Current Employees:
If you are a current Staff Faculty or Temporary employee at the University of Miami please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position please review this tip sheet.
Up to $20000 Sign On Bonus
The University of Miami Uhealth Department of Ambulatory Nursing at Bascom Palmer in Miami has an exciting opportunity for anAdvanced Practice Registered Nurse (APRN). The incumbent delivers medical care to a wide variety of patients. TheAPRNis alsoexaminesand treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention diagnosis treatment and recovery. May prescribe medications and order diagnostic tests.Advisespatientsaboutcontinuing care.
CORE JOB FUNCTIONS
Performs and documents complete physical examinations and comprehensive health histories.
Functions independently to perform age-appropriate history and physical for patients.
Orders and interprets diagnostic and therapeutic testsrelativeto patients age-specific needs.
Prescribesappropriate pharmacologicand non-pharmacologic treatment modalities
Implements interventions to support the patient to regain ormaintainphysiologic stability.
Assistswith the provision of carein accordance withfacility state and federal regulations.
Monitors the effectiveness of interventions.
Facilitates the patients transition within and between health care settingse.g.admitting transferring and discharging patients.
Collaborates with multidisciplinary team members by makingappropriate referrals.
Facilitates staffpatientand family decision making by providing educational tools.
Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties orresponsibilitiesas necessary.
COREQUALIFICATIONS
Education:
Masters degreein relevant field
Certification and Licensing:
Valid State of Florida APRNLicense
Experience:
Minimum 2 years of relevant advanced practice nursing experience preferred
KnowledgeSkillsand Attitudes:
Ability to exercise sound judgment in making critical decisions.
Skill in completing assignments accurately and with attention to detail.
Ability to analyzeorganizeand prioritize work under pressure while meeting deadlines.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and writtenform.
Department Specific Functions
OVERVIEW:
TheBPEI Consult Service provides initial evaluation and high-standard eye care outside ABLEC to patients admitted at JMH Holtz Pediatric Hospital Ryder Trauma CenterandUHealthfacilities:UHealthTower Sylvester Cancer Centerand others:
UHM/Sylvester Consults
Initiation of the consult: ConsultAPRNcarries the pagefor UMH facilities responds to page in less than 30 min and proceeds with theconsultin a timely manner.
Timing: Routine consults less than 12 h. UMH ERconsultless than 3 h. STAT consults less than 1 h.
Escalation of theconsultas needed:Optometry resident/ConsultAPRN Fellow OD Director of Consult Service Ophthalmology specialty Medical Director (Ex: Retina Cornea Pediatrics Glaucoma Neuro etc.) Medical Director BPEI.
Consult visit:
ConsultAPRNnotifies optometryresidentabout consultationrequestfor preliminary evaluation.
Optometryresidentwill be available from8.00am to 5.00pmon weekdays.
Optometry resident proceeds with preliminary evaluation using the case of instrumentslocatedat UHT pharmacy4thfloor.
After preliminary evaluationoptometryresident triage with Consult APRN and write a note in Epic pending it for fellow evaluation and note signing.
Consult APRN will exam patient: Adds addendum-documentation signsattestation/encounter andupdaterunninglist of UMH consult patients.
The Consult APRN will escalate toappropriateservice foradditionalevaluationif needed.
Visitshould be properly documented in EPIC and should include comments about discussion of the results with a patient or a next of kin particularly in cases of poor visual prognosis.
Assessment and Plan must be clearly documented and HCP and nursing staffhastobe informed about any critical decision.
If discharged on the day of the consultation have them open appointment slot at BP the same day.
Inpatient psychiatry consults can be sent to BPEI ED and must have a sitter.
UMH Instrument Case: Includes medications and instruments:Locatedatthe4thfloor of UHT pharmacy.
Optometric Resident andAPRNwill sign out case and return case to UHT Pharmacy.
UHT Pharmacy will replace medication including expired medication.
Non-functioning equipment will be reportedby the Consult APRNfor repair initiation/replacement.
The case will be returned as orderly as it was received.
Documentation of the visit: EPIC.
Full note. Use smart phrases
External photos should be included on the note
Consent for any procedure to be performed including scrapping and testing.
Instruction about follow up and calling back if any worsening
Communication with HCP when radical proceduresexpectedor needed
Instruction upon discharge for FU.
