MarinHealth

Greenbrae, CA

Come and be a part of our healing team at the award-winning MarinHealth! Ranked in the top 3% of general hospitals in the country, we have made great strides since returning to our roots as an independent hospital. As Marin County’s only acute hospital and a vital resource for a wide range of essential health care services, it is our mission—and our passion—to excel in every medical specialty. We attract the finest physicians and employees who appreciate having the best of both worlds: the resources and medical sophistication of an academic medical center combined with the personalized, caring touch of an independent hospital. We have an exceptionally collaborative team that adheres to the highest service excellence standards to ensure that we deliver world-class, personalized care to patients. Our Joint-Commission accredited hospital has won numerous awards and certifications in delivering best-in-class health care in the San Francisco Bay Area.

WHAT WE OFFER

MarinHealth offers a generous suite of employee benefits, which includes a comprehensive and rich health benefits program (medical, dental, vision and prescription plans). Our robust Wellness @ Work program (e.g. onsite health & fitness classes, discounts, etc) also promotes a healthier lifestyle for employees and to support you on your Healthy Healer journey. Other benefits include, but are not limited to, a 403(b) contribution plan and company-funded retirement plan, life insurance, vacation, holiday and sick leave, which you will start accruing immediately. Our benefits are highly competitive and considered to be one of the best in the Bay Area! Find your healing place at MarinHealth.

JOB SUMMARY:

The Critical Care Nurse Practitioner supports the Intensivists in the coordination of care of adult patients in Intensivists’ service. Principal responsibilities include daily assessment, monitoring, medical management, family education and medical care coordination in collaboration with the Intensivists. This care includes patient assessments through patient exams, medical history, interpretation of diagnostic procedures, development and implementation of patient treatment plans, education, and follow-up using an organized multidisciplinary team approach to provide continuity of care throughout the continuum. During an episode of acute, unstable, and/or critical illness collaborates with Intensivists on plans and treatment to achieve and maintain physical system stability. Population focus for the Critical Care Nurse Practitioner is with patients with acute, unstable, and/or critical illnesses, individuals with complex chronic illnesses who are experiencing episodic illness or an exacerbation of one or more chronic illnesses, and their families with goal of treatment to restore the patient to previous or optimal level of physical function and health.

The Critical Care Nurse Practitioner works within the scope specified by the applicable State Board of Nursing Scope of Practice, as well as the Marin General Hospital's medical staff bylaws.

The role supports Intensive Care Unit RNs in participating in Rapid Response Team (RRT) calls in the hospital setting.

JOB SPECIFICATIONS:

EDUCATION:

• Master’s degree in Nursing with current CA licensure and certification as an Acute Care Nurse Practitioner (ANCC) with possession of, or eligible for, a furnishing number to dispense.

EXPERIENCE

* Previous staff nurse critical care experience. Knowledge and demonstrated competency in current Critical Care medical practice as it relates to Intensive Care Unit; knowledge of adult educational planning, implementation and evaluation. Demonstrated competency in clinical practice with a minimum of 3-5 years of progressively responsible nursing experience.

PREREQUISITE SKILLS

• Demonstrated excellent communication skills, both oral and written, are necessary. Clinical research skills, basic computer skills (access, enter and retrieve data; Word, and Excel skills preferred). Must be able to work with autonomy, adaptability, flexibility and maintain composure during pressures and adverse conditions and work as an effective team member in a collaborative role with other disciplines.

LICENSE/REGISTRATION/CERTIFICATION:

* Current CA licensure and certification as an acute care nurse practitioner (ANCC) preferred. Adult care required.

• BLS and ACLS within one year of hire.

• Non-Physician Medical Staff Privileges with Marin General Hospital within one year of hire.

• Must hold a valid Controlled Substance Registration Certificate from both the California Department of Public Health and the Drug Enforcement Administration

• Must complete a minimum 30 hours of pharmacology continuing education every 6 years or as required to maintain prescriptive privilege.

