NYU Langone Medical Center, a world-class, patient-centered, integrated, academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals - Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center - plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.NYULMC.org.
We have an exciting opportunity to join our team as a Pediatric Acute Care Nurse Practitioner, Palliative Care and Pain Management.
This position works with the Medical Director of Pediatric Pain Management and Palliative Care in the development and implementation of a Pediatric Pain Management and Palliative Care consultation service. This position is responsible for the development of clinical practice standards, implementation of educational programs, and expansion of pediatric pain and palliative care services consistent with the mission and goals of NYUHC. Establishes priorities and implements long and short-term action plans with the Pediatric Pain Management and Palliative Care Consultation Teams. Functions collaboratively with the Pediatric Pain Management and Palliative Care Teams, Directors of Nursing, Nurse Managers, Service Chiefs, Department Chairs, Director of Care Management, Case Managers, and other interdisciplinary team members to identify and provide pediatric pain assessment and management and palliative care services to pediatric patients throughout NYUHC. Coordinates activities with key personnel in departments that utilize and participate in provision of pediatric pain management and palliative care services in-patient areas. Coordinates the data collection and reporting with other team members and with administrative support personnel. Develops and implements strategies for marketing, research, staff and community education in conjunction with the Pediatric Pain Management and Pediatric Palliative Care Consultation Team, Director of Advanced Practice Nurses & Physician Assistants, and Hospital Administration. Plans orientation of new team members to the Pediatric Pain Management and Palliative Care consultation teams. Participates in the education of nurses, fellows, residents, interns, and medical students during rotations with the Pediatric Pain Management and Palliative Care services. Coordinates quality improvement projects, certification processes, and research opportunities with other team members.
Provides medical management of pediatric pain management and palliative care patients as a Nurse Practitioner in collaboration with the Medical Director of Pediatric Pain Management and Palliative Care. Coordinates family team meetings to address goals of care, communicates with primary team and nursing staff and educates other disciplines to the role of pain and symptom management and palliative care.
This position reports to the Medical Directors of Pediatric Pain Management and Pediatric Palliative Care and Senior Director of Women and Children's Services.
- Performs directed health history, physical examination, and psychosocial assessment specific to patients referred to Pediatric Pain Management and Pediatric Palliative Care as appropriate.
- Works collaboratively with interdisciplinary Pediatric Pain Management and Pediatric Palliative Care consultation team, attending physicians, consulting physician(s), house staff, and other disciplines to identify, develop, implement, and communicate an appropriate plan of care that considers potential outcomes and goals of care, utilizes interdisciplinary approach whenever possible, maximizes patient/family preference, enhances quality, access, and cost-effective outcomes.
- Works in collaboration with interdisciplinary Pediatric Pain Management and Palliative Care providers and primary attending physicians and nurses to enhance and optimize the patient and family's individualized plan of care.
- Prescribes medications for Pediatric Pain Management and Pediatric Palliative Care patients according to NYS law, including controlled substances with DEA authorization.
- Pain Management Specific:
- Screens patients referred to Pediatric Pain Management consultation team for pain assessment and treatment.
- Considers needs and behaviors of specific patient age and cultural groups in all patient care activities. Uses developmentally appropriate pain assessment tools and treatment for neonatal, pediatric, and adolescent patients.
- Prescribes pain medication(s) that is tailored to each patient given their age, past medical history and condition with focus on appropriate dosing and patient safety.
- Management, trouble shooting and pain assessment of patients with peripheral nerve blocks, intrathecal catheters, and epidural catheters as necessary.
- Palliative Care Specific:
- Screens patients referred to Pediatric Palliative Care consultation team for needed services in the areas of advanced care planning, symptom management, extended care options, spiritual, emotional and bereavement support.
- Orders laboratory, radiological and diagnostic studies as indicated, differentiates between normal/abnormal findings and follows protocols for abnormal findings, which may include adjustment in plan of care or discussion with Medical Director of Pediatric Palliative Care or attending MD.
- Prescribes medical equipment, devices, physical and occupational therapy, and home health services per practice protocol.
- Supports service and unit level leadership by providing clinical consultation and resource assistance for patients with life threatening or deteriorating chronic illness, as requested and as identified.
- Oversees appropriate placement of palliative patients, by working collaboratively with the Medical Directors and/or Service Chiefs, Nurse Managers, Advanced Practice Nurses, Attending MDs, house staff, and Patient Access Department.
- Coordinates inpatient hospice placement at NYULMC with onsite hospice RNs and other team members.
- Facilitates patient/family encounters and assists the healthcare team to clarify patient and family goals in care.
- Evaluates patient responses to treatment and therapy throughout the continuum of care.
- Evaluates treatment and health care plans for effectiveness and modifies per clinical standards and practice protocols.
- Practices as a member of the allied health staff according to the rules and regulations of the Medical Staff and by laws as outlined in the delineation of privileges.
- Acts as a professional role model to all levels of staff by incorporating expertise and related experiences into all aspects of patient care.
- Articulates and demonstrates nursing process when exercising responsibilities, and in providing support and guidance to staff.
- Articulates, uses, and participates in developing process standards in area of expertise.
- Serves as an expert resource and consultant to physicians, nurses, and other clinicians as necessary in the area of pain management and palliative care
Coordination, Leadership & Care Management
- Supports the mission, philosophy, standards, goals and objectives of the institution, clinical departments, nursing, Pediatric Pain Management and Pediatric Palliative Care Program.
