All jobs

Advanced Practice Registered Nurse - Ophthalmology, Neurology (BPEI- Miami, FL)

University of Miami Health System Miami, FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . Up to $20,000 Sign On Bonus The University of Miami Uhealth Department of Ambulatory Nursing at Bascom Palmer in Miami has an exciting opportunity for an Advanced Practice Registered Nurse (APRN). The incumbent d elivers medical care to a wide variety of patients. The APRN is also e xamines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care. CORE JOB FUNCTIONS Performs and documents complete physical examinations and comprehensive health histories . Functions independently to perform age-appropriate history and physical for patients. Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs. Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities Implements interventions to support the patient to regain or maintain physiologic stability . Assists with the provision of care in accordance with facility, state, and federal regulations. Monitors the effectiveness of interventions. Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients. Collaborates with multidisciplinary team members by making appropriate referrals . Facilitates staff, patient and family decision making by providing educational tools. Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Master’s d egree in relevant field Certification and Licensing: Valid State of Florida APRN License Experience: Minimum 2 years of relevant advanced practice nursing experience preferred Knowledge, Skills and Attitudes: Ability to exercise sound judgment in making critical decisions. Skill in completing assignments accurately and with attention to detail. Ability to analyze, organize and prioritize work under pressure while meeting deadlines. Ability to work independently and/or in a collaborative environment. Ability to communicate effectively in both oral and written form . Department Specific Functions OVERVIEW: The BPEI Consult Service provides initial evaluation and high - standard eye care outside ABLEC to patients admitted at JMH, Holtz Pediatric Hospital, Ryder Trauma Center, and UHealth facilities: UHealth Tower, Sylvester Cancer Center , and others : UHM/Sylvester Consults Initiation of the consult : Consult APRN carries the page for UMH facilities , responds to page in less than 30 min and proceeds with the consult in a timely manner. Timing : Routine consults less than 12 h. UMH ER consult less than 3 h. STAT consults less than 1 h. Escalation of the consult as needed: Optometry resident/Consult APRN , Fellow OD, Director of Consult Service, Ophthalmology specialty Medical Director (Ex: Retina, Cornea, Pediatrics, Glaucoma, Neuro, etc.) Medical Director BPEI. Consult visit: Consult APRN notifies optometry resident about consultation request for preliminary evaluation. Optometry resident will be available from 8.00am to 5.00pm on weekdays. Optometry resident proceeds with preliminary evaluation using the ca s e of instruments located at UHT pharmacy 4th floor. After preliminary evaluation optometry resident triage with Consult APRN and write a note in Epic, pending it for fellow evaluation and note signing. Consult APRN will exam patient: Adds addendum-documentation, signs attestation/encounter and update running list of UMH consult patients. The Consult APRN will escalate to appropriate service for additional evaluation if needed. Visit should be properly documented in EPIC and should include comments about discussion of the results with a patient or a next of kin, particularly in cases of poor visual prognosis. Assessment and Plan must be clearly documented, and HCP and nursing staff has to be informed about any critical decision. If discharged on the day of the consultation, have them open appointment slot at BP the same day. Inpatient psychiatry consults can be sent to BPEI ED and must have a sitter. UMH Instrument Case: Includes medications and instruments: Located at the 4th floor of UHT pharmacy. Optometric Resident and APRN will sign out case and return case to UHT Pharmacy. UHT Pharmacy will replace medication including expired medication. Non-functioning equipment will be reported by the Consult APRN for repair initiation/replacement. The case will be returned as orderly as it was received. Documentation of the visit: EPIC. Full note. Use smart phrases External photos should be included on the note Consent for any procedure to be performed including scrapping and testing. Instruction about follow up and calling back if any worsening Communication with HCP when radical procedures expected or needed Instruction upon discharge