Job DescriptionJob Title: Nurse Practitioner-Critical Care Physician Extenders- Mount Sinai Hospital- Split Shift- Full TimeA nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for a patients condition that falls within their specialty area of practice.NOTE: Medical orders, progress notes and treatments plans are not required to be countersigned by a physician.PRINCIPLES DUTIES AND RESPONSIBILITIESCLINICAL PRACTICE
Assesses the health status of patients/families by means of comprehensive health history and physical examination.
Initiates and orders selected therapeutic and diagnostic procedures, consultations and laboratory examination, prescribes medication regimens, interprets findings and alters plan of care according to accepted standards of care and practice guidelines
Educates and counsels in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses.
Documents findings and plan of care in the patient's medical record.
Consults with physician according to established standards, policies, procedures, and protocols.
Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area.
Initiates referrals to specialty services and fosters continuity of care.
Participates in team meetings and conferences to enhance an interdisciplinary approach to care delivery.
Maintains patient/employee confidentiality in the management of information.
Develops the plan of care based on the diagnoses and individual patient needs, records, reports, and interprets the clients’ responses to the plan of care.
Performs a patient record review with the collaborating physician in a timely fashion but not less than every three months if utilizing a collaborative practice agreement.
Completes the Focused Professional Practice Proctoring Evaluation (FPPE) or the Ongoing Professional Practice Proctoring Evaluation (OPPE) as required by Medical Staff for continued credentialing status.
Practices as a member of the allied health staff according to the rules and regulations of the Medical Staff and the bylaws of the Hospital Staff.
PROFESSIONAL DEVELOPMENT
Supports the mission, vision, philosophy and goals of the Department of Nursing and the MSHS.
Demonstrates accountability for own nursing practice.
Advocates for patients/families and supports patients' rights.
Considers ethical issues of professional nursing practice and adheres to the code of ethics.
Demonstrates a humanistic, kind, and caring attitude in the delivery of health care.
Serves as a resource person to nurses and other health team members.
Participates in peer review.
Incorporates research findings in clinical practice.
Participates in approved nursing and medical research studies.
Keeps knowledge current by self-directed learning, literature review and attendance at educational programs.
Participates in defining, maintaining, and interpreting standards of nursing practice.
Contributes to the maintenance of a positive image of advanced practice nursing in the medical center and in the local community by implementing programs which recognize nursing as a profession.
Participates in departmental and interdisciplinary committees which influence and/or determine policies affecting nursing practice and patient care delivery.
Seeks opportunities to enhance professional nursing practice and influences outcomes.
Treats co-workers, patients and families with dignity and respect.
Is open and responsive to the diverse backgrounds and experience of other people, and promotes an environment that is sensitive to cultural diversity.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
Ability to perform history taking.
Ability to perform physical assessment techniques.
Demonstrate and complete documentation of competency in specialty specific procedures according to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee.
Ability to interpret and apply principles of nursing research utilization.
Ability to manage and coordinate a patient caseload.
Work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as a member of the health care team in area of practice
Physical stamina and manual dexterity to perform a variety of tasks and skills in area of assignment.
Excellent interpersonal skills, effective communication skills, creative problem solving and excellent critical thinking and leadership.
EDUCATION REQUIREMENTS-See Attached for Additional Detail
Licensure: New York State License with current registration as a registered nurse.