- Establishes program goals in conjunction with the Pediatric Pain Management and Pediatric Palliative Care consultation team and participates in their implementation.
- Develops, reviews, and revises structure standards as required, in conjunction with Patient Care Standards and Nursing Practice Councils.
- Coordinates the Pediatric Pain Management and Palliative Care Program, in collaboration with the Medical Director, the Consultation Team and Director of Advanced Practice Nurses & Physician Assistants
- Interacts with other departments to ensure the seamless transitions of care through collaborative communication.
- Demonstrates knowledge of the organization's core values and incorporates them into the performance of duties.
- Role models professional behaviors to all levels of staff by incorporating skill and expertise into all aspects of patient care.
- Acts as a respectful member of the health care team.
- Conducts activities in a fiscally sound and effective manner.
- Supports Pediatric Pain Management and Palliative Care Program compliance with all regulatory standards.
- Supports organizational and regulatory compliance policies and standards.
- Participates in hospital committees and represents the hospital in related community activities as indicated.
EDUCATION & DEVELOPMENT
- Promotes own professional growth and development in clinical and managerial role.
- Develops and implements a professional development plan.
- Maintains current expertise in area of practice.
- Contributes to the development of nursing knowledge in area of practice through writing, research, and formal/informal presentations.
- Serves as a clinical expert and resource for the education of peers and other health professionals.
- Educates patient and family to facilitate and promote healthy adjustment to new or changed expected outcomes.
- Assists in the provision of interdisciplinary education programs pertinent to this patient population in collaboration with the Pediatric Pain Management and Palliative Care Consultation Team.
- Assists in the development and delivery of community education regarding pain assessment, pain management, advance care planning, and related topics.
EVALUATION OF OUTCOMES, QUALITY IMPROVEMENT & RESEARCH
- Participates in implementation of strategies for collection and analysis of data from a variety of sources including internal and external benchmarking data, research findings and outcomes data to enable the identification of opportunities to improve outcomes.
- Participates in monitoring and analyzing trends and cost effectiveness of care particularly as it relates to efficiency and performance indicators.
- Participates in formulating a plan to utilize data analysis and/or research, and evidence based practice findings to improve patient outcomes.
- Participates in the design, implementation, and evaluation of quality improvement activities and research protocols.
- Participates in interdisciplinary quality performance improvement teams, evidence based projects and research programs that foster an environment promoting patient/family, physician and staff satisfaction.
- Supports recommendations for practice changes based on current literature, research, and evidence based practice findings.
- Participates in research activities that are appropriate to the advanced practice nurse's practice environment and educational preparation.
- Maintains awareness and participates in other Departments' patient safety and quality programs, annual selection and evaluation of indicators relevant to Pediatric Pain Management and Pediatric Palliative Care.
- Uses a systems approach to problem solving that lends to aggregation of information useful for program improvement, standards evaluation, indicator tracking, and performance enhancement, collaboratively with the Pediatric Pain Management and Pediatric Palliative Care consultation teams.
- Licensure: Current registration as Professional Registered Nurse in NY State and Registration as an Acute Care Pediatric Nurse Practitioner in New York State
- Education: Master's Degree in Advanced Practice Nursing
- Certifications: Acute Care Pediatric Nurse Practitioner certification; National Board Certification in Advanced Practice Nursing required or obtained within one year of employment; HPCC (Hospice & Palliative Credentialing Center) Board certification as Nurse Practitioner in Palliative Care preferred;
- Experience: Minimum of 3 years of clinical practice, preferably with experience in pediatric critical care, palliative care, pain management, or oncology
- Established collaborative relationships with an NYULMC privileged attending physician
- Credentialed through the Credentialing Committee of the Medical Board with approved Delineation of Privileges;
- Drug Enforcement Administration (DEA), Basic Life Support (BLS), , Pediatric Advanced Life Support (PALS), certificate
- At least 3 years of acute care pediatric clinical nursing practice; ability to apply the nursing process toward achievement of specific outcomes in an organized fashion, which addresses patient/family safety and satisfaction.
- Previous experience as nurse practitioner in an inpatient setting is preferred.
- Evidence of excellent interpersonal skills, effective communication skills, both written and verbal;
- Creative problem solving and excellent critical thinking and leadership skills;
- Previously demonstrated ability to facilitate group process and work cohesively and collaboratively as member of the interdisciplinary team
- Membership in professional specialty associations desirable, e.g., Hospice and Palliative Nurses Association (HPNA) and American Association of Hospice and Palliative Medicine (AAHPN).
- Physical stamina, manual dexterity, visual and aural acuity necessary to perform responsibilities.
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Medical Center provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. And just as our employees invest so much in us, we invest in our employees. We're pleased to have one of the most competitive compensation packages not only among New York's hospitals and healthcare institutions, but within the corporate sector as well. We begin with exceptional medical, dental, and drug coverage. We enhance this basic coverage with comprehensive wellness programs, and supplement those with retirement investment and benefits plans, and generous paid time off allowances. Add to that a very attractive tuition program, and you'll see just some of the ways that NYU Langone Medical Center demonstrates our commitment to our employees.
NYU Langone Medical Center is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, military and veteran status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision.
We require applications to be completed online.
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