Nurse Practitioner Heart Failure

Job Profile Summary

A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. These roles focus on providing high-quality patient care and promoting wellness. APCs work collaboratively with physicians and other healthcare professionals to diagnose and treat a variety of acute and chronic conditions. In addition, this role focuses on conducting comprehensive patient assessments, ordering and interpreting diagnostic tests, developing and implementing treatment plans for acute and chronic illness, providing education to patients and families about preventive care, treatment options, and self-care techniques, and evaluation of therapeutic response to the treatment plan and with adjustment of interventions developed as needed.

Job Overview

The Nurse Practitioner - Cardiology position is responsible for providing primary care for a caseload of patients. As an advanced practice nurse, the position has received specialized training and education. The position practices in collaboration with the attending physician and other members of the multidisciplinary team to insure optimal patient outcomes. The position works in conjunction with the primary nurse to provide patient and family centered care, providing psycho-emotional support, educational support and discharge planning that is individualized and comprehensive.

Job Description

Minimum Qualifications:

1. Masters degree in Nursing.

2. Advanced Practice Registered Nurse (APRN) license.

3. Basic Life Support (BLS) certification.

Preferred Qualifications:

1. Specialty nursing certification.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Applies advanced nursing knowledge and experience to provide care to assigned caseload of patients, in collaboration with medical staff. Incorporates evidence-based practice in patient care.

2. Assesses the health status of patients by obtaining complete and thorough medical histories and performing physical examinations. Diagnoses health and developmental problems and care for patients.

3. Orders appropriate diagnostic tests (laboratory or radiological) and age-appropriate screening tests. Interprets results, records progress, updating responsible physician and patient.

4. Prepares a comprehensive patient care plan, utilizing established protocols and performs procedures and treatments using nursing judgment according to established practice guidelines and professional standards which is appropriate to the age of patients served in clinical area.

5. Orders and administers drugs in a manner that demonstrates advanced knowledge of pharmacology, medications, and appropriateness of prescribing habits (i.e. agents, volume, refill). Monitors medication treatment according to patient's response.

6. Writes clear, comprehensive initial and follow up notes. Orders appropriate diagnostic and laboratory tests. Plans effectively for any necessary home care and follow-up.

7. Initiates referrals and consultations with appropriate specialists when appropriate.

8. Recognizes that patient and family teaching are an integral part of patient care and follows through on teaching that has been initiated with appropriate documentation.

9. Encourages disease prevention and health promotion through patient and family education and counseling.

10. Document all patient encounters, phone calls and emails in a timely and thorough manner using the EMR.

11. Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, manage care in a cost-effective manner, and to help foster a positive work environment

12. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities.

13. Serves as a nursing leader and role model to all team members.

14. Performs role in a consistently professional manner. Holds self-accountable for professional practice. Presents self in a calm and professional manner.

15. Influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships and professional development.

16. Participates in performance improvement activities utilizing performance improvement principles to support and improve patient care.

17. Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend.

18. Keeps current with literature regarding changing practices, interventions and research in patient care.

19. Assumes responsibility for seeking out educational and professional opportunities for personal learning needs and growth.

20. Assumes responsibility for meeting mandatory education requirements and unit specific education and competencies.

Physical Requirements:

1. Lifting and turning patients of 30-35 lbs.

2. Prolonged standing and walking.

3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.

4. Exposure to infectious disease and possible carcinogenic chemicals and blood-borne pathogens.

5. Requires manual dexterity using fine hand manipulations for performing procedures and computer keyboard.

6. Requires ability to see computer screen, reports, and perform assistance in procedures with accuracy. 7. Requires ability to hear instructions from physician.

Skills & Abilities:

1.Ability to assess the needs of patients of all different age groups and to provide care appropriately.

2. Effective Interpersonal skills needed for interacting with physicians, staff, patients and their families, and so forth.

3. Excellent analytical skills needed for evaluating patients and coordinating treatment plans.

4. Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.