Acute Care Nurse Practitioner Job Description



Acute Care Nurse Practitioner Job DescriptionAshley PeczkowskiWright State UniversityNur 7203Acute Care Nurse Practitioner Job DescriptionJob Title:Acute Care Nurse Practitioner Job Objective:The ACNP will provide quality patient care while controlling cost, participate in research through quality improvement programs, create new practice protocols, and encourage the importance of education by mentoring students, nursing staff and supporting continuing education. (Rosenthal & Guerrasio, 2010)Job Description: The ACNP will provide care to acutely ill patients with a variety of medical diagnoses in the intensive care unit, perform a history and physical on all admissions, coordinate admissions from the emergency department, and facilitate transfer of the patient to a lower acuity setting once medically stable (Bahouth, Blum, & Simone, 2013). The ACNP will “Learn to recognize outliers and anticipate problems, become familiar with the key players in the hospital (such as medical and surgical consultants, discharge planners, nurses, and clergy), and become sufficiently invested in the hospital system to be accountable for its cost and quality and to lead its quality improvement efforts (Rosenthal & Guerrasio, 2010, p. 22)”. Accurate diagnosis of acute and chronic diseases, knowledge to order correct medical testing, treat and prevent life threatening instability all while collaborating with a variety of health care professionals and using resources to effectively lower costs (Liego, Loomis, Leuven, & Dragoo, 2014; Rosenthal & Guerrasio, 2010).Functional and Relational Responsibilities: Independently function to perform age-appropriate history and physical.Order and interpret diagnostic and therapeutic tests based on disease specific needs. Prescribe appropriate pharmacological and non-pharmacological treatment therapies following state and federal restrictions as well as hospital bylaws (Liego, Loomis, Leuven, & Dragoo, 2014). Monitor for effectiveness of interventions. Facilitate health care transition setting e.g. admission, rehab, and discharge. Collaborate with multidisciplinary team members (Bahouth et al., 2013). Provide educational tools for staff, patient, and family decisions (Becker et al., 2010). Description of Relationships/ Roles:Licensed independent practitioner responsible for managing acute and chronic health problems and coordinating health care/ tests.Clinical management is to be conducted as collaboration between other health care members (Becker et al., 2010).The department of medicine is responsible for the hiring of hospitalist ACNPs, however direct oversight is completed by the hospitalist group itself. ACNPs are hired as faculty within the School of Medicine and therefore credentialing and privileging must occur before clinical practice may begin. (Rosenthal & Guerrasio, 2010)There is a written collaborative agreement between the ACNP and the physician that encompasses each personnel’s duties and responsibilities. There is a physician present 24 hours a day for consult on critically ill patients (Rosenthal & Guerrasio, 2010).Patient Population:Low risk chest pain, syncope, community-acquired pneumonia, asthma exacerbation, and cellulitis are a few acute illnesses our patients may have. Certain tests such as a renal biopsy and endoscopic retrograde cholangiopancreatography may require observation and post procedure medical management (Bahouth et al., 2013). Job Specifications: Completion of all history and physical examinations, ordering pertinent laboratory tests and consultations, developing care plans, attending rounds with social work and case management personnel, participating in discussions with patients and family, and initiating transitions of care to different acuity settings. The ACNP is encouraged to participate in research and quality initiatives (Rosenthal & Guerrasio, 2010).Education Expectations: Education is a large part of the hospitalist group because the hospital is a teaching facility. Attendance is encouraged at weekly grand rounds, daily morning conference, and monthly journal clubs. The ACNPs continue to compile a literature set for the nonteaching/observation service, including pertinent knowledge on common diagnoses. Education of nursing staff takes place on a daily basis through interaction with staff and availability for more formal in-service education. (Bahouth et al., 2013; Rosenthal & Guerrasio, 2010)Job Requirements: Prescriptive authority must have a documented collaborative physician licensed in Ohio on record with the board of nursing. (Rosenthal & Guerrasio, 2010)Minimum Qualifications: Graduate of an accredited school of nursing. Graduate of an accredited Nurse Practitioner Program. Current Nurse Practitioner certification in acute care adult gerontology. Must have or be willing to obtain CPTE. Current provider in Basic Life Support and Advanced Cardiac Life Support. Strong computer skills in Word, Excel, and PowerPoint.Eligible for hospital privileges (Bahouth et al., 2013; Becker et al., 2010).Experience: Preferred minimum two years’ experience in acute care setting as a Nurse Practitioner. New graduates will be considered.Job Location: Miami Valley HospitalScheduled Hours: Three 12 hour shifts with every fourth weekend from the hours of seven am to seven pm. Salary Range: 80,000-93,000 based on previous experience.ReferencesBahouth, M., Blum, K., & Simone, S. (2013). Transitioning into hosptial based practice: A guide for nurse practitioners and administrators. New York, NY: Springer Publishing Company.Becker, D., Correll-Yoder, N., Bell, L., Amba, K., Hardin, S., Hravnak, M., ... Werner, K. (2010). Acute care nurse practitioner scope and standards task force. American Association of Critical-Care Nurses, 1-38. Retrieved from , M., Loomis, J., Leuven, K., & Dragoo, S. (2014). Improving outcomes throught the proper implementation of acute care nurse practitioners. Journal of Nursing Administration, 44(1), 47-50. , L., & Guerrasio, J. (2010). Acute care nurse practitioner as hospitalist: Role description. Critical Care Nurse, 20(2), 133-136. Retrieved from ................
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