DescriptionA Nurse Practitioner is certified under section 6910 of the New York State Education Law and licensed as a registered nurse. A nurse practitioner in a specialty provides acute/primary health care in accordance with written policies approved by nursing and medical administration and manage a clinical program throughout the hospital continuum.ResponsibilitiesResponsible ForPatient care as outlined within collaborative practice agreement.Principal Duties And Responsibilities
- Clinical Practice
- Develops and implements a collaborative practice agreement in the specific clinical area and performs a periodic review of the collaborative agreement.
- Assesses the health status of patients/families by means of comprehensive health history and physical examination.
- Initiates selected therapeutic and diagnostic procedures, consultations and laboratory examination, prescribes and alters medication regimens, interprets findings and alters plan of care according to collaborative practice agreement and protocols in designated area.
- Provides teaching and counseling in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses.
- Documents findings and plan of care in the patient's medical record.
- Consults with physician as established in the collaborative practice agreement.
- Initiates referrals to specialty services and fosters continuity of care.
- Participates in team meetings and conferences to enhance an interdisciplinary approach to acute/primary health care delivery.
- Performs a patient record review with the collaborating physician in a timely fashion but not less than every three months
- Manage a clinical specialty program for a select patient population across the hospital continuum and provide outcome data for program evaluation and performance improvement.
- Professional Development:
- Supports the mission, vision, philosophy and goals of the Department of Nursing and the Medical Center.
- Demonstrates accountability for own nursing practice.
- Advocates for patients/families and supports patients' rights.
- Considers ethical issues of professional nursing practice and adheres to the code of ethics.
- Demonstrates a humanistic, kind, and caring attitude in the delivery of health care.
- Serves as a resource person to nurses and other health team members.
- Participates in peer review.
- Incorporates research findings in clinical practice.
- Participates in approved nursing and medical research studies.
- Keeps knowledge current by self-directed learning, literature review and attendance at educational programs.
- Participates in defining, maintaining, and interpreting standards of nursing practice.
- Contributes to the maintenance of a positive image of advanced practice nursing in the medical center and in the local community by implementing programs which recognize nursing as a profession.
- Participates in departmental and interdisciplinary committees which influence and/or determine policies affecting nursing practice and patient care delivery.
- Seeks opportunities to enhance professional nursing practice and influences outcomes.
- Treats co-workers, patients and families with dignity and respect.
- Is open and responsive to the diverse backgrounds and experience of other people and promotes an environment that is sensitive to cultural diversity.
COLLABORATIVE PRACTICE AGREEMENT
- The establishment of Collaborative Practice Agreement Chapter 257 of the Laws of 1988 of New York State which took effect April 1, 1989, authorizes Nurse Practitioners certified by the State Education Department to use the title Nurse Practitioner [for Nurse Practitioner job description, see appendix] and engage in the expanded practice of nursing, which may include the performance of primary health care services and the issuance of prescriptions. Practice agreements and practice protocols must be established and maintained in the practice settings of the Nurse Practitioner and collaborating physician where they shall be available to the Department for inspection.
- Practice Protocols
Practice protocols shall identify the area of practice to be performed by the Nurse Practitioner in collaboration with the physician and shall reflect accepted standards of nursing and medical practice. Protocols shall include provisions for case management including diagnosis, treatment, and appropriate recordkeeping by the Nurse Practitioner; and may include such other provisions as are determined by the Nurse Practitioner and collaborating physician to be appropriate. These protocols will be determined by area of specialty.
Practice agreements shall include provisions for the following:
Patients are assigned to the Nurse Practitioner or physician according to the needs of the patient.
Laboratory tests may be ordered according to the initial work-up guidelines found in the reference protocol. Collaboration is not necessary for routine diagnostic procedures. However, consultation and documentation should be completed before more extensive tests are ordered, e.g., nuclear medicine tests, MRI, CT scan, IVP, etc.
Nurse Practitioners consult with and refer patients to subspecialty clinics as needed.
Nurse Practitioners prescribe medications according to the New York State Laws and Regulations for prescription writing and record-keeping (see Appendix).
Nurse Practitioners are responsible for documenting findings, consultations and plans of care in the patients' medical records.QualificationsMaster's degree program designed to prepare a registered nurse to provide acute/primary health care services or the successful completion of an approved supplemental education program, i.e., post-Masters NP certificatePrevious progressive experience relevant to the area of clinical practiceEmployer DescriptionStrength Through DiversityThe Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
- Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
- Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
- Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.Explore more about this opportunity and how you can help us write a new chapter in our history!“About the Mount Sinai Health System:Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high Honor Roll status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's “Best Children's Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's “The World's Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”EOE Minorities/Women/Disabled/VeteransCompensationThe Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $87692 - $131538 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.