Advanced Practice Registered Nurse - Interventional Radiology - Full Time

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COREJOB SUMMARY

TheAdvanced Registered Nurse Practitioner(ARNP)delivers medical care to a wide variety of patients. TheARNPis alsoexamines 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 patient’s age-specific needs.

• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities

• Implements interventions to support the patient to regain ormaintain physiologic stability.

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

• Monitors the effectiveness of interventions.

• Facilitates the patient’s 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.

COREQUALIFICATIONS

Education:

• Master’s Degree

Certification and Licensing:

• Florida ARNP License

Experience:

• Minimum2years of relevant experience

Knowledge, Skills and Attitudes:

• 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 dutiesacross multipleUHealthfacilitiesas neededincludingbut not limited toUHealthTower, Sylvester Comprehensive Cancer Center, Interventional Radiology Clinic, Lennar Foundation Medical Center,UHealthDoral,andwithpossiblerotationsat otherlocations as services are expanded.

• Performs minimally invasive vascular and nonvascular procedures as mentioned in management protocol and collaborative agreementindependentlyorunderthegeneral supervision of attending interventional radiologist and per hospital competenciesincluding but not limited to:

• Assist with Port Placementsand 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

• Assistphysician with anyadditionalinterventional studies

• Preceptor:Demonstratesability to serve as a preceptor when assigned, including introducing new Nurse Practitioners to the service area,communicatingand reinforcing core andjob-specificexpectations,validatinginitial competency, assessing learning needs, serving as aresourceand providing feedback

• Service educator: Serves as an education resource for staff

• Pre-studyassessment &post-studyfollow-up for interventional patients

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

• Patient Managementof vascular and non-vascular illnesses

• Assists attending interventional radiologists with vascular interventional procedures

• PositivelyimpactsInterventional Radiology patients’ clinical management and provides ongoing continuity of care

• Assistsinthecoordination of patient imaging studies and laboratory testsrequiredfor specific Interventional radiology tests and procedures through contact with the referring physicians and/or the patients directly

• Assistsin the management of & the education of patients referred to the Interventional Radiology service in addition to counselingof patientsand their families

• Assists collaborating physicians during procedures

• Recognizestheneed for and obtains physician’s input and guidance asindicatedwithinthelimits ofthescope of practice

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

• Facilitates/initiates inter/intra-departmentalproblem-solvingand communication

• Assesses potential problems/contraindications for interventionalradiology patientsreceiving IV contrast or those with uncontrolled medical problems, and takesappropriate actionsto reduce the risk of patient injury

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

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

• Monitors/communicates problemsthatmay contribute to increased unnecessary length of hospital stay toappropriate clinicians

• Conducts apre-study-focusedscreening

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

• Relays information to patientsregardingpreparation for laboratory tests, examinations, and procedures

• Obtainsan accurateabbreviated 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 toincludefocusedmedical 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 proceduresthatare performed independently with final approval by attending interventional radiologist

• Triages interventional radiology patients via telephone anddeterminesthe need for emergency consultations based onacquiredinformation and diagnostic testing necessary.Evaluateinterventional 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

• Provideverbal and written orders for medications as per collaborative protocol

• Updates physicians as necessaryregardingpatient 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 safetyregulations

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

• Assistswith 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-procedurepatient educationand counseling

• Recognizes needs for/obtains physicians’assistance, input,and guidance asindicatedwithin limits of scope of practice

• Works collaboratively with medical, technical and support staff

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

• Assistswith &facilitatesresearch 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 theAPRNhas been formally trained and educated to provide

• Participate inon callweekend coverageasassigned.

• Performs related duties as requires

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 Florida's 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. We're the challenge you've 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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