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Nurse Practitioner (per diem) - Urgent Care

Cedars-Sinai Beverly Hills, CA
  • Posted: November 07, 2019
  • As Needed

The Nurse Practitioner is responsible and accountable for the application of the nursing process, supervision of clinical
practice, research involvement, consultative services, inter and intradepartmental liaison, education, leadership and patient
care management across the health care continuum including preventative care acute care through discharge, and ambulatory
care environments. A Nurse Practitioner's practice incorporates both independent decision-making abilities and collaboration
with the board certified/eligible physician to provide expert care to the patients. The Nurse Practitioner is responsible to the
Medical Director and the Chief Nursing Officer (CNO) and functions as an integral part of the medical team. The Nurse
Practitioner practices under the Board of Registered Nursing California code of regulations, Title 16, Article 8, Section 1480-
1485, utilizing the Nurse Practitioner Standardized Procedures. These are developed in a collaborative effort within the area
of specialty, department of Nursing and the Hospital Administration, incorporating CSHS goals and represent an
interdisciplinary approach to patient care delivery. The Nurse Practitioner provides individualized care upholding CSHS
philosophies including but not limited to care consistent with Nursing Standards of Care/Practice, the Plan for Provision of
Nursing Care, the Plan for Provision of Patient Care, the Performance Improvement Plan, the Patient Education Plan, the
Professional Organization Standards, Code of Conduct, and hospital and departmental policies and procedures.This role
enhances competency skills through continuing education programs. This role has the ability to provide care to special patient
population and those with diverse cultural background. Performs all job duties with sensitivity and attention to age and
developmental milestones of the population(s) served which may include neonate, infant, pediatric, adolescent, adult,
geriatric. Identifies the ability of age specific population served to follow direction/instructions and give consent. Identifies
safety concerns and institute measures to provide safe environment and provide appropriate assessment, intervention, and
evaluation of patients with consideration of developmental milestones in the population served.
**ASSESSMENT OFHEALTH STATUS**
1. Nurse
Practitioner will independently obtain a relevant health and medical history.
2. Performs
a physical examination based on age and history and dictates a progress note if
needed with the appropriate physicians
3. Nurse
Practitioner will formulate a plan of care for patients.
4. Nurse
Practitioner will make rounds on inpatients.
5. Performs
and/or orders preventive and diagnostic procedures based on the patient's age
and history.
6. Identifies
health and medical risk factors.
7. Nurse
Practitioner will help coordinate timely consultations and transfers of
patients.
8. The Nurse
Practitioner will help the physicians provide screening, consultation and
answers to incoming questions from referring physicians.
9. Nurse
practitioner will have prescriptive authority to order and perform diagnostic
tests including stress echocardiogram and treadmills.
10. Nurse
Practitioner will screen patients for enrollment of clinical trials and
research projects and participate actively in the conduct of these clinical
trials
11. On-Call
responsibilities to include nights and weekends.
12. Competency
at using an electronic medical record.
**DIAGNOSIS**
The NP makes a
diagnosis by:
Utilizing
critical thinking in the diagnostic process
Synthesizing
and analyzing the collected data
Formulating
a differential diagnosis based on the history, physical examination, and
diagnostic test results
**DEVELOPMENT OF ATREATMENT PLAN**
The NP, together with the patient and family,
will establish a mutually acceptable plan of care that maximizes health
potential. Formulation of the treatment
plan includes:
Ordering
additional diagnostic tests
Selecting
appropriate pharmacologic and non-pharmacologic interventions
Developing
a patient education plan
Appropriate
consultation/referral.
Coordinate
prescriptions with specialty pharmacies and help obtain authorizations for
medications
**IMPLEMENTATION OFTHE PLAN**
Actions by the NP are:
Individualized
Consistent
with the appropriate plan of care
Based on
scientific principles, theoretical knowledge and clinical expertise
Consistent
with teaching and learning opportunities.
Actions include
Accurately
conducting and interpreting diagnostic tests
Prescribing
pharmacologic agents and non-pharmacologic therapies
Providing
relevant patient education
Making
appropriate referrals to other health professionals and community agencies
**FOLLOW-UP ANDEVALUATION OF CLIENT STATUS**
The NP maintains a process for systematic follow-up by:
Determining
the effectiveness of the treatment plan with documentation of patient care
outcomes.
Reassessing
and modifying the plan as necessary to achieve health and medical goals.
Provide
education to the patients about their conditions and the medications available
for their use
Provide
teaching about any drug prescribed and drug-drug interactions
Provide
educational pamphlets to patients and prescriptions according to guidlines of
adjuvant therapies such as O2, anticoagulation, diuretics, immunizations, etc.
Assist
with compliance and administration of different therapies including inhaled,
subcutaneous and IV prostranoids. The
Nurse Practitioner will follow-up on these therapies with frequent phone calls
to patients.
Nurse
Practitioner will need to have excellent communication and interpersonal skills
that will facilitate the delivery of exceptional health care service to our
patients
Educational Requirements:
Graduation from a Nurse Practitioner Program approved by the Board of Registered Nursing.
License Requirements:
Current unrestricted Nurse Practitioner license issued by the State of California.
Current Drug Enforcement Agency (DEA) Certificate.
Furnishing number issued by the Board of Registered Nursing (BRN)
BLS from the American Heart Association
Experience:
Three (3) years clinical nursing experience including acute care and Cardiology preferred.
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

Cedars-Sinai

Address

Beverly Hills, CA
90209 USA

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