Nurse Practitioner II

  • Allina Health
  • St Paul, MN, USA
  • Feb 14, 2020
Nurse Practitioner Nursing

Job Description

Allina Health is dedicated to the prevention and treatment of illness and enhancing the greater health of individuals, families and communities throughout Minnesota and western Wisconsin. A not-for-profit health care system, Allina Health cares for patients from beginning to end-of-life through its 90+ clinics, 12 hospitals, 16 pharmacies, specialty care centers and specialty medical services that provide home care, senior transitions, hospice care, home oxygen and medical equipment, and emergency medical transportation services. Allina Health is a vibrant, growing organization with opportunities to suit your professional skills and a diverse work environment to match your specific interests. We believe employees are our greatest asset and are dedicated to helping you develop and maximize your professional skills. United Hospital, located in downtown St. Paul, Minn., is the largest hospital in the Twin Cities east metro area, providing innovative services and programs, such as the Nasseff Heart Center, United Heart; Vascular Clinic and Vascular Center; neuroscience care through the John Nasseff Neuroscience Institute for the treatment of brain aneurisms, Bentson Family Foundation Neurological Intensive Care Unit, Brain Tumor Center and the Nasseff Neuroscience Center; as well as psychiatry, womens health, surgical, rehabilitation and emergency services. With 2,949 employees, more than 1,000 physicians and 546 licensed beds, United Hospital provides a full range of health care services to 200,000 inpatients and outpatients each year. Responsibilities Req ID: 55601 Assesses patients on admission to the hospital, and in the cardiology clinic. Performs and documents history and physical examination based on age and history on complex and chronically-ill patients Rounds on hospitalized patients in various settings including acute care to advance the plan of care, reassesses as patient condition warrants. Updates and records changes in health status Performs independent follow-up of patients in the clinic setting Prepares pre-op orders as appropriate on patients prior to surgery or endovascular procedures Formulates the appropriate differential diagnoses based on the history, physical exam, and clinical findings Formulates a plan of care to address complex, acute and chronic health care needs. Integrates knowledge of pathophysiology that pertains to acute and chronically ill patients to assist in planning and implementation of treatment Synthesizes data from a variety of sources to make clinical judgments and decisions about appropriate recommendations and treatments Assesses the impact of an acute, critical and/or chronic illness or injury on the individual’s: health status (physical and mental), functional status, including activity and mobility, nutritional status, sleep and rest patterns, quality of life, family, social, and educational relationships Assesses patient/family bio/psycho/social needs considering physical and age-specific needs, recognizing the dynamic nature of the patient’s condition, and provides psychosocial support to patient and family members Educates patients/families about self-management of acute and chronic illness with sensitivity to the patient's learning ability and cultural and ethnic background. Collaborates with health care team in ensuring that patient/family needs are met Determines the need for laboratory and diagnostic studies, initiates orders, and interprets results. Initiates appropriate and timely consultation and/or referral when problem exceeds the nurse practitioner’s scope of practice and/or expertise Employs appropriate diagnostic and therapeutic interventions and regimens with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, and efficacy Promotes collaboration among members ofthe multidisciplinary health care team to facilitate optimal care for complex acute and chronic patients Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute and chronic illness Prescribes medication in accordance with practice agreement with the collaborating physician; prescribes appropriate pharmacologic and non-pharmacologic treatment modalities Assesses for multiple interactive and synergistic effects of pharmacological agents, including over-the-counter (OTC) preparations and alternative and complementary therapies, in patients with complex acute and chronic illness Facilitates the patient's transition between and within health care settings, such as admitting, transferring, and discharging patients; coordinates discharge plan and follow-up of patients in collaboration with the physician Submits billing levels at time of visit or procedure.Completes consultation, transfer, and discharge summaries as needed Acts as consultant for triage nurses;mperforms phone consultation with outpatients Acts as a liaison between the CVSD and outreach sites, providing staff consultation and education as needed Assumes a leadership role in establishing and monitoring standards of advanced practice to improve patient care in collaboration with other experts as appropriate Collaborates with physicians and other health care professionals as a participant in multidisciplinary quality improvement teams as assigned Maintains current knowledge regarding state and federal regulations impacting NP practice Utilizes internal resources (e.g. ethics committee, risk management, legal department) and external resources (e.g. professional organizations, government officials, community agencies) to facilitate the resolution of patient advocacy, moral, and ethical issues Integrates the nurse practitioner role into systems, processes, and decision making to function fully within the health care team Participates in medical and advanced practice research projects Integrates research to promote evidence-based practice for patients with complex acute, critical, and chronic illness Uses communication techniques that reflect attention to the needs of the patient/family based on patient age and other special need Adapts performance of skills to meet the age and other population specific needs for patients/customers served Develops, implements and evaluates the plan of care based upon individual patient and family assessment including age and other specific needs Analysis of data reflects attention to age and other specific variables Education Master's degree in Nursing required Qualification/Skills Experience Prefer at least 3-5 years of cardiovascular or critical care nursing experience Skills Ability to work as part of a physician/nurse practitioner dyad Excellent teamworking abilities; professional image via appearance and conduct Ability to communicate effectively with patients, staff, physicians, and the public Advanced physical and psychosocial health assessment skills Sound knowledge of adult cardiovascular health, and related diagnostic and clinical therapies Ability to teach patients, families, staff, and students; knowledge of research methodologies Competent to function as preceptor Able to demonstrate ability to deal with high acuity/complexity and rapidly changing situations Licensure/Experience Formal education as a nurse practitioner in an area consistent with the patient population served Current Registered Nurse License for the State of Minnesota Certification as a nurse practitioner by appropriate professional organization Minnesota prescriptive authority and DEA licensure Must have a collaborative practice agreement with MHI Physician/Vascular Surgeon specifying medically delegated functions that may be performed by the nurse practitioner ACLS certification preferred Allina Health does not hire new grads from all academic institutions. Many proprietary on-line schools do not meet Allina Health’s standards due to the minimal oversight of the student’s clinical experience, the high faculty/student ratio, and the lack of focus on national certification standards in the curriculum. Work Schedule weekend rotation Location/Community Information With beautiful natural settings along the Mississippi River, St. Paul embodies a large ethnically diverse population with restaurants, cultural entertainment, and shopping venues for everyone. Downtown St. Paul features a number of historic buildings including the State Capitol, the Fitzgerald Theater, the Landmark Center, the St. Paul Hotel, and breathtaking views of the Mississippi River. The city is also home to the Science Museum of MN, the Xcel Energy Center (home of the MN Wild hockey team), and the MN History Center. St. Paul offers many private, alternative, and public school options from elementary through college and a wide array of housing options from old historic homes to new construction. The Twin Cities is consistently ranked near the top of Fortune's list of best cities in the world for work and family. A healthy business climate, opportunities for employment, good transportation, and an entrepreneurial environment are amongst the contributing factors. Located in St. Paul Population = 287,000 Service Area = 1,600,000 Community Resource Links: Community Information School Digger Explore Minnesota MN Dept of Education Minneapolis St. Paul MagazineSt. Paul Pioneer Press Twin Cities Living Magazine Star Tribune Closing If you are interested in becoming part of our award winning team of professionals, please apply online today. Allina Health is committed to providing Equal Employment Opportunities to all employees and applicants. EO M/F/Disability/Vet Employer.