Nurse Practitioner - Intensive Care Unit-Nights
The Adult Critical Care Unit at Tucson Medical Center is a 28 bed unit that was recognized with a gold-level Beacon Award for Excellence by the American Association of Critical-Care Nurses. The Beacon Award for Excellence — a significant milestone on the path to exceptional patient care and healthy work environments — recognizes unit caregivers who successfully improve patient outcomes and align practices with AACN’s six Healthy Work Environment Standards. The gold-level Beacon Award for Excellence signifies excellent and sustained unit performance and patient outcomes.
This unit includes three areas:
This is a 16 bed unit providing care for critically ill patients with a variety of neuro, surgical (general, neuro and vascular) and other medical problems. TMC is a comprehensive stroke center so unit focuses on neurological and neuro-surgical disorders utilizing certified neuro nurses. This unit also includes patients that are post code requiring target temperature management, CRRT, Ventriculostomies and EKOS. Staff utilizes a supportive and collaborative approach to interactions with the patients and their families. All staff are CPR and ACLS certified. Other cerifications include FCCS, CCRN and CNRN.
This is a 12 bed Cardiac Intensive Critical Care. TMC has the busiest heart program in southern Arizona that recovers generally 2-4 open hearts five days per week (CABG, AVR, MVR, TVR, TAVR). Our patient population consists of open hearts, TAVR’s, thoracotomies, MI's, IABP, Impella, CRRT, swans, sepsis, post codes, unstable heart blocks, unstable cardiac patients, post pacemakers, post lead extractions, heart failure, patients requiring vasopressors, intubated patients, vascular surgeries and EKOS. All staff is CPR and ACLS certified. Other certifications include FCCS, CCRN, CSC and CMC.
This unit is an 8 bed overflow.
In collaboration with a physician, provides comprehensive assessment of patient’s health status, evaluates assessment data, and makes treatment decisions.
ESSENTIAL FUNCTIONS :
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.
EDUCATION: Master’s degree in Nursing or related area, or an equivalent combination of relevant education and experience. ACNP is required.
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 Life Support (BLS) and Advanced Cardiac Life Support (ACLS); for Mental Health only Crisis Prevention Instruction (CPI) required.