Hospice/Palliative Medicine Nurse Practitioner

The Advanced Registered Nurse Practitioner (APRN) provides comprehensive primary care services, acute care services, and extended care services in the area of nursing and medicine for individuals and their families as outlined in the Collaborative Practice Agreement. The APRN has prescriptive authority in the State of Florida under a practice agreement with a supervising physician, which includes ordering, conducting, and interpreting appropriate diagnostic testing.

Responsible for identifying patients' alterations in health, assessing response to treatment, communicating appropriate data, implementing nursing intervention, and preparing for potential complications. The APRN supports the clinical operation of the department with primary focus on clinical services. The practitioner will be responsible for coordinating delivery of patient care in collaboration with the physician; adheres to Advent Health's Corporate Compliance Plan and all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

• Performs complex assessments of patients' health status through physical exam reviews, patient histories, diagnostic tests and procedures, and reviews lab results and other critical data; collaborates with interdisciplinary teams. Initiates orders for medications, laboratory, and other diagnostic testing and medical treatments on appropriate forms. Facilitates optimal length of stay and appropriate utilization of Hospital resources; facilitates efficient and comprehensive discharge planning. Promotes inpatient throughput.
• Navigates a diagnosed patient from the diagnostic phase through the treatment and follow-up phases, assuring patient has appropriate/timely medical/supportive services. Diagnoses acute and chronic conditions affecting all organs systems. Effectively communicates treatment plans and/or procedures to patients/families through teaching and counseling, as needed.
• Prescribes interventions and performs therapeutic measures to ensure the appropriate individualized plan of care is implemented. Applies knowledge of age-specific needs i.e.: pediatric, adolescent, adult, and geriatric patients related to plan of care interventions and patients' responses to care. Identifies patients' knowledge deficits and contributes to.
• Attends medical rounds (or Tumor Boards) with physician/surgeon and pharmacist. Promotes continuity of care through communication with consulting/referring physician(s). Coordinates treatment plans with other caregivers. Facilitates discharge of patients in clinical area of specialization.
• Writes and/or dictates progress notes, procedure notes, histories, physical examinations, and transfers/discharge summaries in accordance with medical policies.
• Handles on-call responsibilities, as scheduled by the department. Readily available for emergency evaluation and stabilization of patients, as needed.
• Participates in data collection, analysis, and Evaluates the processes and outcomes to enhance the delivery of excellent, cost-effective health care and establish program goals including clinical outcomes, volume/growth, and revenue. Incorporates and promotes evidence-based practice for optimal clinical outcomes.
• As appropriate, represents Advent Health in community education and outreach programs, i.e. speaking engagements, health fairs, corporate affiliation events, etc. Assumes responsibility for professional growth by attending mandatory nursing/hospital in-services, maintaining knowledge of current trends in medical therapy pertaining to area of clinical specialization, and evaluating/using research findings to improve nursing/ medical practice.

• Abilities in the use of specialized equipment used in respective area of practice
• Strong interpersonal skills, excellent conflict resolution, and communication skills
• Leadership/mentorship/clinical resource skills
• Ability to multi-task on a variety of tasks and projects
• Excellent organization skills
• Skilled in providing age-appropriate education regarding care management interventions and illness adjustment issues

KNOWLEDGE AND EXPERIENCE PREFERRED:

• Effective comprehension and use of English and Spanish
• Computer skills

Masters Nursing and 1+ years experience

EDUCATION AND EXPERIENCE:

• Public speaking experience
• Teaching/precepting experience

• Advanced Cardiac Life Support Cert
• Basic Life Support - CPR Cert
• Neonatal Resuscitation Protocol
• Advance Practice Reg Nurse

LICENSURE, CERTIFICATION OR REGISTRATION:

• If in Diabetes - Certified Diabetes Educator
• If in AHFC/Pediatric Palliative Care - Hospice and palliative care certification
• If in HB02/Wound Care - Credentialed as Wound Care Specialist or Hyperbaric nurse; credentialed as Gerontological Nurse Practitioner

• If in Transplant- Certified Clinical Transplant Coordinator or Certified Clinical Transplant Nurse certification
• If in AH Infusion Center /Orlando Med Staff (working in GYN/ONC)- One of five oncology certifications by the Oncology Nursing Certification Corporation (ONCC); credentialed as an Infusion Nurse; Advanced Oncology Certified Nurse (AONC) highly preferred or Advanced Oncology Certified Nurse Practitioner (AOCNP) or Certified Registered Nurse Infusion (CRNI)
• If in Palliative Care - Hospice and/or Post-Graduate ARNP Palliative Care specialty certification
• If in Surgical Services - National Adult Nurse Practitioner certification by the American Nurses Credentialing Center (ANCC) as a Family nurse practitioner (FNP-BC), highly preferred, or pain management RN-BC