The Department of Emergency Medicine is seeking a Sr. Nurse Practitioner to work collaboratively within a multidisciplinary health care team. This Position will be responsible for complex, standardized, patient care procedures that require experience and specialized training that would otherwise be performed by a physician. They will educate patients and families in matters pertaining to health maintenance, disease prevention and appropriate measures in acute and chronic illness. The Sr. Nurse practitioner will direct supervision from appropriate licensed physician as designated.
Specific Duties & Responsibilities
Perform a comprehensive, accurate history and physical including chief compliant, presenting signs and symptoms, and past medical history and interval history. Recognize differences between normal and abnormal findings in H & P. Significant findings are validated or discussed with a physician as appropriate.
Order and interpret laboratory tests, x-rays, diets, physical therapy, inhalation therapy or other services when delegated by a supervising physician. Abnormal findings are discussed with a physician as appropriate.
Initiate IV therapy by peripheral, central, intraosseous routes. Perform injections, arterial puncture, and venipuncture. Initiate Basic/Advanced life support in response to emergency situations.
Prepare chart documentation for review and counter signature by the physician.
Determine differential diagnosis.
Maintain technical proficiency with approved procedures including suturing, wound care and orthopedic care.
Prescribe and regulate medications.
Evaluate outcomes of previously implemented interventions.
Arrange consultations and referrals when needed.
Attend staff meetings to discuss patient and unit requirements. Daily informal discussions are held with the physician and other health professionals to plan patient care.
Give input for design of research protocols and procedures.
Responsible for the conduct of EM sponsored clinical trials including regulatory issues, recruitment and good clinical practice. Coordinate the implementation of protocols in conjunction with the other staff members. Oversee daily operations for clinical research protocols in collaboration with other staff. Responsible to obtain informed consent from study participants.
Remain proficient in the utilization of commonly used clinical protocols and guidelines.
Remain abreast of new treatment modalities and technologies within the field of Emergency Medicine. Maintain competencies with the use of Med/Surg instruments and equipment.
Participate in the interviewing process of clinical staff. Makes hiring recommendations. Can recommend discipline.
Scope of Responsibility
Working knowledge of the formal and informal policies, procedures and practices necessary to facilitate safe and effective management of acute and chronic illness in patients presenting in the ED.
Uses professional judgment and assumes complete responsibility for any decisions, their consequences, and results.
Prioritizes and organizes work to meet the changing needs of the unit and patient care needs.
To coordinate and make decisions regarding patient care.
Develops collaborative relationship with supervising physician determining need and timing of communications.
Exchange routine medical information with appropriate members of the health care team while maintaining patient confidentiality.
Technical Qualifications or Specialized Certifications
Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as FNP in State of Maryland or other state where practicing.
Able to stand and walk for extended periods of time.
Visual acuity for near vision.
Good hand/eye coordination.
Fine motor skills for performing such tasks as suturing and incision and draining of abscesses.
Gross motor movements for applying plaster splints.
Attention to patient safety, persona safety, and safety of co-workers due to contact with potentially infected body fluids with blood borne pathogens.
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.
Minimum of 3 years experience in related clinical area and obtained proficiency in area of specialty.
Residency or fellowship programs in area of specialization may substitute for some experience
Five years related experience preferred.
Two years of related clinical experience in Emergency Medicine.
Classified Title: Sr. Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Commensurate with experience Employee group: Full Time Schedule: Varies, 35/Week Exempt Status: Exempt Location: JH at Howard County Hospital Department name: HC Emergency Med Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
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The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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