Nurse Practitioner, Palliative/Supportive Medicine-Katy Hospital

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for providing comprehensive patient care by systemic assessment, diagnosis, treatment, management, and in-hospital follow up, affecting direct patient care through the disease process according to the Texas Nurse Practice Act and Memorial Hermann Health System Standards of Care.

Job Description

Minimum Qualifications: Education:

Graduate of Nurse Practitioner Program approved by the State of Texas

or

Graduate of an Acute Care Nurse Practitioner Program approved by the State of Texas if area of intended practice is Trauma; Master’s Degree leading to ability to be certified as Family/Adult/Geri/ or Acute Nurse Practitioner, Specialist. Licenses/Certifications: Current State of Texas license to practice professional nursing Certification by the American Nurse Credentialing Center

or

National Certification Center in area of specialty

or

the American Association of Nurse Practitioners

or

the American Certification of Critical Care Nurses (AACN) Acute Care Nurse Practitioner Certification Certified in Basic Life Support; current Advanced Cardiac Life Support (ACLS)

or

Pediatric Advanced Life Support (PALS)

or

Neonatal Resuscitation Program (NRP) Certified in ATLS (Advanced Trauma Life Support) if area of practice is Trauma Experience/ Knowledge/ Skills: Two (2) years clinical nursing experience in area of intended practice Unrestricted license to practice in the State of Texas regulated by the Texas Board of Nursing (APN) Minimum of 2 years in nurse practitioner role, including care of patients with complex, chronic and/or life threatening conditions, and those at end of life; clinical nursing care in oncology, hospice and/or palliative care experience preferred. Hospice and Palliative Care Certification Knowledge of medications and prescriptive authority per state law Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of “we advance health” through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann. Principal Accountabilities: Provides assessment, triage, and therapeutic management of patient/family needs throughout the disease process as an integral part of an interdisciplinary team, according to the age/needs of the patient/population served; acts under the authority and supervision of the attending physician in accordance with regulations, hospital policy, protocols, guidelines and clinical pathways. Obtains medical histories; performs physical examinations; reviews/orders diagnostic tests and radiographic results; formulates and manages patient treatment plan and outcomes; provides interventions including, but not limited to, arterial line placement, central line placement (internal jugular or femoral lines), pulmonary artery catheter placement, lumbar puncture, intubations, chest tube removal, and thoracentesis; makes rounds with the interdisciplinary teams. Collaborates in the development and evaluation of patient care. Updates clinical guidelines/protocols/ pathways; works autonomously and accepts accountability for outcomes; signs orders in accordance with institution and state board requirements; collaborates in research and teaching projects and applies research to practice. Uses interpersonal and verbal communication skills to educate patient/family on care and resources; participates in process improvement and multidisciplinary clinical outcome improvement activities utilizing advanced nursing expertise. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Conduct comprehensive, focused assessments of patients and families with palliative care needs. Formulate, implement, monitor, evaluate and modify palliative care plans with input from palliative care team and other collaborating care providers. Work with patients and families to determine their understanding of their loved one’s condition, proposed treatment plan and treatment options. Assist patients and families to develop self-care capabilities relative to identified problems. Assist in all facets of care coordination for palliative care referrals. Engage in quality improvement in patient care services and department functions, including evaluating the effectiveness of the health care delivery system in meeting the health care needs of palliative care patients and families. Provide clinical expertise and guidance for undergraduate and/or graduate nursing students in the specialty area. Act as resource person for clinical information and education as requested by community agencies. Assess the environment for potential need for consultation. Plan clinical and educational interventions which are consistent with individual/organizational needs and goals, and evaluate change/outcomes. Implement patient and family education in collaboration with the interdisciplinary team. Demonstrate accountability for evaluation of clinical practice, including adherence to organizational, state and national practice standards and codes. Supervision of nursing trainees, including graduate and advance practice nurses in field placements. Participation in supervision of other trainees, including medical students, residents, fellows, and social work and psychology trainees. Other duties as assigned.