by the Credentials Committee. NPs may provide care for all patients throughout the hospital as permitted by their certification and licensure. NPs work collaboratively with the patient's physicians, assisting in providing high-quality care, and a well-planned, timely discharge. NPs provide patient-centered care as members of interdisciplinary teams emphasizing evidence-based practice and accepted standards of care. A NP shall document according to the practices included in the Clinical Documentation Initiative (CDI). NPs with Registered Nurse First Assistant (RNFA) documentation working in surgery have the primary responsibility of assisting in surgery. A NP working in surgery must have a collaborative agreement with a surgeon. A NP working in surgery will also perform surgical functions in other areas of the hospital as needed by the surgeons or the Chief PA. A NP on the Trauma Team must have privileges to first assist in surgery, experience in emergency medicine, and current Advanced Trauma Life Support (ATLS) documentation, or acquire it within six months. A NP on the Trauma Team may be required to be on-call.

Job Responsibilities

Assessment and Reassessment of Patients

Introduces/identifies self as a nurse practitioner

Assists the physician with patient management focusing on quality care and a well-planned, timely discharge

Communicates professionally and effectively with the patient's physician, and as appropriate, consulting physicians, case managers, nurses, and other Hospital staff any patient information that may affect discharge or the patient's hospital course.

Performs initial and ongoing assessment/history and physical examination

Assesses/reassesses patient's condition and care plan

Orders and interprets tests/results(lab, radiology, ekg, etc.) based on patient need

Orders medications and treatments

Documents care in the chart in accordance with hospital policies and procedures

Formulates diagnoses

Formulates and implements patient care and treatment plans. Discusses patient care and treatment plans, expectations, needs, and any other information with physicians, nurses, case managers, and other hospital staff. Uses established Long Island Health Network (LIHN) guidelines, if applicable.

Obtains consents for blood/blood product transfusion, CAT scan and MRI contrast administration, and for procedures performed by the PA

Initiates consults with physicians and other hospital staff including those for hospice and palliative care

Initiates and participates in care related to end-of-life issues including Do Not Resuscitate/Intubate (DNR DNI) and Medical Orders for Life Sustaining Treatment (MOLST) documentation

Manages medical/surgical patient care including emergencies requiring BLS/ACLS/PALS (if adult or family NP)

Performs Trauma assessments/reassessments following ATLS (Trauma Team)

Performs peri- and intraoperative assessments/reassessments

Performs peri- and intraprocedure assessments/reassessments

Rounds with physicians and other hospital staff

Orders, applies, reapplies, and removes restraints

Documents in patient chart or the computer all pertinent patient information following departmental and hospital policies, and using the CDI education.

Writes legibly

Dates, times, and signs all chart entries

Uses name stamp

Documents any patient or family education

Documents results of tests ordered, or disposition of care

Completes all procedure notes

Documents communication with physicians

Signs, dates, times verbal/telephone orders by the end of each shift

Fully completes and submits billing forms by the end of each shift

Completes discharge documentation including discharge/transfer summaries, discharge instructions, writing/issuing discharge orders, prescriptions, and any other associated documentation required for discharge

Technical Procedures

Explains procedure to patient/family

Uses sterile technique, including barrier precautions, when needed

Performs procedures such as IV insertion, foley catheter insertion, naso/oro gastric tube insertion, central venous line removal, etc.

Sutures/ provides wound care

Splints

Assists in surgery

Assists with cardiac catheterizations

Performs CAT scan/MRI injections

Performs other radiological injections such as nuclear studies

Performs invasive procedures such as PICC insertion, central venous line insertion, chest tube insertion

Performs surgical procedures such as chest tube removal, drain removal, etc.

Assists radiologist with procedures such as biopsies, drainage procedures, special procedures, etc.

Performs radiological procedures such as paracentesis, thoracentesis, etc.

General Job Requirements

Demonstrates positive customer service/satisfaction skills, positive attitude towards change, effective time management, positive communication skills, the ability to constructively give and accept feedback, and solid problem solving skills

Conducts oneself professionally

Demonstrates the medical, technical, and personal skills to assess, reassess, & manage patients

Knows one's limitations and seeks help if needed

Demonstrates the ability to concentrate and pay close attention to detail

Works as team member in multidisciplinary manner

Arrives to work and leaves on-time

Abides by hospital and departmental policies and procedures

Abides by Det Norske Veritas (DNV) expectations and standards

Maintains knowledge of current trends and techniques in the field by reading appropriate journals, books and other literature and attending related seminars, conferences and the like. Assists in inter-and intra-departmental instruction.

Abides by all federal and state laws, rules, and regulations

Answers pages and calls immediately(unless busy) using name, title, and greeting

Attends minimum of 50% of departmental meetings

Attends minimum of 50% of Medical Staff meetings

Attends minimum of 50% of Trauma Team meetings

Participates in performance assessment and improvement studies

Minimum Qualifications

Graduate of NP educational program approved by the State of New York

Current NP certification from either the American Academy of Nurse Practitioners or the American Nurses Credentialing Center

Bachelors and Masters degrees

Current New York State license as registered nurse and NP

Current Basic Life Support (BLS)

Current Advanced Life Support (ACLS)

Current Pediatric Life Support (PALS)

Current Advanced Trauma Life Support (ATLS)

Current National Institute of Health stroke scale(NIHSS) training certification

Current New York State prescription privilege

Current DEA number

Current New York State Infection Control training certification

Completed Peripherally Inserted Central Catheter (PICC) on-line training

Current certification by American Vascular Association (AVA)

Current member of American Academy of Nurse Practitioners (AANP)

Current member of Nurse Practitioner Association of New York State (NPA)

Requires the psychomotor skills, including walking and use of hands, to perform examinations and procedures.

The interpersonal and customer service skills necessary to communicate effectively with patients, their family members, physicians, nursing, and other Hospital personnel when exchanging patient status, care, and treatment information.

Requires the ability to recognize and address the psychosocial needs of patients and their families, and the ability and skills necessary to attend to special needs relating to the patient's age and diagnosis.

The ability to concentrate and pay close attention to detail for approximately seventy-five percent of work time for responsibilities such as providing patient care, operating and monitoring equipment, and recording data in patient charts.

The ability to walk and stand for approximately seventy-five percent of work time, and to lift, pull, push, and/or carry items such as equipment weighing up to twenty pounds or patients on stretchers for approximately twenty-five percent of work time when providing patient care.

Basic computer skills in email, scanning, Word, PowerPoint, and Excel.

Required Licenses: Nurse Practitioner-NYS

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Hospital—Suffolk provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.

NYU Langone Hospital—Suffolk is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View NYU Langone Hospital—Suffolk’s Equal Employment Opportunity (EEO) policy. Know Your Rights: Workplace discrimination is illegal.

NYU Langone Hospital—Suffolk provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $138,267.68 - $175,169.93 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here