NP Full-time
Southeast Health

ED Nurse Practitioner - Nights

Southeast Health Dothan, AL, US

Southeast. Always the right career direction.

Job Description Summary

An Emergency Medicine Nurse Practitioner (NP) is an advanced practice provider specializing in the rapid assessment, stabilization, diagnosis, and management of patients presenting to the Emergency Department with undifferentiated, urgent, or emergent illnesses and injuries. Working collaboratively with sponsor physician(s) and the multidisciplinary healthcare team, the Emergency Medicine NP provides advanced nursing care across the continuum of care for a wide variety of trauma symptoms. The Emergency Medicine NP plays a critical role in improving patient outcomes related to minor conditions to high-acuity, life-threatening crises care in the Emergency Department.


Job Description

Schedule: 8p-8a

Essential Functions:

  • Quickly and accurately assesses patients presenting with a wide variety of symptoms to determine the severity and urgency of their condition
  • Orders, performs, and interprets diagnostic and screening tests, such as EKGs, lab work, and imaging studies to establish definitive treatment plans for acute illnesses, trauma, and injuries...
  • Diagnoses, treats, and manages the health care needs of patients, referring to physicians when medically appropriate.
  • Performs necessary procedures, including suturing, incision and drainage (I&D), splinting, conscious sedation, and managing basic airway support (depending on credentialing and scope) to stabilize patients.
  • Consults and collaborates with sponsor physician(s), nurses, and other specialists to ensure coordinated and holistic patient care.
  • Reports promptly any critical or unusual situations.
  • Determines the appropriate disposition for patients, including admission to the hospital, transfer to a higher level of care, or safe discharge with clear follow-up instructions.
  • Coordinates follow-up care and referrals.
  • Compiles and evaluate medical history, physical findings and diagnostic data to include but not limited to radiographic, laboratory, ultrasound, EKG, EEG, CT and nuclear scans, MRI and MRA studies on all patients to formulate accurate diagnoses
  • Monitors medications and initiates appropriate therapies and alters medications according to variations in a patient's response within established protocols.
  • Provides and documents patient education regarding treatments, medications, and community resources. Promotes health, disease prevention, and management strategies.
  • Coordinates the implementation and continuity of medical treatment through activities such as home/hospital findings and other resources.
  • Participates in the orientation and staff development programs for personnel assisting with patient care.
  • Performs other duties as requested by primary manager that do not compromise moral code of conduct or protocols set in place for patient or employee safety

Supervised Positions

  • None

Qualifications

Minimum Education Required

  • Academic preparation and degree as Advanced Registered Nurse Practitioner or Certified Registered Nurse Practitioner with current or eligibility to obtain licensure in state of AL
  • Academic preparation and certification as a Family Nurse Practitioner (FNP)
  • BCLS certification
  • ACLS certification

Minimum Experience Preferred

  • 1+ years of NP experience in a high-acuity emergency department setting

Required Knowledge/ Skills/ Abilities

  • Maintains current Alabama licensure.
  • Maintains current any certifications obtained.
  • Ability to rapidly synthesize complex clinical information, rule out emergent life threats, and initiate treatment under high-pressure, time-sensitive constraints.
  • Proficiency in performing necessary invasive and non-invasive procedures common to the emergency setting.
  • Possesses a strong foundation in evidence based practice and education and accepts the responsibility for providing an environment of safe quality care.
  • Knowledge across all major body systems and age groups (pediatrics to geriatrics) concerning trauma, medical emergencies, toxicology, and environmental injuries.
  • Demonstrates an advanced level of medical and nursing knowledge, clinical and technical competence, sound clinical judgment and professionalism as it relates to interpersonal and general communication skills
  • Accepts accountability for his/her own work and team outcomes when appropriate.
  • Reports promptly any critical or unusual situations.
  • Demonstrates ability to work with patients, families, visitors, and co-workers regardless of race, gender, disease process, life-style, religious or cultural beliefs.
  • Works as a liaison for the patient to gain access to providers, case management, and dietary consults.
  • Ability to communicate effectively, both verbally and in writing.
  • Excellent ability to communicate clearly and calmly with patients, families, and the multidisciplinary team during chaotic or high-stress situations
  • Demonstrates the knowledge and ability to select appropriate guidelines for the following age groups:  Neonate 0-28 days, Infant 28 days to 1 year, Pediatric 1-12 years, Adolescent 12-18 years, Adult 19-65 years, and Geriatric 65 years and older.
  • Practices effective stress reduction techniques.
  • Demonstrates knowledge of the computer based medical record.
  • Demonstrates responsibility for educational requirements as evidenced by reading all assigned related references, and attending all required educational meetings, or webinars, and completing annual Symplr requirements.
  • Demonstrates commitment to organizations five (5) priorities and Six Ground Rules
  • Person in this position is required to understand, agree upon and follow our Six Ground Rules:
    • No excuses.
    • We are a team.
    • Bring up your ideas.
    • Poor performance will be addressed.
    • ‘That’s not my job’ is not acceptable
    • Manage Up.


