Overview
The Psychiatric Advanced Practice Nurse or Physician Assistant performs the role utilizing the patient-centered coordinated care model demonstrated through the following competencies: leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision making. This is inpatient for consultation liaison, with on-call requirements.
Responsibilities
- Leadership
- Participates in decisions affecting APRN practice and in opportunities to advance nursing practice within the institution.
- Seeks opportunities to promote HackensackUMC APRN practice recognition locally, nationally, and internationally at conferences, round table discussions, manuscript publications in journals and texts, and conference presentations (poster and podium).
- Provides excellence in the patient experience through modeling Service Excellence Standards.
- Communicates a shared vision with the department of patient care and the department of specialty practice.
- Participates in APRN interviewing, credentialing, and peer review process as requested.
- Participates in a minimum of one professional specialty organization.
- Supports the nursing blueprint by providing evidence of practice outcomes.
- Displays support of the institutional pillars through systems management, change management, and scholarly practices.
- Ensures consistency with HackensackUMC nursing protocols, standards of care, and accomplishment of disease specific quality indicators.
- Provides 24/7 patient care coverage.
- Evidence-based Practice (direct clinical practice)
- Applies evidence and value-based practices to achieve positive outcomes for patients and families.
- Evaluates patient/family transition of care planning for resource utilization, cost, quality, and promotion of self-management for chronic health maintenance.
- Demonstrates clinical expertise by utilizing advanced assessment and leadership skills.
- Completes medication reconciliations.
- Completes annual APN peer review.
- Evaluates current protocols and standards of care for translation of 'best practice' into clinical practice.
- Provides culturally diverse and educationally appropriate health management education.
- Facilitates patient-centered coordinated care through participation at daily interdisciplinary team rounds and staff RN patient rounding.
- Supports organizational and department of patient care strategies through annual professional cascading goals.
- Coordinates the development of evidenced-based practice protocols and standards of care that include interventions and treatments to achieve desired outcomes.
- Aligns practices with the organizational pillars.
- Analyzes patterns of variance in practice and makes recommendations for evidence-based practice changes to improve patient outcomes.
- Serves as a clinical resource to nursing staff, patients/families, and other multidisciplinary team members across the continuum to evaluate complex patients and identify appropriate interventions and evaluation of outcomes.
- Identifies practice gaps and initiates practice changes supportive of evidence-based practice 'best practices' with nursing staff within area of practice and population.
- Participates in policy/procedure reviews for updating with current evidence-based and value-based practices.
- Consultation/Collaboration
- Acts as a resource to staff for addressing clinical, process, and system opportunities for improvement which promote excellence in care and clinical outcomes.
- Serves as a member of organizational and departmental meetings, work-groups, and committees as requested representing APRNs and/or the department of patient care.
- Builds credibility with medical staff as nursing experts for patient care, quality of care, and the profession of nursing.
- Collaborates with medical staff leaders to support nursing-led protocols to enhance the nurse's ability to function at their highest level of education and skill applying 'lean' system and change management principles.
- Acts as a mentor for APRN and graduate students of other disciplines.
- Acts as a clinical resource for evidence based practice.
- Identifies educational needs of patients/families and collaborates with other multidisciplinary team members to implement appropriate teaching materials.
- Coaching/Guiding
- Coaches nursing and other disciplines on applying evidence-based and value-based care.
- Participates in enhancing RN practice, applying expert clinical skills, through staff RN patient rounding and making recommendations for improvement in inter-shift 'hand-off' communications for assessments, nursing quality indicators, and core measure assessments.
- Facilitates, coordinates, and participates in formal or informal nursing educational programs as clinical experts.
- Creates a shared vision for patient and family-centered care by applying shared governance concepts to engage staff and other disciplines in decision-making.
- Promotes a collaborative work environment which supports the organizational mission, behavior expectations, values, and pillars (quality, people, finance, growth, and service).
- Research
- Utilizes and disseminates relevant research findings through clinical practice, education or consultation.
- Promotes innovation within clinical practice by seeking opportunities to bring new clinical knowledge into practice.
- Actively engages in research as a primary investigator or co-investigator.
- Acts as a mentor and or reviewer for research proposals.
- Disseminates research findings to enhance the practice of nursing by participating as presenters at conferences locally, nationally, and internationally and through publications.
- Ethical Decision-Making
- Identifies ethical care issues and coordinates interdisciplinary collaborative meetings to resolve those issues.
Qualifications
Education, Knowledge, Skills and Abilities Required:
- Graduate of an NLN/AACN accredited program in nursing.
- Master's degree.
- Maintains clinical competencies through participating in continuing educational programs (contact hours per year), and clinical practice as mandated by Board of Nursing and national certification body.
- Experience in relevant patient care setting or as regulations dictate.
- In collaborative agreement with physicians on staff- fulfills terms of collaborative agreement.
Licenses and Certifications Required:
- NJ State Professional Registered Nurse License.
- Advance Practice Nurse License.
- AHA Basic Health Care Life Support HCP Certification.
- Maintains Nation or Board Certification as appropriate in area of specialty.
OR
Education, Knowledge, Skills and Abilities Required:
- Successful completion of an approved physician's assistant program, accredited by the AMA Council on Medical Education.
Licenses and Certifications Required:
- Physician Assistant License.
- Certification by the National Commission for Certified Physician's Assistants (NCCPA) within one year of initial employment by the Medical Center.
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