Advanced Practice Registered Nurse ICU

Department:
ICU

Shift/Status:
Per Diem Nights and Days

General Description:
The APRN is responsible for promoting and demonstrating Parrish Healthcare's Culture of Choice®; and is an Allied Health Professional member of Parrish Medical Center's Medical Staff. The APRN is responsible for ensuring strategic goals and objectives are met or exceeded by providing the leadership, direction, and oversight to effectively fulfill our mission to provide Healing Experiences for Everyone all the Time® and achieve organizational strategic (Game Plan) goals. This position reports to the ICU Intensivist and the Chief Nursing Officer.

Key Responsibilities:

• The APRN may interview patients, obtain and record health histories, perform physical and development assessments, order appropriate diagnostic tests, diagnose health problems, manage the health care of those patients for which the ARNP has been educated, provide health teaching and counseling, initiate referrals, and maintain health records. Care may be provided in any setting where critical care or infectious disease patients may be encountered throughout the facility. The APRN provides patient-centered care and consults and/or collaborates with other members of the interprofessional team as appropriate following patient evaluation, discussion and agreeance of ICU Intensivist on call:
  • Assist with admission, follow up, management, transfer, and discharge of ICU patients
  • Obtain and complete history and physical exams
  • Order and interpret appropriate diagnostic tests including but not limited to laboratory tests, diagnostic imaging studies, EKGs, ABGs, and other diagnostic testing deemed appropriate.
  • Evaluate, assess, and manage patients requiring rapid response team
  • Provide follow up management and care to infectious disease consultations
  • In the event of emergencies, the ARNP will follow ACLS protocol to provide immediate care and consult with physicia
  • Write discharge orders, prescriptions, summaries and provide discharge education when appropriate Treatments that may be initiated by the APRN under direct supervision of the ICU Intensivist on call. ARNP will keep a log of the procedures performed. The credentialed APRN may perform procedures without direct supervision. The Intensivist will review and sign off on the procedure at a later time. Suture of simple and complex lacerations not requiring ligament or tendon repair
  • Incision and drainage of abscesses
  • Foreign body removal
  • Airway management
  • Endotracheal intubation
  • Ventilator management
  • Insertion of femoral or internal jugular central line
  • Insertion of radial arterial line
  • Chest tube insertion
  • Needle decompression
  • Thoracentesis
  • Paracentesis
  • Lumbar puncture
• Drug therapies that the ARNP may prescribe, initiate, monitor, alter, or order following discussion and approval of the ICU Intensivist on call based on the APRN's credentialed privileges:
  • Agents of electrolyte, caloric, and water balance
  • Analgesics and antipyretics
  • Antihistamines and decongestants
  • Anti-infective agents
  • Anti-inflammatory drugs
  • Autonomic drugs
  • Blood derivatives
  • Blood formation
  • Cardiovascular drugs
  • Central nervous system agents
  • Coagulation agents
  • Diagnostic agents
  • Enzymes
  • Expectorants and cough preparations
  • Gastrointestinal drugs
  • Hormone and synthetic drugs
  • Local anesthetics
  • Ophthalmic drugs
  • Pulmonary drugs
  • Serums, toxoids, and vaccines
  • Spasmolytic
  • Vasopressors
  • Vitamins
  • Controlled substances as defined in Section 893.03, Florida Statutes: ARNPs can prescribe or dispense a controlled substance as defined in Section 893.03, Florida Statutes, if the ARNP graduated from a program with a master's or doctoral degree in a clinical nursing
• Performs other duties as assigned.
• Knows fire, disaster and safety procedures and regulations as pertains to the work are

Requirements:

Formal Education:

• Master's in Nursing required, Doctorate of Nursing preferred.

Work Experience:

• Two or more years of clinical experience as a nursing practitioner at a physician practice or in a hospital with a related specialty is strongly preferred.

Required Licenses, Certifications, Registrations:

• Nurse Practitioner and Registered Nurse licenses in the state.
• Board certification as a Nurse Practitioner in Acute Care required.
• National board certification as a Nurse Practitioner from an accredited agency.
• BLS/ACLS

Parrish Healthcare is a caring community of healthcare professionals passionate about excellence and fulfilling our mission of providing Healing Experiences For Everyone All The Time®.

Parrish Healthcare has a Culture of Choice®. This means a we have a healing work environment that empowers people to aspire to be their very best. We partner passionate, talented and skilled people in the right role with the right resources. We provide a clear and strategic direction to achieve superior results on behalf of the communities we serve.