Position Summary: The primary role of the Critical Care Adult Nurse Practitioner (ACNP) is to provide direct care management of complex medical and surgical patients in consultation with critical care medical and surgery physicians. The ICU Director will serve as the supervising physician. The ACNP will also work in collaboration with ICU Attending Physicians, the Anesthesia Service Chief, ICU nursing staff,respiratory therapy, pharmacy and other clinical services in the management of critically ill patients admitted to the SICU. The incumbent will ensure that the clinical care of all medical and surgical patients in the SICU is consistent with existing ICU best practices and performance measures.
General Areas of Responsibilities: Registered Nurse and certified Acute Care Nurse Practitioner with advanced education, knowledge, clinical skills, and experience necessary to provide expert care to critically ill patients. Works collaboratively in the SICU with ICU Attendings, Fellows, Residents, Surgeons, ICU Nurses, Respiratory Therapists, Pharmacists, Registered Nurse staff, Case Managers, and other medical specialists to ensure compliance with all existing ICU best practices and performance measures. Develops new clinical initiatives to improve overall patient care and flow in the SICU.
Routine Professional Duties
Facilitates ICU patient care by working closely with ICU Case Managers,Physicians, Nurses, Respiratory Therapists, and other ICU clinical specialists to identify strategies for expediting patient care and facilitating patient flow in the SICU. Specifically, the ACNP will:
a. Participate in daily interdisciplinary ICU rounds on all patients in the SICU to identify specific clinical objectives for each patient.
b. Ensure ICU best practices are being applied and adhered to appropriately for all ICU patients.
c. Write orders for ICU admissions and transfers, labs, medications, procedures, respiratory and rehabilitative therapy psychological and radiological studies and consults.
d. Perform approved standardized procedures in the SICU in accordance with their Procedural privileges, skill and proficiency. Procedures will include but not limited to: endotracheal intubation, placement of central venous catheter (to include dialysis catheters) pulmonary artery catheter, P1CC line, arterial line, feeding tube and nasogastric tubes, foley catheter, performing arterial and venipuncture, and conscious sedation.
e. Ensure continuity of care between ICU staff, patients, and their families.
f. Perform clinical follow-up review on all patients within 48 hours of being transferred out of the SICU to another ward within the facility, to ensure that patients continue to be appropriate for a lower level of care once they leave the MSICU.
g. Evaluate and monitor potential ICU admissions from within the facility.
h. Follow Surgical Ward patients during times of shortage of other midlevel providers.
Must be ACLS certified, and be able to identify and independently manage the treatment of life-threatening situations where a physician is not immediately available. In such instances, the incumbent will initiate emergency care and summon an ICU physician as soon as possible. The level of emergency treatment administered will be directed by either the patient?s request, as noted in the advanced directives, or by the patient?s health care surrogate decision maker.
Prescriptive Authority (Furnishing Privileges):
Prescribing approval for the incumbent who must possess a valid Colorado furnishing license includes those agents officially designated as formulary items for use at the ECHCS with the following exceptions:
a. Other agents that are specifically limited or restricted for all prescribers by the Pharmacy and Therapeutics Committee?s special policies and procedures.
b. Investigational Drugs (unless approved by the principal investigator and guidance for isstipulated in an approved protocol for non-physician use of the drugs).
c. Antibiotics without specific phone or personal consultation with a physician.
Writing of Orders:
The ACNP will write orders specified in their scope of practice and in accordance with the individual?s skill and proficiency and as appropriate for the care of the patients.
Tour of Duty - 8:00am - 6:30pm with coverage of nights, weekends, and needs of the service.