Signing Charts: ConsultAPRNwill sign the chart in no more than 48h.
APRN will assist in obtainingInformed Consentand necessary equipment for anybedside procedure including but not limited to testing samples for microbiology or pathology surgical procedures transfer to BPEI for special treatment among others.
Running list of patients: ConsultAPRNis responsible to keep updatedrunning list of patients in FU and recently discharged on EPIC.
Active patients patientsrequiringfollow-up
Completed patients - patients recently discharged
Consult ServiceAPRN will properly hand-off the active patients to evening/weekendConsultFellow.
Consult APRN will report monthly and as needed to the Consult Service Medical Director.
JMH/Holtz/Ryder Consults
Initiation of theconsultation:Ophthalmology Residentcarries the pagerforJacksonfacilities responds topagerin less than 30 min and proceeds with theconsultationin a timely manner.
Timing: Routine consults less than 12h.ER consultationless than 3 h.STAT consults less than 1 h.
Escalation of theconsultationas needed:Ophthalmologyresident/Consult APRN Fellow OD Director of Consult Service Ophthalmology specialty Medical Director (Ex: Retina Cornea Pediatrics Glaucoma Neuro etc.) Medical Director BPEI.
Consult visit:
Ophthalmologyresident proceeds with preliminary evaluation using the case of instruments.
After preliminaryevaluationOphthalmologyresidenttriage with Consult APRN and write a note inCerner pending it for fellow evaluation and note signing.
Consult APRN will exam patient: Adds addendum-documentation signsattestation/encounter andupdaterunninglist ofJacksonconsult patients.
The Consult APRN will escalate toappropriateservice foradditionalevaluationif needed.
Visitshould be properly documented inCernerand should include comments about discussion of the results with a patient or a next of kin particularly in cases of poor visual prognosis.
Assessment and Plan must be clearly documented and HCP and nursing staffhastobe informed about any critical decision.
If discharged on the day of the consultation have them open appointment slot at BP the same day.
Inpatient psychiatry consults can be sent to BPEI ED and must have a sitter.
JacksonInstrument Case: Includes medications and instruments:LocatedatBPEIEmergency Room.
Non-functioning equipment will be reported by the Consult APRN for repair initiation/replacement.
Documentation of the visit: EPIC.
Full note. Use smart phrases
External photos should be included on the note
Consent for any procedure to be performed including scrapping and testing.
Instruction about follow up and calling back if any worsening
Communication with HCP when radical proceduresare expectedor needed
Instruction upon discharge for FU.
Signing Charts: ConsultAPRNwill sign the chart in no more than 48h.
APRN will assist in obtainingInformed Consentand necessary equipment for anybedside procedure including but not limited to testing samples for microbiology or pathology surgical procedures transfer to BPEI for special treatment among others.
Running list of patients: ConsultAPRNis responsible to keep updatedrunning list of patients in FU and recently discharged on EPIC.
Active patients patientsrequiringfollow-up
Completed patients - patients recently discharged
Consult ServiceAPRN will properly hand-off the active patients to evening/weekend Consult Fellow.
Consult APRN will report monthly and as needed to the Consult Service Medical Director.
Transfer for special procedures at BPEI:
APRN willfacilitatetransferforspecial procedures at BPEI followingPatient Transfer policy.
ABLEH/BPEI Internal Transfer scheduling process
To request a consult appointmentplease email Physician Logistics atand provide the following information:
Patient Name and MRN
Requiredimaging/procedures
ProviderName
Preferred appointment location date and time
Patient mobility: walking wheelchair stretcher etc.
Relevant patient medical needs: telemetry negative pressure etc.
Use of Telehealth in Consults:Asappropriate there will be escalating levels of involvement.
Ophthalmology consultant review ofthemedical record and EMR consult note written.
Ophthalmology consultant tothepatient attending telephone consult and EMR consult note written.
The ophthalmology telemedicine consultation will befacilitatedbyattendingusing EMR usingavideo call for evaluation.
Ophthalmology consultant bedside exam and EMR consult note written.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical dental tuition remission and more.
UHealth-University of Miami Health System South Floridas only university-based health system provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center we are proud to serve South Florida Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching research and patient care. Were the challenge youve been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full timeEmployee Type:
StaffRequired Experience:
IC