Advance Practice Nurse or Physician Assistant- MSICU- Night Shift- PRN/Optional

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PRN/Optional- Advance Practice Nurse or Physician Assistant- TriHealth

Critical Care Night Shift

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As an Advanced Practice Provider in the TriHealth Critical Care department,
you’ll be part of a highly skilled, collaborative critical care team staffed
24/7 by board certified intensivists, pulmonologists, and hospitalists. APPs
play a key role in managing complex, rapidly changing patients—admissions,
diagnostics, treatment adjustments, consult coordination, and family
communication—while working with a full spectrum of specialty providers. If
you’re looking to practice at the top of your license in a fast-paced
environment that values advanced training, teamwork, and exceptional patient
care, TriHealth’s Critical Care is an incredible place to grow your critical
care career. Must have Critical Care APP experience. 

Location

Bethesda North Hospital: 10500 Montgomery Rd, Montgomery, OH 45242

Work Schedule

* 7:00pm-7:30am

Incentives & Benefits

In addition to a comprehensive benefits package—including medical, dental,
vision, paid time off, retirement plans, and tuition reimbursement—this role
offers competitive pay based on education level and experience. Please view our
benefits page https://careers.trihealth.com/what-we-offer/benefits
[https://careers.trihealth.com/what-we-offer/benefits]  

Job Requirements

Master's Degree in Nursing; Graduate from NP or CNS program 
Specialty certification in area of expertise

BLS, ACLS, ENLS, FCCS

Registered Nurse with APRN Licensure
Demonstrated expertise in area of clinical specialization
Professional membership in specialty nursing organization required within one
year of start date
3-4 years experience Clinical in Nursing practice in applicable setting

Job Overview

The Advanced Practice Provider in Critical Care is a nurse prepared with
graduate level nursing education in Adult/Acute Care and authorized to practice
and prescribe as an advanced practice provider (APP), as Clinical Nurse
Specialist or Certified Nurse Practitioner, in collaboration with one or more
members of the interdisciplinary healthcare team. Advanced clinical practice in
nursing includes the following components: assessment of patient health status,
diagnostic testing, diagnoses, development of treatment plans, implementation of
treatment plans, follow-up and evaluation of the patient’s response to
treatment, accurate documentation of the patient’s status, and patient advocacy.
APPs are clinical experts who design, implement and evaluate patient-specific
and population-based programs of care and promote care through a variety of
methods. APPs must have a collaborating physician(s) in an associated Standard
Care Arrangement. The APRN II must spend 50% of hours worked utilizing
prescriptive authority in their advanced clinical practice role.

