Position Summary

Team structure and interactions: Advanced Practice Practitioners (APPs) in acute critical care settings will work as part of a team with doctors, nurses, and other specialists.

Day-in-the-life snapshot: Will be managing patient care, taking patient histories, performing physical exams, ordering lab tests, diagnosing and treating patients, prescribing medications, and stabilizing patients through medical decision making. Collaborates with other ancillary team members through communication with doctors and other nurses, collaborating with colleagues on diagnoses, and coordinating specialist and multi-specialty care. Will be responsible for supporting families through patient’s current medical circumstance by providing education.

Provides advanced practice nursing care to meet the individualized need of patients with acute, critical, and/or complex chronic health conditions or injury. Works in collaboration with a physician as required by state regulation and functions within the scope of practice defined by the nurse practitioner’s specialty certification and Barnes-Jewish Hospital medical bylaws.

Job Description

Primary Duties & Responsibilities:

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview, and examination.
• Orders and interprets the full spectrum of diagnostic tests and procedures, including x-ray, electrocardiogram, hemodynamic monitoring, and laboratory tests.
• Performs critical care ultrasound.
• Provides counseling and education of patients and their families/caregivers concerning preventative health, treatment options, and community resources.
• Formulates differential diagnoses and diagnoses.
• Plans, implements, and directs treatment and management of patients with acute, critical, and/or complex conditions and evaluates outcomes of care.
• Documents patient history, physical examination, assessment, and plans of care in patient medical record.
• Manages health conditions via prescriptive authority or provides referral to other healthcare providers or community resources.
• Performs diagnostic or therapeutic interventions consistent with certification and state regulations.
• Performs invasive procedures commonly utilized in the critical care setting.
• Bills for professional services as permitted by collaborative practice agreement.
• Supports 24/7 staffing model, including nights, weekends, and holidays.
• Schedules staff in various critical care settings, including telemedicine.
• Maintains a safe, comfortable, and therapeutic environment for patients/families in accordance with established clinic/hospital standards.
• Works in accordance with established departmental policies and procedures, objectives, and quality assurance programs as well as safety, environmental, and infection control standards.
• Participates in emergency and critical care situations, providing rapid assessment, stabilization, and initiation of treatment for the acutely ill or injured patients.
• Regularly participates in quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care. Serves as  clinical expert and leadership consultant to nursing.

Working Conditions:

Job Location/Working Conditions

• Exposure to blood-borne pathogens
• Exposure to chemicals
• Requires protective devices
• Dust, dirt, grease or other disagreeable elements
• Patient care setting
• Direct patient care setting

Physical Effort

• Typically sitting at desk or table
• Typically standing or walking
• Typically bending, crouching, stooping
• Using tools requiring high dexterity
• Occasional lifting (25 lbs or less)

Equipment

• Office equipment
• Lab/research equipment
• Clinical/diagnostic equipment

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

M.S.N. - Master Of Science In Nursing - Nurse Practitioner

Certifications/Professional Licenses:

The list