Nurse Practitioner, Intensive Care; Pulmonary

Overview

Nurse Practitioner
, Intensive Care to work collaboratively as a member of an advanced practice team to provide comprehensive care to critically ill patients in the Medical Intensive Care Unit and the Oncology Intensive Care Unit.

• Responsible for standardized, comprehensive care to patients who are critically ill with multiple medical conditions as well as primary oncological and hematologic processes.
• Work collaboratively with physicians, fellows, residents, nurses, pharmacists, respiratory therapists, social workers, physical, occupational and speech therapists and consultant physicians within a multi-disciplinary team.
• Obtain history and perform physical examinations on patients newly admitted to the ICU.
• Triage patients to the ICU setting if necessary and provide critical care support to those teams during the day.
• Knowledge of life support systems such as mechanical ventilation, continuous veno-venous hemodialysis (CVVHD), artificial nutritional support, ECMO and vasopressor support.
• Orders and interprets laboratory tests, radiographic exams, and other diagnostic studies.
• Performs bedside procedures including but not limited to: ultrasound-guided placement of arterial lines, central lines, peripheral IVs, and dialysis catheters; lumbar punctures, paracenteses, thoracenteses, NG/NJ tubes, point of care ultrasound, and other treatments as necessary.
• Initiates or modifies routine, complex and emergent medication regimens and therapies.
• Communicate with healthcare team members to ensure patient and organizational needs are met.
• Assist with coordinating patients' discharge from the hospital to various settings.
• Educate patients and families regarding the nature of their clinical problems, prognoses, and options for continued care.
• Provide leadership, guidance, and teaching to junior NP/PAs, NP/PA students, and pulmonary fellows in the MICU and Oncology ICU.
• Involved in departmental research initiatives.
• Rotate between the Medical Intensive Care Unit and Oncology Intensive Care Unit as part of an Advanced Practice Team.

• Must have advanced clinical skills and the ability to apply theoretical concepts as part of a multi-disciplinary healthcare team providing care to patients and their families.
• Must have the ability to diagnose and implement a medical care plan for the short and long-term care of acute and chronic health conditions in the intensive care unit.
• Be able to apply critical thinking and problem-solving skills to function effectively and adapt to a dynamic and often changing work environment.
• Demonstrate excellent organizational skills and the ability to prioritize and manage multiple tasks simultaneously.
• Possess advanced interpersonal skills necessary to collaborate and communicate effectively with all interdisciplinary healthcare team members to enhance problem-solving in the patient's best interest.
• Provide detailed and comprehensive documentation of all patient care-related services as part of the hospital medical record.
• Must have general computer knowledge and the ability to use computerized medical information systems.

• Applicants must be willing to work 3 days/week on varying days over a 7 day work week, including weekends and holidays as required to meet patient care needs.
• This description is a general statement of required major duties and responsibilities performed regularly and continuously. It does not exclude other duties as assigned.

• Master's Degree in Nursing;
  Must be licensed as NP in State of Maryland.
• Hold and maintain appropriate board certifications. (NPs must hold Adult-Gerontology Acute Care NP, Acute Care NP or Adult Acute Care NP certifications).
• Two years of acute/critical care experience required. ICU Nursing and Residency experience accepted.
• Maintain a Controlled and Dangerous Substance License in Maryland
• Maintain Federal DEA License.
• Maintain ACLS certification.
• Maintain BLS certification.
• Completion of the Johns Hopkins Hospital credentialing process is required.