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INTRODUCTION

NYU Langone Hospital—Suffolk is a 306-bed medical center, providing care to residents of eastern Long Island. The hospital facility is home to the Knapp Cardiac Care Center—an advanced heart disease diagnostic and treatment facility—as well as a modern ambulatory surgical pavilion with specialized services including women's imaging, a sleep laboratory, and bariatric surgery. Our Provisional Level 2 Trauma Center delivers comprehensive and specialized care for patients with traumatic injuries. The Stroke Center at NYU Langone Hospital—Suffolk is designated by the New York State Department of Health as a Primary Stroke Center, with expert neurologists available to provide treatment 24 hours a day, 7 days a week. Additionally, NYU Langone Hospital—Suffolk has multiple outpatient sites, including an outpatient wound care center, a hemodialysis center, and various primary care and specialty offices.

Position Summary:

We have an exciting opportunity to join our team as a Critical Care Advanced Practice Provider (APP) - Medical Stepdown Unit NYULH-Suffolk - Medical Staff.

In this role, the successful candidate Nurse practitioners (NP) are dedicated to providing quality, professional, cost-effective health care to all patients at NYULH - Suffolk.

NPs provide services as a licensed independent practitioner (LIP) collaborating with a licensed physician fulfilling a broad range of medical services that would otherwise be provided by the physician. A NP shall be permitted to provide any service within his/her scope of training/skills outlined in the collaborative agreement between the NP and the collaborating physician that has been approved by the Credentials Committee. NPs may provide care for all patients throughout the hospital as permitted by their certification and licensure. NPs work collaboratively with the patient's physicians, assisting in providing high-quality care, and a well-planned, timely discharge. NPs provide patient-centered care as members of interdisciplinary teams emphasizing evidence-based practice and accepted standards of care. A NP shall document according to the practices included in the Clinical Documentation Initiative (CDI).

The Critical Care Advanced Practice Provider (Nurse Practitioner or Physician Assistant) provides high-acuity inpatient care for adult patients admitted to the Medical Stepdown Unit. Working in collaboration with Critical Care Medicine, Hospital Medicine, Pulmonary/Critical Care, and consulting specialists, the APP manages patients with complex medical conditions requiring continuous monitoring, advanced therapies, and frequent clinical reassessment. The APP functions with a high degree of autonomy in evaluating, diagnosing, treating, and stabilizing patients at risk for clinical deterioration while promoting safe transitions of care and preventing ICU readmissions.

The Medical Stepdown Unit serves as an intermediate level of care between the Intensive Care Unit (ICU) and general medical-surgical units, caring for patients with complex critical care needs who require enhanced monitoring and intervention.

Job Responsibilities:

Assessment and Reassessment of Patients

• Introduces/identifies self as a nurse practitioner
• Assists the physician with patient management focusing on quality care and a well-planned, timely discharge
• Communicates professionally and effectively with the patient's physician, and as appropriate, consulting physicians, case managers, nurses, and other Hospital staff any patient information that may affect discharge or the patient's hospital course
• Performs initial and ongoing assessment/history and physical examination
• Assesses/reassesses patient's condition and care plan
• Orders and interprets tests/results (lab, radiology, ekg, etc.) based on patient need
• Orders medications and treatments
• Documents care in the chart in accordance with hospital policies and procedures
• Formulates diagnoses
• Formulates and implements patient care and treatment plans. Discusses patient care and treatment plans, expectations, needs, and any other information with physicians, nurses, case managers, and other hospital staff. Uses established Long Island Health Network (LIHN) guidelines, if applicable
• Obtains consents for blood/blood product transfusion, CAT scan and MRI contrast administration, and for procedures performed by the PA
• Initiates consults with physicians and other hospital staff including those for hospice and palliative care
• Initiates and participates in care related to end-of-life issues including Do Not Resuscitate/Intubate (DNR DNI) and Medical Orders for Life Sustaining Treatment (MOLST) documentation
• Manages medical/surgical patient care including emergencies requiring BLS/ACLS/PALS (if adult or family NP)
• Performs Trauma assessments/reassessments following ATLS (Trauma Team)
• Performs peri- and intraoperative assessments/reassessments
• Performs peri- and intraprocedure assessments/reassessments
• Rounds with physicians and other hospital staff
• Orders, applies, reapplies, and removes restraints
• Documents in patient chart or the computer all pertinent patient information following departmental and hospital policies, and using the CDI education
• Writes legibly
• Dates, times, and signs all chart entries
• Uses name stamp
• Documents any patient or family education
• Documents results of tests ordered, or disposition of care
• Completes all procedure notes
• Documents communication with physicians
• Signs, dates, times verbal/telephone orders by the end of each shift
• Fully completes and submits billing forms by the end of each shift
• Completes discharge documentation including discharge/transfer summaries, discharge instructions, writing/issuing discharge orders, prescriptions, and any other associated documentation required for discharge

