To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Nurse Practitioner provides comprehensive care to patients under the supervision of the Attending Physcians and Patient Service Manager and as directed by established protocols which are recorded in the policy manual. In collaboration with the health care team, the Nurse Practitioner provides continuity of care to all patients during their hospitalization, as well as contributes to the education of health care professionals.
Responsibilities: 1. For all incomings taken by phone the midlevel will notify not only the PEM attending but the triage nurse as well. When the midlevel in conjunction with the responsible PEM attending have decided upon the admission of a patient, the midlevel will notify the family, child''s primary care provider and the admitting resident after putting in the booking. If a child is deemed stable for discharge, the midlevel practitioner will prepare the discharge papers, put in a discharge order and communicate the outcome of the ED visit to the referring pediatrician to ensure appropriate follow up. 1.1 Delineation of Activities: 1.2 Assumes primary patient care responsibilities for children presenting to the Pediatric Emergency Department under the supervision of the Attending PEM Physcian. 1.3 Identifies health care needs and assesses health status of patient/family for length of stay in the PED. 1.4 Identifies and implements care after taking a thorough history and performing detailed physical exam. 1.5 Documents pertinent components of the history including H.P.I., review of symptoms, R.O.S., past medical history, pertinent social history and family history. 1.6 The midlevel will present the patient to the attending PEM physician in a timely fashion with an idea of how to start their medical evaluation or care 1.7 All patient care responsibilities will be performed consistent with age-specific criteria (see attached). 2. History, physical examination, and documents same 2.1 History, physical examination, and documents same. 2.2 For any patient presenting to the Pediatric Emergency Department, notifies the responsible attending physician as soon as possible concerning the pertinent historical events and physical findings. 3. Performs special procedures, as indicated, in accordance with approved protocols. Procedures include: suturing, apply tissue adhesives, nerve blocks, lumbar puncture, joint aspiration, foreign body removal, and splinting. 4. Participation in unit emergencies and will be able to direct or assist in the care of patients in accordance with American Academy of Pediatrics, PALS, and ATLS guidelines. 5. Evaluates the patient with regard to discharge status. Performs discharge exams and completes paperwork and discharge dictation when indicated. 6. Midlevels will assist in providing family support: 6.1 Collaborates with other health care team members, referring physician, and coordinates appropriate educational experience and follow-up care. 7. Educational Efforts:
7.1 Identifies Learning needs of team members and families
7.2 Provides bedside teaching and supersivision of procedures.
7.3 Participates in continuing education of the health care team and affiliated students.
7.4 Particate in monthly PALS certification and recertification classess serving as an instructor.
7.5 Regularly attending Fellow didactics. 7.1 Identifies learning needs of team members and families. 7.2 Provides bedside teaching and supervision of procedures. 7.3 Participates in continuing education of health care team and affiliated students. 8. Research:
7.1 The midlevel may participate, collaborate, or initiate research activities with the Section of Pediatric Emergency Medicine.
7.2 Midlevels will work under the supervision of the PSM and Medical Director. 8.1 The practitioner may participate, collaborate, or initiate research activities with the Department of Obstetric/Gynecologic/Pediatric Nursing. 8.2 Applies research-based data to clinical practice in the care of neonates. 9. Professional Development:
9.1 Participate in at least one professional organization.
9.2 Attend at least one major national conference, one local conference and 9 in house conferences each year.
9.3 Attend at least 9 section meetings each year.
9.4 Become certified in Team STEPPS.
9.5 Maintain current nationally recognized certificates.
9.6 Maintain annual recertification (PALS, ATLS< TNCC) 9.1 Participates in at least one (1) professional organization. 9.2 Attends at least one (1) major national conference, one (1) local conference, and nine (9) in-house conferences each year. 9.3 Maintains current nationally recognized certificates. 9.4 Maintains annual recertification in neonatal resuscitation. 10. Evaluation:
10.1 The PED midlevel practitioner will be evaluated semi-annually as to the performance within their job description by the Director of PEM and the PSM.
10.2 Pediatric ED nursing
10.3 A self evaluation is required
10.4 Press Ganey 10.1 The Clinical Nurse Practitioner will be evaluated annually as to performance within their job description by the Medical Director of the Pediatric Emergency Department and Patient Services Manager. 10.2 Gynecologic/Pediatric Nursing (or designee). 10.3 A self evaluation is required.
BSN, MSN. Graduate of an approved Nurse Practitioner program. Current Connecticut APRN license (or eligible).
Min. of four (4) years as a staff nurse in a pediatric emergency department.
Must have a CT nursing license and current APRN license
Excellent basic medical knowledge with clinical skills and judgement. Possess analytical skills to evaluate care needs, ability to gather relevant clinical data, perform thorough physical examinations, and possess excellent interpersonal skills, communication, and leadership abilities and exhibit good judgement and tact dealing with parents, families, and allied health professionals. Computer skills preferred.
1. Arrive at least 10 minutes before the start of ta clinical shift and leaves the shift after all pertinent documentation is complete
2. Be flexible with schedule requests recognizing that the PEM is a 24-7 operation
3. Participate in PALS, Pharmacy teaching 4 times/year
(descirbe planning, problem solving, decision making, creative activity, or toher special factors inherent in the responsibilities of this position)
The level of complexity of problem solving and decision making will be commensurate with years of experience and midlevel training. The most important parameter being monitored by the medical director and PSM will be interest in growth and development and concrete evidence of progess being made as evidenced within the clinical practice.