Shift

Night

Shift Details


FTE

1


Type

Regular


Join one of Forbes 500 best mid-sized employers in America.

Equal Employment Employer

Southeast Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Southeast Health will provide reasonable accommodations for qualified individuals with disabilities.

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Give daily handoff to appropriate APP, attending, resident and/or intern at the end of the shift Educator: Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed. Assess 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-op/procedure education in patients’ medical record. Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate. Role model and precept healthcare learners through contractual agreements. Research Utilization and Investigation: Utilize current research and evidence-based decision-making in all clinical practice. Incorporate clinical research findings in the development and implementation of standards of care. Support IRB approved clinical research/trials though a variety of activities including but not limited to obtaining consent, ordering diagnostic tests, recording laboratory & diagnostic results, administering therapeutic interventions, and reporting patient outcomes including toxicities or adverse events. Participate in interdisciplinary quality improvement and/or research activities. Participate in measuring and documenting outcomes. Consultant: Provide expertise and resource information to other healthcare providers, patients and families, and the community at large related to cardiothoracic diseases, procedures, interventions, and conditions. Implement and evaluate appropriate educational programs for referring MDs Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization. Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the Duke University Hospital and Duke University Health System. Professional Leadership and Development : Role model advanced practice professionalism through conduct, communication, dress, leadership, ethical decision-making, critical thinking and problem solving skills. Participate in at least one professional organization. Demonstrate responsibility for professional practice through active participation in the Department of Pediatrics and professional organizations. Meet Continuing Education requirements as designated by the NC Nursing Board. Maintain professional certification. Enhance the body of knowledge in area of specialization through written publications, oral presentations, posters, continuing education, etc. Maintain all professional requirements for licensure and certification Attend educational conferences regularly, morbidity and mortality conferences, code reviews, and team monthly meetings When caring for adults with congenital disease processes, plan for situations beyond expertise, consult with and refer to other health care providers as appropriate. Job Eligibility Requirements Education PA: Graduate of ARC accredited Physician Assistant Program, Masters or DMSc degree preferred NP: Graduate of accredited MSN or DNP Nurse Practitioner Program Certification PA: PA-C NP: FNP or PNP-Primary Care License PA: Current unrestricted medical license issued by the NCMB with authorization to practice as PA NP: Current unrestricted RN license issued or recognized by the NCBON with authorization to practice as NP Experience: New PA or PNP-AC grads welcome to apply, no APP experience required Life support: BLS (required) PALS (required) ACLS (recommended) Physical and mental requirements: Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant Able to independently seek out resources and work collaboratively to solve complex problems Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others. Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up. Able to use fine motor skills Able to record activities, document assessments & interventions; prepare reports and presentations; Able to use computer and learn new software programs Able to provide leadership in clinical area of expertise and in meeting organizational goals Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds Able to remain focused and organized Able to work collaboratively with all levels of personnel Job Hours Primary hours will be 14 shifts a month, 12-hour shifts, including days, nights, weekends and holidays. Flexibility is required to meet clinical needs of the service. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.