The Department of Surgery, Trauma Acute Care Surgery team at the Johns Hopkins Bayview Medical Center is currently recruiting for a Nurse Practitioner (NP).
The Nurse Practitioner will be working in collaboration with Trauma/Acute Care attending physicians and the surgical house staff to manage the outpatient and inpatient surgical patients. This includes participating in morning report, the daily care and discharge process and assures treatment protocol compliance, responding to trauma alerts, performing routine history and physical assessments, tertiary exams, (if needed) and evaluating lab tests. Further, the NP perform bedside procedures, educates patients and families on surgical progresses, home care needs and preparation for discharge.
Provides comprehensive, age appropriate, and episodic care to patients as a member of the multi-disciplinary health care team. Obtains patient history; Performs patient care and physical or tertiary examinations; Prepares patient summaries; Develops treatment plan for discharge. Provides information to staff regarding patient's care plan and condition. Responds and handles telephone calls related to Trauma patients. Completes patient requested documents (FMLA). Consistently develops effective treatment plans for assigned patients according to established protocols and procedures. Regularly confers and consults with Trauma/Acute Care physicians and/or other pertinent professionals before implementing treatment plan. Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age. Consistently
provides relevant patient care information to the appropriate staff member according to Trauma Clinical Management Guidelines.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information. Performs, but is not limited to the following advance procedures: intravenous access; sharp and dull debridement of wounds; dressing changes; removal of drainage catheters; suturing/stapling; insert urinary catheter; administer local anesthetic; incise and drain abscesses; thoracotomy tubes; central venous catheter, laceration repair, nasogastric/orogastric tube; removes superficial foreign bodies.
Provides Emergency Care: maintains CPR certification; maintains airway, breathing, circulation; starts and provides basic CPR; orders and administers anti-anaphylactic and supportive medications. Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs; prescribes schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.
Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms; coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment; works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.
Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in rounds and meetings for consultation. Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
Assumes fiscal responsibility with working knowledge of evidence based medical model. Effectively uses resources of the patient and the institution. Is aware of and adheres to specific capitations and limitations of the patient's insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances. Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting. Has knowledge of and utilizes all available resources in the event that the patient's resources are limited or unavailable in order to provide medical care and social well-being.
Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Certification as an Acute Care Nurse Practitioner required. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the BMC credentialing process is required prior to start date.
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