Acute Care Nurse Practitioner (ACNP) - Sepsis and Palliative Care

  • HCA
  • Houston, TX, USA
  • Apr 12, 2018
Healthcare

Job Description

Job Code: 00417-90917

Full-time

No Weekends

West Houston Medical Center - Houston, TX

Acute Care Nurse Practitioner (ACNP) - Sepsis and Palliative Care

West Houston Medical Center offers outstanding inpatient and outpatient healthcare services close to your home in west Houston. Built in 1985, our 278-bed acute care hospital is located on Richmond Avenue just east of Dairy Ashford. West Houston Medical Center boasts a team of more than 1,000 people, including 500 physicians, who are committed to the care and improvement of human life. Our staff includes people from 33 countries and 39 states, a diversity which helps us relate to our equally diverse community.

West Houston Medical Center is currently looking for an Acute Care Nurse Practitioner (ACNP) - Sepsis and Palliative Care.

The Acute Care Nurse Practitioner (ACNP) practices in an advanced role to provide and identify high risk and at risk sepsis patients. Duties will include: assessment, diagnosis, early and goal-directed treatment initiation of treatment, and bundle compliance. The purpose of this Advanced Practice Provider (APP) is to enhance early recognition, activation, and implementation of the sepsis protocol. This APP assesses the outcomes, revises the plan of care as warranted to improve both short and long-term outcomes. The Nurse Practitioner works in collaboration with Physicians, Internists, Nursing staff, Case Managers, and the Medical Staff to ensure the highest level of care for patients. The APP will participate in all the aspects of care of sepsis patients with physician supervision. This APP will participate in pre-admission, evaluation and inpatient care of the patients with the implementation of therapies and processes to meet the patient and family's needs. The Nurse Practitioner will utilize a multi-pronged, multi-disciplinary approach to improve early diagnosis and treatment of sepsis and assist in decreasing the mortality in this high risk population.

Responsibilities:
  • Demonstrates a thorough knowledge of the entire continuum of care for sepsis and high risk septic patient
  • Demonstrates ability to care for acutely ill patients with multiple complex problems.
  • Evaluates focused clinical outcomes in sepsis and process measures to ensure timely delivery of evidence-based practices.
  • Demonstrates the ability to set priorities and meet deadlines and functions in a supervised and independent capacity with physicians.
  • Ensures accuracy and completeness of work performed.
  • Follows established procedures and evidence based practice while performing job functions.
  • Provides active holistic care to address physical, emotional and spiritual needs of the patient with advanced and progressive illnesses and to assist the patient and the family with the psychological, social and spiritual support needed.
  • Utilizes effective clinical expertise in the care of patients with life-limiting illnesses
  • Works collaboratively with physicians while utilizing general independence and decision-making responsibility in accordance with palliative care clinical guidelines and scope of practice, and the patient's attending physician.
  • Participates in daily clinical rounds, providing patient specific education as it relates to palliative care. Also responsible for developing, coordinating and/or teaching weekly physician palliative care and death rounds.
  • Utilize advanced clinical nursing assessment skills to note, direct, and manage the appropriateness of care, bundle usage, and transfer of patients to the ICU.
  • Respond to Rapid Response and Sepsis calls
  • Perform history and physical examinations with ordering of appropriate laboratory tests, radiologic examinations and other diagnostic studies as indicated.
  • Works collaboratively with physicians, sepsis coordinator, case managers, and nurses to manage phases of patient care and assist in the coordination of care.
  • Formulate differential diagnoses in collaboration with physicians and other healthcare providers while also working with the nursing staff to optimize the nursing care plan.
  • Provides primary and secondary prevention information/education to patient and family.
  • Follows established protocols agreed upon between the collaborating physician and the APP and /or appropriate 'Core Measure' type protocols to manage individualized patient problems.
  • Develop hospital-wide educational curriculum for staff nurses for compliance with early sepsis identification, goal directed therapy, compliance with bundle and activation of Code Sepsis
  • Collaborates effectively with other members of the healthcare team to provide comprehensive care to patients.
  • Communicates with healthcare team members regarding the comprehensive exam, assessment/diagnosis, and initial plan of care they are enacting.
  • Initiates and conducts patient care conferences with other members of the healthcare team as needed.
  • Serves as clinical consultant/resource to nursing staff and other disciplines regarding the latest and the most appropriate evidence based practice techniques as well as new products to ensure patient-centric care.
  • Participates in multi-disciplinary rounds to follow-up on "Code Sepsis" patients and identify missed opportunities for " Code Sepsis' activation
  • Collect, collate and analyze data to identify trends and opportunities to improve care or for program enhancement.
  • Makes recommendations regarding plan of care for complex/involved patients.
  • Identifies areas for improvement in early sepsis recognition, Code sepsis activation and provides suggestions to improve outcomes.
  • Participates as an expert team lead of the infection prevention team
  • Demonstrates cost-effective/efficient approaches to delivery of services.
  • Maintains professional education and participates in professional organizations appropriate to the position and infectious disease services.
  • Excels in proactive use of time and demonstrates exceptional organization skills, including prioritization.
  • Effectively leads and fosters a productive environment in which desired outcomes can thrive.



  • Licensure as a registered nurse in the State of Texas
  • Currently recognized by the Texas Board of Nurse Examiners as an Advanced Practice Nurse
  • Master's Degree in Nursing required
  • Attain and maintain national certification in appropriate population-based specialty by an organization duly recognized by the Texas Board of Nurse Examiners as an Advanced Practice Nurse (Graduates of non-palliative care programs must demonstrate completion of 500 supervised postmaster's clinical hours in palliative care).
  • Five (5) years bedside floor nursing experience with a recommend two (2) years in a critical care setting.
  • Minimum two (2) years as a Nurse Practitioner in the acute care setting and professional nursing experience in palliative or hospice care strongly preferred.
  • Basic Life Support and Advanced Life Support (American Heart Association) required


Master's Degree

Last Edited: 04/10/2018

Reference

00417-90917