The Acute Care Nurse Practitioner (ACNP) manages patients on their specialty service/practice under the direction and indirect supervision of their supervising physician, who may or may not be the Serviceline Medical Director. This role is a leadership position and the individual is responsible for effective time management, resource utilization, cost effective delivery of patient care and demonstration of positive role modeling. Other duties and skills include, but are not limited to:• Telephone skills – must demonstrate hospital telephone etiquette by answering phones promptly, courteously and by identifying department and staff.• Policy/procedures – is aware of and follows all hospital and department policies and procedures.• Teamwork – promotes positive co-worker relationships through teamwork and cooperation. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with co-workers, physicians, and students in a non-threatening manner. Offers assistance and promptly responds to requests.• Productivity – maintains high productivity and performs efficiently, regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions.• Clinical skills – Maintains clinical expertise to provide optimal patient care and act as resource to the staff. Demonstrates the necessary knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs. • Acts as a role model demonstrating the behaviors expected of staff relative to attendance, work quality productivity, and patient care.• Acts as a patient advocate.DEPARTMENT SPECIFIC DUTIES: Each ACNP will have a broad spectrum of duties, relating to patient care, and may also have very specific duties related to their specific serviceline. Generic duties include:• Attend daily rounds with the physician as needed. Develop a treatment plan based upon direction and guidance provided by the physician on daily rounds. • Collect database information by performing a physical assessment and constructing a problem list.• Monitor and evaluate patient’s hospital course, participating in patient diagnosis, management, evaluation, and plan. Order and evaluate daily lab tests, radiographs, and studies. Initiate written orders and consults based on the treatment plan.• Assess and intervene in the general health care needs of specialty patients to facilitate efficient treatment of and effective recovery from the medical/surgical problem.• Promote health by providing preventive health education and intervention appropriate to patient’s age and medical/surgical problem and/or risk.• Provide teaching and support to patients and families related to their specific medical problem and treatment and generate referrals to community resources as needed. Ascertain patient and family understanding of medical/surgical problem and prognosis. Provide detailed information to patients and their families regarding surgical/medical diagnosis, expected course and prognosis, and plan of care.• Evaluate complex cases and establish a plan of care for rehabilitation. Facilitate and make referrals for support services that may include but are not limited to Occupational Therapy, Speech Therapy, Physical Therapy and Physical Medicine and Rehabilitation. • Monitor and evaluate patients for discharge. Evaluate and define discharge regimen, complete discharge exam, write discharge orders, dictate comprehensive summaries for co-signature, recommend follow-up and consult referrals.• As appropriate, ACNP may function in the outpatient clinic setting. Functions include: o Independently provide episodic and hospital follow-up visits.o Monitor on-going patient problems, providing counseling and coordinating of resources. Monitor for resolution of medical/surgical problems after hospital discharge. o Evaluate new patient complaints and complete work-up as indicated, including review of radiographs, labs and studies. o Perform standardized procedure functions.• Provide telephone advice and referrals to patients.• Complete DRMC and clinic records, including but not limited to progress notes, orders, radiograph requests, and study requests. Dictate records when appropriate.• Perform extended role procedures as defined in standardized protocols and standardized procedures, including but not limited to the RNFA standardized procedure.• Act as a resource for staff and other hospital personnel. Serves as an expert consultant in their specialty area. Participates in ongoing educational events.• Participate in specialty specific research grants and studies.• Maintains current professional licenses and/or certifications as and when required by state, regulatory agency, or hospital mandateCardiovascular Surgery NP Specific Duties• Performs hospital discharge follow-up telephone counseling.• Evaluates and manages patients in an outpatient setting – providing disease specific education for the patient and family. • Abstracts and enters patient data into the patient management tool.• Participates in Core Measure Task Force• Call coverageCHF NP Specific Duties• Round daily on newly admitted patients with CHF as their primary diagnosis.• Provide individualized education for patient and family prior to discharge. • Initiate post-discharge follow-up phone calls within a set parameter, screening patients for compliance with medications, daily weights and other pertinent care issues• Conduct post-discharge outpatient clinic visits as needed.Cardiology/MI NP Specific Duties• Round daily on newly admitted patients with AMI as their primary diagnosis• Provide individualized education for patient and family prior to discharge• Lead team and act as a resource for AMI/Chest Pain Certifications• Track, maintain, and evaluate data related to AMI, including but not limited to core measures, appropriateness, readmissions• Identify and resolve clinical issues• Performs hospital discharge follow-up counseling and education as needed. • Act as a Resource for staff educationTrauma Nurse Practitioner• Round daily on all trauma patients• Respond to trauma codes as needed• Provide individualized education for patient and family prior to discharge• Act as a resource for staff and patients• Conduct post-discharge outpatient clinic visits as needed• Participate and assist in PI initiativesPulmonary NP• Round daily on newly admitted patients with COPD and/or Pneumonia as their primary diagnosis• Provide individualized education for patient and family prior to discharge• Track, maintain and evaluate data related to COPD/Pneumonia, including but not limited to core measures, readmissions• Affect outcomes of patient care through collaboration, project management and performance improvement activities• Performs hospital discharge follow-up counseling and education as needed. • Act as a Resource for staff educationGeriatric/Palliative Care NP Specific Duties • Round daily on geriatric patients with specific issues commonly encountered in the elder population • Provide individualized education for patient and family prior to discharge• Provide consultation as part of the Palliative Care Team for palliative care initiation and maintenance• Track, maintain and evaluate data related to geriatric and palliative care consults, transitions of care• Affect outcomes of patient care through collaboration, project management and performance improvement activities• Performs hospital discharge follow-up counseling and education as needed. • Oversee and coordinate NICHE program • Act as a Resource for staff education
Qualifications: Required:Masters Degree in NursingCurrent California RN license and Nurse Practitioner CertificateSpecialty Board Certification as an ACNP or equivalent in specialty areaCurrent California Furnishing License and DEA NumberCurrent American Heart Association BLS Certification (maintain current at all times)Demonstrated clinical competence and leadership skills.Demonstrated ability to present self in positive and professional manner Preferred: Two years of clinical experience as a nurse practitioner#LI-AH1Job: NursingPrimary Location: Palm Springs, CaliforniaHospital Location: Desert Regional Medical CenterJob Type: Full-timeShift Type: DaysIf Other Shift, Specify: exempt Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.
Tenet participates in the E-Verify and Work Opportunity Tax Credit (WOTC) programs. Follow the links below for additional information.