Advance Practice Nurse II

Job Overview

The APRN II is a nurse prepared with graduate level nursing education and authorized to practice and prescribe as a Clinical Nurse Specialist or Certified Nurse Practitioner in collaboration with one or more physicians or podiatrists. Advanced clinical practice includes assessment, diagnostic testing, diagnoses, development of treatment plans, implementation, follow‑up, accurate documentation, and patient advocacy. APRNs are experts who design, implement, and evaluate patient‑specific and population‑based programs of care and promote care through various methods.

APRNs operate at all levels of the healthcare system within three spheres of influence: client, personnel, and organization. APRNs must have a collaborating physician or physicians in an associated Standard Care Arrangement. The APRN II must spend 50% of hours worked utilizing prescriptive authority in their advanced clinical practice role.

• Master’s Degree in Nursing
• Graduate from NP or CNP program
• Specialty certification in area of expertise within one year of start date
• Registered Nurse with APRN licensure
• Demonstrated expertise in area of clinical specialization
• 3–4 years experience clinical in nursing
• Nursing practice in an acute or primary care setting

• Collaborates and consults with the interdisciplinary healthcare team, the patient, and family to diagnose, prioritize problems, and implement interventions; initiates referrals and promotes collaboration among team members.
• Assists team members, patients, and families in selecting therapies that integrate perspectives of cost and quality; collaborates with other disciplines in teaching, consultation, management, and research to improve outcomes.
• Provides effective leadership, integrating cost/benefit analysis in care decisions; designs innovative solutions for patient care problems while maintaining or improving quality.
• Leads the development and application of consensus‑derived protocols or evidence‑based practice guidelines; participates in decision‑making at system, local, state, and national levels.
• Utilizes, participates in, and disseminates research, evidence‑based practice, or quality improvement projects; may serve as primary or co‑investigator or team member in nursing research.
• Evaluates existing practice using current research findings and integrates changes into practice through an EBP project; leads quality improvement projects.
• Promotes mentoring and education to nursing staff through a Journal Club mentor or similar role; facilitates learning in critical appraisal of literature.
• Provides education to patients, families, and healthcare providers to promote best practice; serves as a teacher, mentor, and role model to nurses and others.
• Ensures nursing practice is conducted ethically and legally; abides by Ohio Scope of Practice as an APRN; provides safe, compassionate, and ethical care.
• Advocates for patients, promotes advanced directives, and discusses end‑of‑life decisions with patient, family, and health‑care team.
• Directly manages 50%+ of patient or family care: performs history, physical exam, prescribes drugs consistent with formulary, orders labs and imaging, collaborates with physicians on comprehensive care plans, and discusses care with families per Standard Care Arrangement.

The Tri Health Nursing Vision, Mission, and Philosophy emphasize professional development, collaboration, and a strong nursing culture. Tri Health encourages pursuit of improved knowledge through continuing education, attainment of specialty certification, membership in professional organizations, community activities, research, evidence‑based practice, and collaborative relationships among nurses, physicians, and caregivers for better patient care.

• Climbing – Occasionally
• Concentrating – Consistently
• Continuous Learning – Consistently
• Hearing:
  Conversation – Consistently
• Hearing:
  Other Sounds – Consistently
• Interpersonal Communication – Consistently
• Kneeling – Occasionally
• Lifting