Nurse Practitioner, Critical Care, (Greenbrae), Per Diem, Day/Evenings

ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.  MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.  Company: MarinHealth Medical Group, Inc. Work Shift: Variable Shift (United States of America) Scheduled Weekly Hours: 0 Job Description Summary: The critical care advanced practice provider 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 advanced practice provider 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 advanced practice provider works within the scope specified by the applicable State Board, 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 Requirements, Prerequisites and Essential Functions: Pay Range: $92.96 - $108.45 - $127.12 Essential Functions and Responsibilities:   Critical Care Advance Practice Provider’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 Progressive & Metabolic Care 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