Per Diem Nursing Clin Spec Cood-QHC

A nurse practitioner (NP) as described in Title VIII Article 139 section 6910 of the New York Education Law is a RN who has earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose treat and prescribe for a patients condition that falls within their specialty area of practice.

1. Under the general administration of the service/division Director the nurse practitioner is responsible for professional clinical educational supervisory and administrative activities in connection with the delivery of health care for patients within her/his particular scope of practice.
2. Under general supervision and in accordance with New York State requirements for written practice protocols and written agreements or for collaborative relationships with qualified physician(s) serves as a licensed independent practitioner responsible for planning coordinating delivering and managing comprehensive health care services to both well and ill infants in a health care setting. Ensures patient and family-centered quality care to improve outcomes and patient experience in accordance with applicable NYC Health Hospitals policies and procedures state and federal rules and regulations and nursing standards of care.
3. Demonstrates and participates in medical/nursing clinical knowledge communication and interdisciplinary collaboration professionalism and systems-based practice in caring for the patients and with administrative nursing physician and affiliate faculty to assure safe effective quality patient care and to promote the divisions educational and research missions.

- Masters or Doctorate Degree

- Minimum of 2 years experience in a level 3 or 4 NICU or 4 years in a Level 2 NICU

-NeonatalNursePractitionerCertification

-Current New York State professional nurse registration

-Current New York State nurse practitioner registration with prescription privileges.

-Holds or obtains through facility orientation a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).

-Certification in Neonatal Resuscitation Program (NRP)

-Credentialed by Medical Board.

-Medicaid provider number

-DEA number

-Has a collaborative practice agreement with designated protocols filed with NYS Department of Education OR collaborative relationship attestation as per the Nurse Practitioner Modernization Act 2015.

Patient Care

1. Provides continuous comprehensive medical and nursing care including preventive and supportive health care services to patients and families.
2. Manages health problems and coordinates health care for various patient populations.
3. Identifies and diagnoses illnesses and physical conditions and implements therapeutic and corrective measures.
4. Consistent with the established nursing practice differentiates between normal and abnormal findings in the screening process to detect changes in health status that require physicians intervention.
5. Develops and maintains partnerships with community-based organizations and makes referrals to consulting physicians and/or other health care professionals and community agencies as necessary.
6. Evaluates and interprets patient data in order to plan and implement appropriate nursing interventions.
7. Consults with physicians and other health care practitioners in the evaluation of health screening findings to make prospective decisions about treatment that will best support improved outcomes and patient satisfaction.
8. Formulates differential diagnosis and the plan of care based on medical history physical exams nursing assessment and other pertinent information. Identifies health and medical risks and needs.
9. Develops implements and evaluates patient plan of care. Determines effectiveness and modifies as per clinical standards and practice protocols where needed to achieve medical and health goals.
10. Orders conducts and interprets diagnostic and laboratory tests. Identifies and prescribes appropriate pharmacological and non-pharmacological interventions and therapies.
11. Manages patient care as outlined in practice protocols and collaborate practice agreement and authorized by Medical Board.
12. Establishes medical diagnosis as well as nursing diagnosis as a Certified Nurse Practitioner of New York in accordance with Article 139 Section 6902.3.
13. Maintains accurate complete concise and timely documentation in the electronic medical record. Independently Performs procedures pertinent to practice area.
14. Is a clinical/educational resource person for nursing personnel.

Professional Practice

1. Participates in development implementation and evaluation of interdisciplinary Performance Improvement (PI) activities for specialty.
2. Seeks constructive feedback and takes action to achieve goals identified in performance appraisal.
3. Provides clinical and didactic instruction to professional staff students and community groups and conducts in-service educational programs.
4. Initiates and participates in studies and research related to nursing practitioner services health care and allied services.
5. Participates in hospital/nurse practitioner committees.
6. Provides clinical supervision to Nurse Practitioners and students.
7. Participates with all staff to achieve zero defects goal for Hospital

Governance

1. Considers factors related to safety effectiveness and cost in the planning and provision of patient care.
2. Acts as a liaison between nursing and professional staff assigned to specialty.
3. Utilizes the Just Culture Algorithm to manage risk and prevent adverse outcomes.
4. Participates in programs to improve communication safety and interdisciplinary teamwork.
5. Participates in the achievement of the Hospitals Strategic Goals

Self-Development

1. Evaluates own practice in relation to professional standards and regulatory requirements.
2. Maintains clinical competency by keeping abreast of current trends in health care legislation regulatory requirements and nursing practice.
3. Demonstrates the highest level of accountability for professional practice. Maintains effectiveness where circumstances and priorities are flexible resilient and change oriented.

Patient Satisfaction

1. Anticipates patients needs and within scope and authority takes initiative to meet those needs keeps patients and families informed about actions taken
2. Provides consistent and timely follow-through which ensures that all customer requests are addressed in a prompt and courteous manner
3. Makes every attempt to defuse potentially volatile situation
4. Resolves differences in a spirit of cooperation; creates solutions that benefit all parties
5. Able to maintain composure efficiency and positive customer service-oriented manner during periods of peak workload
6. Participates in the Customer Satisfaction initiatives
7. Adheres to the ICARE standards of Customer Service