• Written practice guidelines will be maintained on site, reviewed, and updated annually by the NP and collaborating MD, or medical director.

PATIENT PRIVACY (HIPAA Compliance):

Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description.

DUTIES AND RESPONSIBILITIES:

ESSENTIAL (not modifiable)

• Critical Care Nurse Practitioner's duties in the Intensive Care Unit include:

• Conduct comprehensive medical and social history of individuals

• Conduct comprehensive or focused physical examination, as condition requires

• Analyze data to determine health status

• Order and interpret laboratory tests and other diagnostic tests for the purpose of diagnosis and/or screening

• Make independent decisions regarding management and treatment of medical problems identified

• Confer with Intensivist as needed throughout the shift on plan of care and status

• Seek collaboration or referral to collaborating physician and other health care providers or agencies as needed

• Formulate a plan of care with patient and/or family; family updates

• Initiate appropriate non-pharmacologic interventions

• Prescribe medication in accordance with state prescriptive guidelines

• Assist with and perform procedures: arterial and central line insertion, removal of chest tubes, intra-aortic balloon pump and epicardial pacemaker wires, removal of unneeded tracheostomy tube or reinsertion of tracheostomy tube only when well established tracheostomy present for greater than one month, CXR and EKG assessment and plan of care based on findings

• Rounding on all patients with primary RNs and Intensivist

• Assess patients for possibility for transfer and writing transfer orders

• Provide appropriate patient discharge planning and/or education

• Provide information, instruction and counseling on health maintenance, health promotion, social problems, illness prevention, illness management and medication use

• Obtain informed consent from patients

• New patients - initial assessment, collaborate with Intensivist on plan of care, and write admission and new orders as needed

• Support Intensive Care Unit RN during RRT calls

• Round on former ICU patients as appropriate in the Step Down Unit

• Track outcome of interventions and provide additional intervention as necessary for optimum results

• Assess cultural, social and economic factors for each client and tailor care to those factors

• Manage care of patients in a way that balances quality and cost

• Represent the practice, hospital and nurse practitioner profession at the state and federal level addressing bills concerning medical treatment and financial issues in healthcare

• Participate in professional meetings, committees, seminars, and other continuing education to keep abreast in professional practice, to enhance professional growth, to meet professional standards and maintain current certification

• Any other responsibility that is deemed appropriate within the role of the Intensive Care Unit Advanced Practitioner

• Teach groups of staff or clients about health-related topics

• Participate in supporting the education/professional development of clinical staff

• Administrative-Clerical Duties

• Document findings and plan of care in medical record

• Complete test requisitions

• Complete referral and consultation requisitions

• Coordinate care of patients.

• Enhance communication between departments, physicians, hospitals and/or community agencies

• Dictate transfer/discharge, H&P, interval/progress notes, or follow-up summaries

• Function under guidelines of HIPAA

WORKING CONDITIONS:

GENERAL

The length of a typical day can vary around 8 hours, but specific hours and days of work can vary based upon department needs. During hours of work, the Critical Care Nurse Practitioner will typically be in the Intensive Care Unit or Step-Down Care Unit. Interruptions by people, telephone calls, pages, or written memos require smooth and rapid transfer from one task to another. The atmosphere on a unit can be crowded, abrupt and noisy. Physical work is generally light but patient care demands require ability to do occasional heavy lifting.

MarinHealth remains committed to the health and safety of our employees, patients, and the entire community. As such, MarinHealth requires employees to receive all required immunizations, including, MMR, flu (seasonal availability), and COVID-19 vaccine + booster, as a condition of employment and annually thereafter, as required. Any exemptions from these requirements may be granted for limited and specific situations.

Pay: $75.84 - $96.26 per hour

Schedule:

• Day shift

Education:

• Master's (Preferred)

Experience:

• staff nurse critical care: 1 year (Preferred)

Work Location: One location

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