Technical Procedures

• Explains procedure to patient/family
• Uses sterile technique, including barrier precautions, when needed
• Performs procedures such as IV insertion, foley catheter insertion, naso/oro gastric tube insertion, central venous line removal, etc.
• Sutures/ provides wound care
• Splints
• Assists in surgery
• Assists with cardiac catheterizations
• Performs CAT scan/MRI injections
• Performs other radiological injections such as nuclear studies
• Performs invasive procedures such as PICC insertion, central venous line insertion, chest tube insertion
• Performs surgical procedures such as chest tube removal, drain removal, etc.
• Assists radiologist with procedures such as biopsies, drainage procedures, special procedures, etc.
• Performs radiological procedures such as paracentesis, thoracentesis, etc.

General Job Requirements

• Demonstrates positive customer service/satisfaction skills, positive attitude towards change, effective time management, positive communication skills, the ability to constructively give and accept feedback, and solid problem solving skills
• Conducts oneself professionally
• Demonstrates the medical, technical, and personal skills to assess, reassess, & manage patients
• Knows one's limitations and seeks help if needed
• Demonstrates the ability to concentrate and pay close attention to detail
• Works as team member in multidisciplinary manner
• Arrives to work and leaves on-time
• Abides by hospital and departmental policies and procedures
• Abides by Det Norske Veritas (DNV) expectations and standards
• Maintains knowledge of current trends and techniques in the field by reading appropriate journals, books and other literature and attending related seminars, conferences and the like. Assists in inter-and intra-departmental instruction
• Abides by all federal and state laws, rules, and regulations
• Answers pages and calls immediately (unless busy) using name, title, and greeting
• Attends minimum of 50% of departmental meetings
• Attends minimum of 50% of Medical Staff meetings
• Attends minimum of 50% of Trauma Team meetings
• Participates in performance assessment and improvement studies

MINIMUM QUALIFICATIONS:

To qualify you must have a Graduate of NP educational program approved by the State of New York

Current NP certification from either the American Academy of Nurse Practitioners or the American Nurses Credentialing Center

Bachelors and Masters degrees

Current New York State license as registered nurse and NP

Basic Life Support Certification through the American Heart Association.

Required Licenses: Registered Nurse License-NYS, Nurse Practitioner-NYS, Basic Life Support Cert

PREFERRED QUALIFICATIONS:

Advanced Life Support certification (ACLS, PALS) through the American Heart Association or Neonatal Resuscitation certification (NRP) through the American Academy of Pediatrics may be required based on your selected privileges.

Preferred Experience:

Inpatient APP experience OR Completion of a critical care APP fellowship/residency.

• Critical Care Medicine
• Pulmonary/Critical Care
• Hospital Medicine
• Emergency Medicine
• Medical Stepdown/Progressive Care Units

NYU Langone Hospital—Suffolk provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Langone Hospital—Suffolk is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

NYU Langone Hospital-Suffolk provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $138,176.08 - $169,616.08 Annually. Actual salaries depend on a variety of factors, including experience, specialty, 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.

View the Pay Transparency Notice for further details.