Nurse Practitioner

The Department of Medicine is seeking a Nurse Practitioner to work collaboratively as a member of an APP team to provide comprehensive care to critically ill patients in the Medical Intensive Care Unit. The Nurse Practitioner will work collaboratively with physicians, residents, nurses, pharmacists, respiratory therapists, social workers, physical, occupational and speech therapists and consultant physicians within a multi-disciplinary team for the Department of Medicine. Direct supervision from appropriate licensed physician as delegated.

Specific Duties & Responsibilities

• Responsible for standardized, comprehensive care to patients that are critically ill with multiple medical conditions.
• Obtain history and perform physical examinations on patients newly admitted to the ICU.
• Participate in daily rounds to report the progress of specific patients and help to establish and implement care plans in a safe and effective manner.
• Manage life support systems such as mechanical ventilation, continuous veno-venous hemodialysis (CVVHD), artificial nutritional support and vasopressor support.
• Order and interpret laboratory tests, radiographic exams, and other diagnostic studies.
• Perform bedside procedures including but not limited to ultrasound guided placement of arterial lines, central lines, peripheral IVs, and dialysis catheters, lumbar punctures, paracenteses, thoracenteses, NG/NJ tubes, and other treatments as necessary.
• Initiate or modified routine, complex and emergent medication regimens and therapies.
• Communicate with healthcare team members to assure patient and organizational needs are met.
• Assist with coordinating the discharge of patients out of the hospital to various settings.
• Educate patients and families regarding the nature of their clinical problems, prognoses and options for continued care.
• Provide leadership, guidance, and teaching to the junior APPs, APP students, medical students, house staff, and pulmonary fellows in the MICU.
• The APP will be granted affiliate staff privileges by the Johns Hopkins Hospital Medical Board; these privileges list specific tasks and are reviewed annually.

Special Knowledge, Skills & Abilities

• Must have advanced clinical skills and the ability to apply theoretical concepts as part of a multi-disciplinary health care team providing care to patients and their families.
• Must have the ability to diagnose and implement a medical care plan for the short and long-term care of acute and chronic health conditions in the intensive care unit.
• Be able to apply critical-thinking and problem-solving skills to function effectively and adapt to a dynamic and often changing work environment.
• Demonstrate excellent organizational skills and the ability to prioritize and manage multiple tasks simultaneously.
• Possess advanced interpersonal skills necessary to collaborate and communicate effectively with all members of the interdisciplinary healthcare team to enhance problem solving in the best interest of the patient.
• Provide detailed and comprehensive documentation of all patient care related services as part of the hospital medical record.
• Must have general computer knowledge and ability to use computerized medical information systems.

Physical Requirements

• Sitting in a normal seated position for extended periods of time.
• Reaching by extending hand(s) or arm(s) in any direction.
• Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
• Communication skills using the spoken word.
• The ability to see within normal parameters.
• Ability to stand and walk for extended periods.
• Ability to move standard equipment through a hospital or clinical environment.

Working Conditions

• Schedule based on a 7 day/week staffing model including weekends and holidays. Actual days worked dependent on unit need and applicant availability.

*This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.

• Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing.
• Additional experience may substitute for master's degree, to the extent permitted by the JHU equivalency formula.
• Hold and maintain appropriate board certifications.
  

• Critical care experience required.
  

• Maintain Controlled and Dangerous Substance License