Job Responsibilities

Collaborates and consults with the interdisciplinary healthcare team, the
patient and family when diagnosing, prioritizing problems, and implementing
interventions. Provides consultation and initiates referrals to other healthcare
team members and promotes collaboration among other members of the
interdisciplinary healthcare team. Assists interdisciplinary team members,
patients, and families in selecting therapies that integrate perspectives of
cost and quality of benefits. Collaborates with other disciplines in teaching,
consultation, management, and research activities to improve outcomes in nursing
practice and enhance the healthcare environment.
Provides effective leadership. Integrates analysis of cost and benefits in care
decisions. Designs/Develops innovative solutions for patient care problems that
utilize resource efficiency while maintaining or improving quality and advancing
best practices. Provides leadership in the development and application of
consensus derived protocols or evidence-based practice (EBP) guidelines in the
clinical setting. Participates, as opportunities arise, in healthcare-related
decision-making at the system, local, state, and national levels with an
emphasis on improving patient outcomes. Serves in key roles by participating
in/leading committees, councils, and administrative teams. 
Utilizes, participates in, and disseminates research, evidence-based practice,
or quality improvement projects to enhance clinical practice and patient
outcomes. May serve as primary or co-investigator, or member of the
investigative team in conducting nursing or collaborative research. Critically
evaluates existing practice based on current research findings and integrates
changes into practice through an EBP project. Evaluates processes of care by
serving a as leader or team member in relevant Quality Improvement projects.
Promotes mentoring and education to nursing by serving as a Journal Club mentor
and facilitates learning in critically appraising the literature.
Provides education to patients, families, and healthcare providers to promote
best practice. Serves as a teacher, mentor, role model to nurses in the
promotion of nursing research, EBP. Serves as preceptor, role model and mentor
to staff nurses and colleagues as well as nursing students. Teaches, coaches,
and supports nurses and other healthcare professionals to advance the care of
patients. Provides education to the patient and their family for health
promotion including secondary prevention strategies. Collaborates in the
assessment, development, implementation and evaluation of patient and staff
educational needs.
Ensures nursing practice is conducted in an ethical and legal manner. Abides by
the Ohio Scope of Practice as an APRN. Provides safe, compassionate, competent,
and ethical care. Demonstrates the highest level of accountability for
professional practice. Preserves the patient’s dignity. Serves as a patient
advocate by promoting advanced directives and adherence to the patient's wishes.
Contributes and promotes the discussions of end-of-life decisions and palliative
care with the patient, family members, physician and the health care team as
appropriate.
At least 50% of position involves direct management of the patient’s and/or
family’s care. Independently performs and documents a complete history and
physical examination, including psychosocial assessment. Prescribes drugs and
therapeutic devices consistent with the formulary under section 4723.50 of the
Ohio Revised Code. Assesses for interactive and synergistic effects of multiple
pharmacologic and non-pharmacologic interventions. Orders laboratory and
radiologic tests and interprets the results. Collaborates with physician(s) to
plan to implement a comprehensive plan of care. Discusses patient’s care with
family members. Performs duties per the Standard Care Arrangement.

Other Job-Related Information

The TriHealth Nursing Vision, Mission, and Philosophy speak to professional
development, collaboration, and our nursing culture. To achieve excellence in
nursing care, TriHealth encourages: pursuit of improved knowledge through
continuing education classes, formal education leading to advanced degrees, and
the attainment of specialty certification; nurse membership in local, regional,
and national nursing organizations related to the appropriate nurse specialty;
involvement in activities that better the health of our community; nursing
research activities and use of evidence-based practice, and all nurses to
foster, support, and personally model collaborative relationships amongst
nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions

Bending - Consistently
Climbing - Consistently
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Consistently
Interpersonal Communication - Consistently
Kneeling - Consistently
Lifting <10 Lbs. - Consistently
Lifting 50+ Lbs. - Consistently
Lifting <50 Lbs. - Consistently
Pulling - Consistently
Pushing - Consistently
Reaching – Consistently
Reading - Consistently
Sitting - Consistently
Standing - Consistently
Stooping - Consistently
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Consistently
Visual Acuity: Far - Consistently
Visual Acuity: Near - Consistently
Walking – Consistently 
Visual Acuity: Near - Consistently
Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE
our patients, our communities, and our fellow team members. To achieve our
vision and mission, ALL TriHealth team members are expected to demonstrate and

live the following

Serve: ALWAYS…

• Welcome everyone by making eye contact, greeting with a smile, and saying

• Acknowledge when patients/guests are lost and escort them to their destination

• Refrain from using cell phones for personal reasons in public spaces or

• Recognize and take personal responsibility to address and recover from service

• Offer patients and guests priority when waiting (lines, elevators)

• Work on improving quality, safety, and service

• Respect cultural and spiritual differences and honor individual preferences.

• Respect everyone’s opinion and contribution, regardless of title/role.

• Speak positively about my team members and other departments in front of

• Value the time of others by striving to be on time, prepared and actively

• Pick up trash, ensuring the physical environment is clean and safe.

• Be a good steward of our resources, using supplies and equipment efficiently

• Acknowledge wins and frequently thank team members and others for

• Show courtesy and compassion with customers, team members and the community