for FU. Signing Charts: Consult APRN will sign the chart in no more than 48h. APRN will assist in obtaining Informed Consent and necessary equipment for any bedside procedure including but not limited to testing, samples for microbiology or pathology, surgical procedures, transfer to BPEI for special treatment, among others. Running list of patients: Consult APRN is responsible to keep updated r unning list of patients in FU and recently discharged on EPIC. Active patients – patients requiring follow-up Completed patients - patients recently discharged Consult Service APRN will properly hand-off the active patients to evening /weekend Consult Fellow . Consult APRN will report monthly and as needed to the Consult Service Medical Director. JMH/Holtz/Ryder Consults Initiation of the consultation : Ophthalmology Resident carries the page r for Jackson facilities, responds to page r in less than 30 min and proceeds with the consultation in a timely manner. Timing : Routine consults less than 12 h ., ER consult ation less than 3 h. , STAT consults less than 1 h. Escalation of the consultation as needed: Op hthalmology resident/Consult APRN, Fellow OD, Director of Consult Service, Ophthalmology specialty Medical Director (Ex: Retina, Cornea, Pediatrics, Glaucoma, Neuro, etc.) Medical Director BPEI. Consult visit: Op hthalmology resident proceeds with preliminary evaluation using the case of instruments . After preliminary evaluation Ophthalmology resident triage with Consult APRN and write a note in Cerner , pending it for fellow evaluation and note signing. Consult APRN will exam patient: Adds addendum-documentation, signs attestation/encounter and update running list of Jackson consult patients. The Consult APRN will escalate to appropriate service for additional evaluation if needed. Visit should be properly documented in Cerner and should include comments about discussion of the results with a patient or a next of kin, particularly in cases of poor visual prognosis. Assessment and Plan must be clearly documented, and HCP and nursing staff has to be informed about any critical decision. If discharged on the day of the consultation, have them open appointment slot at BP the same day. Inpatient psychiatry consults can be sent to BPEI ED and must have a sitter. Jackson Instrument Case: Includes medications and instruments: Located at BPEI Emergency Room . Non-functioning equipment will be reported by the Consult APRN for repair initiation/replacement. Documentation of the visit: EPIC. Full note. Use smart phrases External photos should be included on the note Consent for any procedure to be performed including scrapping and testing. Instruction about follow up and calling back if any worsening Communication with HCP when radical procedures are expected or needed Instruction upon discharge for FU. Signing Charts: Consult APRN will sign the chart in no more than 48h. APRN will assist in obtaining Informed Consent and necessary equipment for any bedside procedure including but not limited to testing, samples for microbiology or pathology, surgical procedures, transfer to BPEI for special treatment, among others. Running list of patients: Consult APRN is responsible to keep updated r unning list of patients in FU and recently discharged on EPIC. Active patients – patients requiring follow-up Completed patients - patients recently discharged Consult Service APRN will properly hand-off the active patients to evening/weekend Consult Fellow . Consult APRN will report monthly and as needed to the Consult Service Medical Director. Transfer for special procedures at BPEI: APRN will facilitate transfer for special procedures at BPEI following Patient Transfer policy. ABLEH/BPEI Internal Transfer scheduling process To request a consult appointment , please email Physician Logistics at bplogistics@med.miami.edu and provide the following information: Patient Name and MRN Required imaging / procedures Provider Name Preferred appointment location, date, and time Patient mobility: walking, wheelchair, stretcher, etc. Relevant patient medical needs: telemetry, negative pressure, etc. Use of Telehealth in Consults : As appropriate , there will be escalating levels of involvement. Ophthalmology consultant review of the medical record and EMR consult note written. Ophthalmology consultant to the patient attending telephone consult and EMR consult note written. The ophthalmology telemedicine consultation will be facilitated by attending using EMR , using a video call for evaluation. Ophthalmology consultant bedside exam and EMR consult note written. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

