Nurse Practitioners perform a vital role in Cedars-Sinai Medical Care Foundation's commitment to deliver effective and efficient quality health care services to its patients. Together, the collaborative physician and Nurse Practitioner (NP) will share responsibility for the health and welfare of our members. This dynamic position will provide support for the Cardiology office for Cedars-Sinai Medical Group. The Nurse Practitioner (NP) position offers an opportunity to work closely with top academic and research physicians affiliated with the Cedars-Sinai Medical Center. The Nurse Practitioner will also work collaboratively with physicians in the multidisciplinary team working in Cardiology
ESSENTIAL DUTIES AND RESPONSIBILITIES:
A. ASSESSMENT OF HEALTH STATUS
1. Nurse Practitioner will independently obtain a relevant health and medical history.
2. Performs a physical examination based on age and history and dictates a progress note if needed with the appropriate physicians
3. Nurse Practitioner will formulate a plan of care for patients.
4. Nurse Practitioner will make rounds on inpatients.
5. Performs and/or orders preventive and diagnostic procedures based on the patient's age and history.
6. Identifies health and medical risk factors.
7. Nurse Practitioner will help coordinate timely consultations and transfers of patients.
8. The Nurse Practitoner will help the physicians provide screening, consultation and answers to incoming questions from referring physicians.
9. Nurse practitioner will have prescriptive authority to order and perform diagnostic tests including stress echocardiogram and treadmills.
10. Nurse Practitioner will screen patients for enrollment of clinical trials and research projects and participate actively in the conduct of these clinical trials
11. On-Call responsibilities to include nights and weekends.
12. Competency at using an electronic medical record.
The NP makes a diagnosis by:
* Utilizing critical thinking in the diagnostic process
* Synthesizing and analyzing the collected data
* Formulating a differential diagnosis based on the history, physical examination, and diagnostic test results
C. DEVELOPMENT OF A TREATMENT PLAN
The NP, together with the patient and family, will establish a mutually acceptable plan of care that maximizes health potential. Formulation of the treatment plan includes:
* Ordering additional diagnostic tests
* Selecting appropriate pharmacologic and non-pharmacologic interventions
* Developing a patient education plan
* Appropriate consultation/referral.
* Coordinate prescriptions with specialty pharmacies and help obtain authorizations for medications
D. IMPLEMENTATION OF THE PLAN
Actions by the NP are:
* Consistent with the appropriate plan of care
* Based on scientific principles, theoretical knowledge and clinical expertise
* Consistent with teaching and learning opportunities.
* Accurately conducting and interpreting diagnostic tests
* Prescribing pharmacologic agents and non-pharmacologic therapies
* Providing relevant patient education
* Making appropriate referrals to other health professionals and community agencies
E. FOLLOW-UP AND EVALUATION OF CLIENT STATUS
The NP maintains a process for systematic follow-up by:
* Determining the effectiveness of the treatment plan with documentation of patient care outcomes.
* Reassessing and modifying the plan as necessary to achieve health and medical goals.
* Provide education to the patients about their conditions and the medications available for their use
* Provide teaching about any drug prescribed and drug-drug interactions
* Provide educational pamphlets to patients and prescriptions according to guidlines of adjuvant therapies such as O2, anticoagulation, diuretics, immunizations, etc.
* Assist with compliance and administration of different therapies including inhaled, subcutaneous and IV prostranoids. The Nurse Practitioner will follow-up on these therapies with frequent phone calls to patients.
* Nurse Practitioner will need to have excellent communication and interpersonal skills that will facilitate the delivery of exceptional health care service to our patients
F. THE NP'S PRACTICE MODEL EMPHASIZES:
a. Patient and family education
b. Facilitation of patient participation in self care
c. Promotion of optimal health
d. Facilitation of entry into the health care system
e. The promotion of a safe environment
The NP participates as a team member in the provision of health and medical care, interacting with professional colleagues to provide comprehensive care. Maintains accurate, legible and confidential records. Participates in continuous quality review, including systematic review of medical and other records and treatment plans on a periodic basis, maintains current knowledge by attending continuing education programs.
It is the responsibility of the NP to keep the collaborating physician(s) informed of his/her practice and to seek assistance, refer the patient to the physician or obtain further instructions from the physician whenever doubt exists or prudent medical practice dictates (See Collaborating Physician(s) Policy and Procedure).
STANDARDIZED PROCEDURE PROTOCOLS
The NP and the collaborating physician(s) will utilize The Standardized Procedure Protocols developed and designed to describe the steps of medical care for given patient situations/diagnosis/treatment: they are to be followed in the care and treatment of patients (See Standardized Procedure Protocols Policy and Procedure). The NP is responsible for participating in the establishment/review/revision of the Standardized Procedure Protocols.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research... and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.