Nurse Practitioner

The Department of Medicine is seeking a Nurse Practitioner, to work collaboratively as a member of an advanced practice team to provide comprehensive care to critically ill patients in the Medical Intensive Care Unit and the Oncology Intensive Care Unit.

Specific Duties & Responsibilities

• Responsible for standardized, comprehensive care to patients who are critically ill with multiple medical conditions as well as primary oncological and hematologic processes.
• Work collaboratively with physicians, fellows, residents, nurses, pharmacists, respiratory therapists, social workers, physical, occupational and speech therapists and consultant physicians within a multi-disciplinary team.
• Obtain history and perform physical examinations on patients newly admitted to the ICU.
• Triage patients to the ICU setting if necessary and provide critical care support to those teams during the day.
• Knowledge of life support systems such as mechanical ventilation, continuous veno-venous hemodialysis (CVVHD), artificial nutritional support, and vasopressor support.
• Orders and interprets laboratory tests, radiographic exams, and other diagnostic studies.
• Performs bedside procedures including but not limited to: ultrasound-guided placement of arterial lines, central lines, peripheral IVs, and dialysis catheters; lumbar punctures, paracenteses, thoracenteses, NG/NJ tubes, point of care ultrasound, and other treatments as necessary.
• Initiates or modifies routine, complex and emergent medication regimens and therapies.
• Communicate with healthcare team members to ensure patient and organizational needs are met.
• Assist with coordinating patients' discharge from the hospital to various settings.
• Educate patients and families regarding the nature of their clinical problems, prognoses, and options for continued care.
• Provides leadership, guidance, and teaching to junior NP/PAs, NP/PA students, and pulmonary fellows in the MICU and Oncology ICU.
• Involved in departmental research initiatives.
• Rotate between the Medical Intensive Care Unit and Oncology Intensive Care Unit as part of an Advanced Practice Team.

The NP/PA will be granted affiliate staff privileges by the Johns Hopkins Hospital Medical Board; these privileges list specific tasks and are reviewed annually.

Additional Knowledge, Skills, & Abilities

• Must have advanced clinical skills and the ability to apply theoretical concepts as part of a multi-disciplinary healthcare team providing care to patients and their families.
• Must have the ability to diagnose and implement a medical care plan for the short and long-term care of acute and chronic health conditions in the intensive care unit.
• Be able to apply critical thinking and problem-solving skills to function effectively and adapt to a dynamic and often changing work environment.
• Demonstrate excellent organizational skills and the ability to prioritize and manage multiple tasks simultaneously.
• Possess advanced interpersonal skills necessary to collaborate and communicate effectively with all interdisciplinary healthcare team members to enhance problem-solving in the patient's best interest.
• Provide detailed and comprehensive documentation of all patient care-related services as part of the hospital medical record.
• Must have general computer knowledge and the ability to use computerized medical information systems.

Physical Requirement

• Sitting in a seated position for extended periods of time.
• Reaching by extending hand(s) or arm(s) in any direction.
• Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
• Communication skills using the spoken word.
• Ability to stand and walk for extended periods.
• Ability to move standard equipment through a hospital or clinical environment.

Working Conditions

• Applicants must be willing to work 3 days/week on varying days over a 7-day work week, including weekends and holidays as required to meet patient care needs.
• This description is a general statement of required major duties and responsibilities performed regularly and continuously. It does not exclude other duties as assigned.

• Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing.
• Additional experience may substitute for master's degree, to the extent permitted by the JHU equivalency formula.
• 2 years of acute/critical care experience required. ICU Nursing and Residency experience accepted.
• Maintain a Controlled and Dangerous Substance License in Maryland.
  

• Maintain Federal DEA License.
  

• Maintain ACLS certification.
  

• Maintain BLS certification.
  

• Completion of the Johns Hopkins Hospital credentialing process is required.

Classified Title: Nurse Practitioner
Job Posting Title (Working Title):Nurse Practitioner
Role/Level/Range: ACRP/04/MG
Starting Salary Range: Min $102,000 - Max $151,400 ($105,000 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: 3 shifts, 12.5 hours, Monday-Sunday
Exempt Status:Exempt
Location:School of Medicine - East Baltimore Campus
Department name: 10002817-SOM DOM Pulmonary
Personnel area: School of Medicine