RN

Part-time

2 months ago

Registered Nurse - Interventional Radiology - Per Diem

University of Miami Health System Miami, FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . Observes and follows the duly adopted standards, policies, directives and orders as they may relate to a Registered Nurse. Preceptor: Demonstrates ability to serve as a preceptor when assigned, including introducing new associates to the service area, communicating and reinforcing core and job specific expectations, validating initial competency, assessing learning needs, serving as a resource, and providing feedback. Service Educator : Performs the role of Service Educator when assigned, including coordinating unit specific orientation and education. Serves as an education resource for staff. ROLE SPECIFIC COMPETENCIES: Demonstrates the ability to perform thorough pre-procedure and post procedure assessment that is system focused. Demonstrates the ability to titrate intravenous medications according to the patient’s hemodynamic status. Demonstrates the ability to care for the patient with continuous cardiac monitoring including rhythm identification, interpretation and follow through with appropriate intervention. Demonstrates knowledge of anesthetic agents, techniques and actions. Demonstrates knowledge of basic information pertaining to all radiologic procedures and exams. Demonstrates ability to safely administer sedation /analgesia and monitor patient’s response under the direction of a physician. Demonstrates knowledge and skill in contrast administration, identification of a contrast reaction, and response to contrast reaction & extravasations. Demonstrates ability to learn/apply principles of safety. Demonstrates knowledge and skills in appropriate care of venous access devices and provides IV access and/or assists technologist in obtaining IV access. Provides care to patient undergoing non-interventional and interventional radiology procedures as per nursing standards, and policies & procedures. Provides pre and post exam patient education. Works collaboratively with medical, technical and support staff. Performs related duties as required. Demonstrate the ability to perform rapid assessment differentiating between short and long term needs. Verification of the operative procedures, operative site, surgeon and consents using Universal protocol: pre-procedure verification and site/side marking. Communicates to accepting staff via face-to-face Hands-Off Communication. CORE COMPETENCIES Customer Service: Ensures patients’ privacy, comfort level and complaints are responded to immediately Always remaining cognizant of meeting patients expectations. Interacts with customers in a warm and friendly way. Takes appropriate action to meet customer’s needs or requests and performs service recovery as needed. Attends to patient complaints and or needs. Assesses pain level during procedure and ensures patient comfort is addressed during procedure. Demonstrates the ability to care for the population served: pre and post-op patient. Safety: Recognizes safety hazards and takes corrective action; seeking assistance when needed. Demonstrates knowledge of operational policies and procedures. Performs work safely, without causing harm or risk to self, others, or property. Verification of patient allergies, NPO status, and whether or not patient has voided. System Behavior: Makes decisions considering the impact of the decision on other areas. Initiates collaboration with others outside of service area. Demonstrates personal commitment to the principles, values, ethics and Standards of Behavior of UHEALTH (i.e., Service Pillars: First Case on Time Start/Likelihood to Recommend/Turnover Time) Models accountability for learning by sharing knowledge and learning from others. Interpersonal/Communications/Relationships: Builds effective working relationships. Treats others with respect. Conflict resolution/trouble shooting areas of opportunity. INFORMATION MANAGEMENT COMPETENCIES: Demonstrates skill in accessing, preparing and using information as relevant to position. Verbalizes and demonstrates knowledge of procedures for maintaining security, confidentiality of employee, patient, family and other medical information. Demonstrates ability to collect, analyze and present PI data as appropriate to the position. Demonstrates initiative in leadership, able to take charge of the case allocation and flow with respect for team members and patient advocacy. Participates in ANCC Magnet Recognition Program activities. PROFESSIONAL/CLINICAL PRACTICE COMPETENCIES Assessment: Conducts & documents nursing assessments of health status by collecting of subjective and where appropriate objective data from observations, exams, interviews and written records; sorting selecting, recording the data, validating, refining, and modifying the data. Bases the scope and depth on the patient’s immediate condition or need. Checks the current history and physical, laboratory results, the execution of pre-procedure orders, and results of ordered diagnostic tests. Diagnosis : Analyzes the assessment data to establish or modify nursing diagnoses to be used during nursing interventions. Implementation: Implements the plan of care and the nursing interventions for the patient by orders, giving direct care, assisting with care, communicating interventions and responses to other members of the health care team and executing the prescribed orders by a licensed practitioner. Assess and expedites the transfer of patients to and from the recovery to inpatient, PACU, ICU and or other facility. Evaluation: Evaluates the responses to nursing interventions by documenting and communicating data to appropriate members of the health care team, utilizing data as a basis for reassessing status, measuring outcomes and goal attainment, modifying nursing diagnosis, revising strategies and prescribing changes in nursing intervention. Assesses psychological status, including level of understanding, perception of surgery/procedure, and anxiety level. Documentation: Thoroughly documents patient information in an accurate and timely manner following organizational policies, procedures and guidelines. Patient education : Assess patient needs and designs, implements and evaluates a patient education plan. Engages and is committed to Uhealth Service Pillars, AIDET and telephone etiquette. AGE RELATED COMPETENCIES: Applies knowledge of growth and development in customer interactions and adapts care according to patient’s age/developmental stage. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor’s degree in Nursing from an accredited school of nursing required. Certification and Licensing: Current/valid FL RN license required. Certifications: BLS and ACLS required. PALS preferred but must be obtained within 3 months of hire. Moderate Sedation and IV certifications preferred. Experience: Minimum 3 years of relevant experience required. One year of relevant nursing experience preferably with PACU, ICU or Emergency Department clinical experience. Must have extensive knowledge of nursing principles, practices and techniques and be knowledgeable in radiology procedures and safety practices. Knowledge, Skills and Attitudes: Skill in completing assignments accurately and with attention to detail. Ability to process and handle confidential information with discretion. Ability to work independently and/or in a collaborative environment. Ability to communicate effectively in both oral and written form. Ability to analyze, organize and prioritize work under pressure while meeting deadlines. Commitment to the University’s core values. Ability to work independently and/or in a collaborative environment. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Part time Employee Type: Temporary-Intermittent

Registered Nurse, Intermediate Care Unit, Per Diem

University of Miami Health System Miami, FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet . The University of Miami, UHealth Intermediate Care Unit Department has an exciting opportunity for a Registered Nurse, Per-diem. The Registered Nurse delivers patient-family centered care in a culturally competent manner utilizing evidence-based standards of quality, safety, and service while ensuring population-specific patient care. MININUM QUALIFICATIONS: Graduate from an accredited school of nursing, Bachelor’s degree (BSN) preferred. RNs hired with an Associates (ASN) degree have 2 years to complete the BSN degree. Registered Nurse License Basic Life Support Certification (BLS-CPR Certification ACLS Two years acute Intensive Care Nursing experience The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Part time Employee Type: Temporary-Intermittent