APRN

New Haven, CT
Oct 4, 2018

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Job Description

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. EEO/AA/Disability/Veteran
Summary:
Reports to the Stroke Program Associate Director and/or Director of Medicine Services and works collaboratively with physician leaders, physicians, Advanced Practive Providers (APP), and staff of the Y-NHH Stroke Center to ensure goals and objectives are successfully met. In collaboration with an MD, the APRN provides comprehensive care to all stroke patients utilizing established protocols and guidelines. In collaboration with the Stroke team, the APRN will provide continuity of care to patients in the inpatient and outpatient settings to achieve optimal patient outcomes and satisfaction. Assists leadership of the YNHH Stroke Center in the development, marketing, strategic planning, and management of a comprehensive stroke system of care at YNHH. Assists with oversight of regulatory activity related to The Joint Commission certification as a Disease-Specific Care program and works collaboratively with YNHH Office of Regulatory Readiness to ensure compliance with stated standards.
Responsibilities:
  • 1. Maintains responsibility for clinical practice, responsibilities and participation in Stroke Center initiatives.
  • 1.1 Provides support for the ongoing management of the Stroke Center.
  • 1.2 Supports and assists with the clinical development, management, quality and clinical outcomes of the Stroke Center.
  • 1.3 Serves as a clinical leader and role model for the Stroke Center.
  • 1.4 Maintains excellent understanding of medical knowledge regarding neurovascular, neurological and cardiovascular disease entities.
  • 1.5 In collaboration with the medical team, coordinates the clinical care of patients with strokes and neurological diseases.
  • 1.6 Completes a comprehensive medical history and physical exam for all patients. Develops a comprehensive plan of care and enters orders as appropriate in electronic medical record. Performs procedures related to specialty and as credentialed. Interprets results and follows up as appropriate.
  • 1.7 Maintains knowledge of best practice and provides evidence based medicine.
  • 1.8 Provides accurate, comprehensive assessment of relevant medical history and condition, including physical assessment and review of pertinent laboratory results, mental status, psychosocial support and nutrition.
  • 1.9 Assesses patient and family understanding of patient condition, goals of care and ongoing management. Identifies health care needs and assesses health status of patient and family during inpatient hospitalizaton and subsequent outpatient care. Monitors stroke patients and develops strategies to decrease length of stay and readmissions. Educates patient regarding treatment plans and discharge care.
  • 1.10 In collaboration with the stroke team, provides continuity of care to patients in the inpatient and outpatient settings in order to achieve optimal patient outcomes and satisfaction.
  • 1.11 Provides patients and families with education regarding their disease process, medications, treatment and plan of care.
  • 1.12 Collaborates with Care Management to ensure efficient transitions of care.
  • 1.13 Participates in daily stroke rounds.
  • 1.14 In collaboration with physician leaders, establishes protocols and guidelines for the treatment of acute stroke. Collaborates with physician leaders in the development of best practices, standards of care, benchmarks and treatment guidelines/goals that are evidence based and cost effective.
  • 1.15 In collaboration with the Attending Physician, assumes responsiblity for the management of stroke and neurology patients.
  • 1.16 Communicates patient status, attends daily rounds when covering inpatient service and documents progress in electronic medical record.
  • 1.17 Evaluates patient''s readiness for discharge. Performs a discharge examination and completes required documentation in a timely manner. Communicates patient''s treatment plan to referring physician.
  • 1.18 Supports ongoing research initiatives and ensures collaboration with principle investigators; assists with patient enrollment as appropriate.
  • 1.19 Assists with clinical oversight to ensure that the clinical practice of stroke care is aligned with The Joint Commission''s Disease-Specific Care standards for Comprehensive Stroke Center certificaton and with the Clinic Practice Guidelines as outlined by the American Heart Association and American Stroke Association.
  • 1.20 Works with multiple disciplines to optimize community outreach efforts to promote primordial, primary and secondary stroke care prevention awareness.
  • 2. Assists with maintaining responsibility for Quality Improvement and regulatory aspects/initiatives associated with the Stroke Center.
  • 2.1 Assists with educational requirements and prepares all necessary certification and recertification documents; remains current with stroke center regulatory guidelines, revisions and updates.
  • 2.2 Maintains and prepares for compliance readiness related to ongoing Joint Commission and State surveys.
  • 2.3 Assists in the development of objectives for the Stroke Center; develops an action plan to accomplish set goals.
  • 2.4 Provides ongoing staff education regarding the Stroke Center''s quality improvement plan/process.
  • 2.5 Participates in continuous performance improvement activities; assists with coordinating collection and analysis of stroke data in order to continually assess and improve performance of care and services provided.
  • 2.6 Collaborates with multidisciplinary team to develop comprehensive guidelines to ensure ongoing documentation of assessments, clinical management, appropriateness of care, and clinical outcomes. Assists with practice improvement opportunities related to patient care and discharge planning.
  • 2.7 Collects and maintains data in a timely, efficient and accurate manner.
  • 2.8 Assists with maintaining compliance readiness related to Joint Commission Primary and/or Comprehenisve Stroke Centers certifications/recertifications.
  • 3. Maintains responsibility for professional development.
  • 3.1 Assists Stroke Center leadership with development of program goals and objectives.
  • 3.2 Works with Stroke leadership and collaborates with Finance and Information Systems as appropriate to manage individual billing practices to ensure appropriate charge capture.
  • 3.3 Maintains certifications as appropriate.
  • 3.4 Serves on hospital committees, attends seminars, conferences and professional meetings as required.
  • 3.5 Represents the Stroke Center to all major constituencies including hospital administration, departments, external agencies and organizations.
  • 3.6 Ensures a professional work environment and maintains responsibility for professional practice and individual professional development.
  • 3.7 Provides weekend and holiday coverage as required.
  • 3.8 Supports and exemplifies the principles of a High Reliability Organization.
  • 3.9 Assumes responsibility for all other duties as required.
  • 4. Collaborates with Stroke Team to provide leadership, expertise and support in planning, promoting, designing and ensuring delivery of education to physicians, nurses, support staff, patients, families, and the community based on best practice and YNHH''s goals and initiatives.
  • 4.1 Communicates and works with physicians and clinical staff to assess educational needs of patients, families, and community.
  • 4.2 Functions as a clinical resource for residents and nursing staff maximizing opportunities in the clinical setting for informal education of staff, patients and families.
  • 4.3 Assesses needs and collaborates with physicians and clinical staff to develop and provide ongoing stroke education for staff.
  • 4.4 Functions as a clinical resource for providers and community agencies. Coordinates and provides community education related to stroke awareness, prevention and treatment.
  • 4.5 Assists with providing education to community providers and emergency medical system responders.
    Other information:

    EDUCATION:

    MSN required; graduate of an accredited Nurse Practitioner program.

    EXPERIENCE:

    Minimum of one (1) year clinical experience required, APP experience preferred.

    LICENSURE:

    Current Connecticut RN, APRN, and DEA licenses required.

    SPECIAL_SKILLS:

    Stroke/Neurology experience required with excellent clinical and decision making skills. Must possess analytical skills to evaluate care needs, ability to gather relevant clinical data, and perform thorough physical examinations. Must have ability to make independent judgments and implement required changes. Must be a change agent and possess excellent interpersonal, communicaton and leadership skills with good judgment and tact when dealing with patients, families and the clinical team.
    ACCOUNTABILITY:

    Accountable to conduct accurate and appropriate evaluation, clinical care, and coordination of care for all assigned patients. Assists leadership in assuming responsibility for the collaboration, integration, continued development, and growth of the Stroke Center. Assists with implementing and monitoring process improvement while adhering to the department, programmatic, and institutional business plans.
    COMPLEXITY:

    Evaluates, manages and coordinates care and services for stroke patients. Manages a complex clinical environment and assists with administrative and operational responsibility for all aspects of the Stroke Program.
    PHYSICAL_DEMAND:

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    Job Info

    Job: 1453

    Department: Stroke Program
    Category: Advanced Practice
    Status: Full Time
    Shift: DAYS
    Hours: 40.00