Advanced Registered Nurse Practitioner Interventional Radiology Full Time

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The University of Miami UHealth Department of Radiology - Vascular Interventional has an exciting opportunity for a full time Advanced Practice Provider (APP) in Miami. The incumbent delivers medical care to a wide variety of patients. The APRN also examines and 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. Advises patients about continuing 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 tests relative to patients age-specific needs.

• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities

• Implements interventions to support the patient to regain or maintain physiologic stability.

• Assists with the provision of care in accordance with facility state and federal regulations.

• Monitors the effectiveness of interventions.

• Facilitates the patients transition within and between health care settings e.g. admitting transferring and discharging patients.

• Collaborates with multidisciplinary team members by making appropriate referrals.

• Facilitates staff patient and 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 or responsibilities as necessary.

CORE QUALIFICATIONS
Education:
Masters degree in relevant field required

Certification and Licensing:
Valid State of Florida APRN license required
Refer to department description for applicable certification requirements

Experience:

Minimum 2 years of relevant experience

Knowledge Skills and Abilities:

• Ability to exercise sound judgment in making critical decisions.

• Skill in completing assignments accurately and with attention to detail.

• Ability to analyze organize and 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 written form.

Department Specific Functions

• Primarily performs duties across multiple UHealth facilities as needed including but not limited to UHealth Tower Sylvester Comprehensive Cancer Center Interventional Radiology Clinic Lennar Foundation Medical Center UHealth Doral and with possible rotations at other locations as services are expanded.

• Performs minimally invasive vascular and nonvascular procedures as mentioned in management protocol and collaborative agreement independently or under the general supervision of attending interventional radiologist and per hospital competencies including but not limited to:

  Assist with Port Placements and Removals

  Paracentesis

  Thoracentesis

  Central venous catheter insertion and removal

  PICC Line insertion and removal

  Tunneled catheter placement exchange and removal

  FNA biopsies

  Aspiration of superficial collections

  Bone Marrow Biopsy

  Tube removal for biliary nephrostomy gastrostomy or abscess

  Suture of simple and complex incisions and lacerations not requiring ligament or tendon repair

  Assist physician with any additional interventional studies

• Preceptor: Demonstrates ability to serve as a preceptor when assigned including introducing new Nurse Practitioners to the service area communicating and reinforcing core and job-specific expectations validating initial competency assessing learning needs serving as a resource and providing feedback

• Service educator: Serves as an education resource for staff

• Pre-study assessment & post-study follow-up for interventional patients

• Pre-assessment and assessment of interventional radiology patients undergoing imaging studies with IV contrast as required.

• Assesses potential problems/contraindications for interventional radiology patients receiving IV contrast or those with uncontrolled medical problems and takes appropriate actions to reduce the risk of patient injury

• Co-manages with physicians those patients who are/become high-risk

• Demonstrates the ability to extract pertinent patient clinical data in relation to the requested procedure

• Monitors/communicates problems that may contribute to increased unnecessary length of hospital stay to appropriate clinicians

• Conducts a pre-study-focused screening

• Conducts a pre-anesthesia pre-procedural and focused physical screening

• Relays information to patients regarding preparation for laboratory tests examinations and procedures

• Obtains an accurate abbreviated age-specific advanced health history review of systems including biophysical and psychosocial data

• Performs intake of patients including the taking of a brief medical history & performing physical exam

• Documents all consultations to include focused medical history physical exam and summary of consultations treatment options reviewed risk and benefits of procedures offered patient disposition and the results of all testing under the indirect supervision of the attending interventional radiologist

• Dictates all procedures that are performed independently with final approval by attending interventional radiologist

• Triages interventional radiology patients via telephone and determines the need for emergency consultations based on acquired information and diagnostic testing necessary. Evaluate interventional radiology patients as needed for pre-screening issues related to contrast media allergies contrast media pre-medication for allergies and patients on hemodialysis or peritoneal dialysis

• Participates in the development of individualized plans of care and ongoing follow-up.

• Documents progress notes in the medical record

• Provide verbal and written orders for medications as per collaborative protocol

• Updates physicians as necessary regarding patient issues to ensure continuity of care

• Defines the discharge plan of care including follow-up medications home care referral etc

• Helps to coordinate interventional procedures schedule to include requests from both the inpatient unit and outpatient referrals

• Adheres to radiation safety regulations

• Assures that pre- and post- procedure orders are carried out to include both pre-op and post-procedure instructions to patients relatives and staff

• Assists with the transferring of patients to other institutions when necessary

• Demonstrates knowledge and skills in interventional radiology procedures contrast administration response to contrast reactions and extravasations related to interventional radiology procedures

• Provides pre- and post-procedure patient education and counseling

• Recognizes needs for/obtains physicians assistance input and guidance as indicated within limits of scope of practice

• Works collaboratively with medical technical and support staff

• Facilitates/initiates inter/intra-departmental problem-solving and communication

• Assists with & facilitates research activities

• Participate in patient care conferences/tumor boards

• Takes part in patient rounds with the responsible physicians as necessary

• Diagnose health problems and manage the healthcare care of patients

• Prescribe and Order Physical Therapy

• Perform any other areas of management in which the APRN has been formally trained and educated to provide

• Participate in on call weekend coverage as assigned.

• Performs related duties as requires

• Patient Management of vascular and non-vascular illnesses

• Assists attending interventional radiologists with vascular interventional procedures

• Positively impacts Interventional Radiology patients clinical management and provides ongoing continuity of care

• Assists in the coordination of patient imaging studies and laboratory tests required for specific Interventional radiology tests and procedures through contact with the referring physicians and/or the patients directly

• Assists in the management of & the education of patients referred to the Interventional Radiology service in addition to counseling of patients and their families

• Assists collaborating physicians during procedures

• Recognizes the need for and obtains physicians input and guidance as indicated within the limits of the scope of practice

• Aids in ensuring clearance for interventional procedures based on physical and lab assessment of patients

• Facilitates/initiates inter/intra-departmental problem-solving and communication

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.

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