State Certification: Certified by the New York State Department of Education as a Nurse Practitioner with current registration as follows:
a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR is certified as a Nurse Practitioner by a national association via examination.b. Has completed a pharmacy component of not less than the required semester hours or the equivalent AND has been instructed in New York State and Federal Laws relating to prescriptions and recordkeeping (3-hour course).c. Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3600 hours experience as a practicing Nurse Practitioner.ORHas a Collaborative Relationship with a physician based on employment in clinical practice in the NP role at Mount Sinai Hospital. If there is a documented work history as a Nurse Practitioner with greater than 3600 practice hours. Please note all NPs regardless of their status will be placed on an FPPE initially)Education:Master's degree program designed to prepare a NP to diagnose, treat, and prescribe for a patients condition that fall within their specialty area of practice or the successful completion of an approved supplemental education program, i.e., post-master's NP certificate.Experience :Previous progressive experience relevant to the area of clinical practice required.For all NPs hired effective June 1, 2019, National Board Certification in Advanced Practice Nursing required. For NPs who bill for professional services, National Board Certification is required regardless of hire date. The Board Certification requirement may be deferred up to 1 year if approved by Chief Nursing Officer or designee.Credentialed through the Credentialing Committee of the Medical Board with approved Delineation of PrivilegesDrug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification requiredAdvanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), The Neonatal Resuscitation Program (NRP) certificates as required by specialty.QualificationsEducation:Master's degree program designed to prepare a NP to diagnose, treat, and prescribe for a patients condition that fall within their specialty area of practice or the successful completion of an approved supplemental education program, i.e., post-master's NP certificate.Experience:Previous progressive experience relevant to the area of clinical practice required.For all NPs hired effective June 1, 2019, National Board Certification in Advanced Practice Nursing required. For NPs who bill for professional services, National Board Certification is required regardless of hire date. The Board Certification requirement may be deferred up to 1 year if approved by Chief Nursing Officer or designee.Credentialed through the Credentialing Committee of the Medical Board with approved Delineation of PrivilegesDrug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification requiredAdvanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), The Neonatal Resuscitation Program (NRP) certificates as required by specialty.Collective bargaining unit: NYSNA-MSHResponsibilitiesPRINCIPLES DUTIES AND RESPONSIBILITIESCLINICAL PRACTICE
Assesses the health status of patients/families by means of comprehensive health history and physical examination.
Initiates and orders selected therapeutic and diagnostic procedures, consultations and laboratory examination, prescribes medication regimens, interprets findings and alters plan of care according to accepted standards of care and practice guidelines
Educates and counsels in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses.
Documents findings and plan of care in the patient's medical record.
Consults with physician according to established standards, policies, procedures, and protocols.
Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area.
Initiates referrals to specialty services and fosters continuity of care.
Participates in team meetings and conferences to enhance an interdisciplinary approach to care delivery.
Maintains patient/employee confidentiality in the management of information.
Develops the plan of care based on the diagnoses and individual patient needs, records, reports, and interprets the clients’ responses to the plan of care.
Performs a patient record review with the collaborating physician in a timely fashion but not less than every three months if utilizing a collaborative practice agreement.
Completes the Focused Professional Practice Proctoring Evaluation (FPPE) or the Ongoing Professional Practice Proctoring Evaluation (OPPE) as required by Medical Staff for continued credentialing status.
Practices as a member of the allied health staff according to the rules and regulations of the Medical Staff and the bylaws of the Hospital Staff.
PROFESSIONAL DEVELOPMENT
Supports the mission, vision, philosophy and goals of the Department of Nursing and the MSHS.
Demonstrates accountability for own nursing practice.
Advocates for patients/families and supports patients' rights.
Considers ethical issues of professional nursing practice and adheres to the code of ethics.
Demonstrates a humanistic, kind, and caring attitude in the delivery of health care.
Serves as a resource person to nurses and other health team members.
Participates in peer review.
Incorporates research findings in clinical practice.
Participates in approved nursing and medical research studies.
Keeps knowledge current by self-directed learning, literature review and attendance at educational programs.
Participates in defining, maintaining, and interpreting standards of nursing practice.
Contributes to the maintenance of a positive image of advanced practice nursing in the medical center and in the local community by implementing programs which recognize nursing as a profession.
Participates in departmental and interdisciplinary committees which influence and/or determine policies affecting nursing practice and patient care delivery.
Seeks opportunities to enhance professional nursing practice and influences outcomes.
Treats co-workers, patients and families with dignity and respect.
Is open and responsive to the diverse backgrounds and experience of other people, and promotes an environment that is sensitive to cultural diversity.
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
Ability to perform history taking.
Ability to perform physical assessment techniques.
Demonstrate and complete documentation of competency in specialty specific procedures according to established standards as part of initial orientation and annual performance review with collaborating physician or appropriately credentialed designee.
Ability to interpret and apply principles of nursing research utilization.
Ability to manage and coordinate a patient caseload.
Work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as a member of the health care team in area of practice
Physical stamina and manual dexterity to perform a variety of tasks and skills in area of assignment.
Excellent interpersonal skills, effective communication skills, creative problem solving and excellent critical thinking and leadership.
About UsStrength Through DiversityThe Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.Explore more about this opportunity and how you can help us write a new chapter in our history!“About the Mount Sinai Health System:Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”EOE Minorities/Women/Disabled/VeteransCompensation StatementMount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $77.4629 - $77.4629 Hourly. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.