Nurse Practitioner - ICU
We are the Adult Critical Care Unit, with 28- 36 beds which includes cardiac thoracic surgery; cardiac interventions, and critically ill patients with a variety of surgical and medical problems. The staffing ratio is 1:1 to 1:2. Staff utilizes a supportive and collaborative approach to interactions with the patients and their families including 24/7 visitation.
In collaboration with a physician, provides comprehensive assessment of patient’s health status, evaluates assessment data, and makes treatment decisions.
Initiates patient admissions and collects health, illness psychosocial, and family history from patients; provides initial care of emergencies.
Performs physical examinations, and orders appropriate diagnostic tests.
Records patient’s health information, performs periodic health evaluations, and establishes/records care plans; evaluates care plans, monitors and records progress, and makes modifications accordingly.
Determines normal and abnormal findings on patient history, physical examination, diagnostic tests; initiates referral and consultation when appropriate.
Consults and collaborates with members of the health care team in the assessment and management of health care problems; functions as a liaison between physicians, nursing, technologists and area support staff.
Prescribes, regulates, and adjusts medications including over the counter medications and treatments.
Provides teaching and counseling aimed at prevention of illness and modification of risk factors to health, and maintenance of high-level wellness; instructs and supervises students and hospital personnel in methods and theories of diagnostic testing.
Assumes responsibility for the on-going therapeutic management of stable long-term health problems in the chronically ill.
Completes patient discharge summary.
Assists in the development, implementation, and revision of nursing protocols and standards of care.
Provides IT skills and familiarity, by using the basic functionality of the computer, Word, Excel, Outlook e-mail and attachment capabilities.
Maintains compliance with regulatory requirements.
Performs other evaluative and supportive duties, due to the advanced nature of training and the Licensed Independent Practitioner (LIP) status, as needed.
Researches and provides advice on patient care processes, nursing processes, and larger-scale quality improvement projects.
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.
Performs related duties as assigned.
Provides active daily support to patients who present with chest pain, myocardial infarction (MI), CHF, and A-Fib, utilizing approved pathways or order set implementation. Provides auditing and data support for the purpose of process improvement in the clinical management of chest pain, MI, CHF, and A-Fib patients. Responsible for cardiac program implementation including CHF/CAD Transition Clinic, Short Stay CP model, and Interventional Same Day Discharge Program. Provide support to maintain CHF and Chest Pain Accreditations and A-fib Certification. Performs exercise treadmill testing. Educates staff on hospital initiatives related to cardiac.
Cardiothoracic Surgery and TAVR NP Coordinator:
- TAVR : The TAVR coordinator works in direct collaboration with the cardiologists, cardiac surgeons, nurse practitioners and other team members; participates in the ongoing assessment of TAVR patients pre and post op; conferences frequently with the supervising cardiologist and CT surgeons and participates in clinical decisions regarding the management of in-patients and out-patients; provides and promotes patient education; promotes and encourages nursing staff education and involvement; and serves as a liaison between physicians, patients, families, nursing staff and referring facilities to promote quality and continuity of patient care.
- Coordinates the referral, screening, additional patient testing requirements, consult appointments and hospital-based procedures. Facilitates communication with cardiovascular surgeons and cardiologists, including referring physicians regarding patient eligibility and clinical status.
- Facilitates the progression of the valve procedure patient and assist with preparing the patient and family. Provides follow-up care per pre-determined clinic intervals, documents patient status and communicates ongoing patient condition to physicians during follow-up care.
- Collaborates with an interdisciplinary cardiovascular health care team in planning, implementing and evaluation ongoing care programs and education for the patients, families, care givers and community.
- Provide community physician outreach and education using nursing experience and networking in conjunction with physician leadership to build a referral program for Tucson Medical Center.
- Cardiothoracic NP Coordinator: The Cardiothoracic NP Coordinator serves as a consistent resource to support optimal care delivery for coronary artery bypass graft (CABG) patients and other projects as assigned, focusing on coordination of care during pre-procedure, hospitalization, discharge planning and facilitating post hospitalization follow up. The Coordinator is knowledgeable of multiple treatment decisions; evidence based practice guidelines and maintains care collaboratively across the continuum. The coordinator will work closely with the CT surgeons and other clinicians to identify and facilitate optimum cardiac care delivery with clinical expertise, strong interpersonal abilities and critical thinking skills.
- Works in collaboration with the providers and referring physicians to assure a smooth transition of patients during preadmission, hospitalization, preparation for discharge and outpatient services.
• Works in collaboration with others to implement and improve care plans to improve outcomes.
• Navigate and coordinate major aspects of care delivery.
• Emphasize empowerment of patients through education and support and promote patient advocacy.
EDUCATION: Master’s degree in Nursing or related area, or an equivalent combination of relevant education and experience.
EXPERIENCE: Five (5) years of related experience, preferably in an acute care setting.
LICENSURE OR CERTIFICATION: National certification as a Nurse Practitioner or must be National Certification as a Nurse Practitioner eligible, must become credentialed at TMC through the Professional Staffing Office prior to appointment. Must have and maintain a current Arizona state license as a Registered Nurse and Nurse Practitioner including prescriptive authority. Must obtain and maintain a current Federal Drug Enforcement Agency License for prescribing controlled substances. Must obtain and maintain current certification in Basic and Advanced Cardiac Life Support; for Mental Health only Crisis Prevention Instruction (CPI) required.