Nurse Practitioner

Summary:
The Nurse Practitioner is accountable to facilitate a quality hospital experience and outcome for patients within a cost-effective time frame. The Nurse Practitioner will be responsible to the Medical Director of Patient Services and responsible for overseeing the progress of a specific caseload of patients across the care continuum to include pre-admission and post-discharge when feasible. Acts as an educator consultant and liaison to healthcare providers caring for the patients across the care continuum.



The Advanced Practice provider (APP) hired for the Neurovascular Center (NVC) will be an integral part of the team caring for ischemic and hemorrhagic stroke patients. Assists in the care of these patients throughout their hospitalization including the hyperacute phase. The work performed will primarily be in three locations: The Emergency Department Stroke Unit and in Vascular & Interventional Radiology.

 

Responsibilities:
Demonstrates a fundamental grounding in nursing theory and practice with mastery of knowledge within a defined content area.



Manages a caseload of patients in partnership with the healthcare team to optimize health status and coordinate care over time and across healthcare settings.



Provides leadership in the development validation implementation and evaluation of standards policies procedures and critical paths to support the patient care delivery model.



Oversees care coordination in acute home care and ambulatory care settings as feasible.



Assists the healthcare team to achieve mutually agreed upon healthcare goals by providing necessary support education and encouragement.



Demonstrates advanced physical and psychosocial assessment skills and knowledge of family dynamics.



Provides direct care to patients in acute care ambulatory care and home care settings.



Performs advanced practice skills under the supervision of the Medical Director.



Provides expert consultation for clinical issues promoting increased knowledge and skills for the consultee.



Participates in the education clinical research and mentoring of healthcare providers.



Facilitates patient/family education in area of expertise.



Annually completes mandatory safety infection control BLS and ACLS/PALS.



Prescriptive privileges per licensure.



Emergency Department � Hyperacute patients

- Responds to all code Strokes (in patient and ED) and understands the role of acute revascularization therapies (IV and IA) in the care of these patients.

- Obtains and maintains NIHSS certification

- Obtains and maintains certification for Modified Rankin Scores

- Communicates and coordinates the hyperacute care of these patients with ED Neurology & NIR

- Obtains consent and performs pre-procedure evaluation if patient is going to VIR

- After hours go to VIR and begin preparing room for the procedure.

- If VIR Fellow is unavailable or other conflicting duties do not preclude the APP should scrub and participate in the procedure. This should include other aspects of the VIR case as listed below.

- Assists Neurology resident with admission H&P orders if needed.

- Assists in hyper-acute MRI process when indicated.



Stroke Unit - Ischemic and Hemorrhagic stroke patients on Stroke Unit (and their ED Evaluation)

- Rounds with Vascular neurology team including performing H&P daily exams progress notes discharge summaries and hospital course.

- Performs and documents 7 day post-discharge phone call for ischemic and hemorrhagic stroke patients document results in LifeChart

- Perform and document 90 day mRs calls

- Assist Neurology resident with other issues on Stroke service patients as needed



NIR Service � Prior to During and after neuro-interventional procedures

- Assist NIR attending with consent pre-procedure H&P discharge summaries discharge instructions for outpatients and any other pre- intra- or post-procedural issues as needed.

- Become proficient at the following aspects of neuro-interventional procedures:

- Understand sterile technique

- Understand radiation safety and using fluoroscopic equipment safely

- Prepare sterile tray and understand process of preparing wires catheters balloons and other devices as indicated

- Obtain arterial and venous access including safe placement of sheaths into tortuous anatomy

- Assist primary operator in interventional cases including understanding of catheter and wire manipulation in cases

- Proficiency at arterial and venous access closure including the use of arterial closure devices

 

Other information:
BASIC KNOWLEDGE:

Masters of Science Degree Graduate of accredited Nurse Practitioner program. Specialty certification required.



Baccalaureate in Nursing



Certified in Basic Cardiac Life Support (BLS).



Demonstrates knowledge and skills necessary to provide care to patients with consideration of aging processes human development stages and cultural patterns in each step of the care process.



EXPERIENCE:

Two years related experience as RN in acute care hospital setting and preferred 1-2 years experience as a nurse practitioner.



WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

General hospital environment with occasional stressful conditions associated with patient care.



SUPERVISORY RESPONSIBILITIES:

None.

 

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status.   Lifespan is a VEVRAA Federal Contractor.

 

Location: Rhode Island Hospital USA:RI:Providence

 

Work Type: Full Time

 

Shift: 1

 

Union: Non-Union