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Department

Job Summary

Under general supervision, works as full member of the MICU multi-professional critical care team. Contributes to excellence in patient care, research, teaching, and provides leadership to the organization. Functions as a medical intensives under the supervision of the MICU Director or his designee. Collaborates with resident physicians in internal medicine and manages the critical care aspects of the assigned patient's intensive care stay in the MICU and progressive care unit (PCU) from admission to transfer or discharge. Demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence including expertise in central line insertion, airway intubation, arterial cannulation, lumbar puncture and similar procedures.
This job is anticipated to be a weekday only position initially but may expand to 24/7 coverage requiring days, nights and weekends in the future. The CCNP will additionally have responsibility for quality and performance metrics and improvements in conjunction with the MICU leadership, and will be required to contribute to educational and research activities in the MICU/PCU.


Essential Functions:

• Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients. (15%)
• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. (15%)
• Assesses for risks associated with the care of the acute and complex chronically ill patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. (10%)
• Coordinates daily rounds with the Attending and Intensivist physician teams, presents 24 hour patient report, and collaborates in plan of care. (10%)
• May serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions. (10%)
• Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. (0%)
• Manages diagnostic tests through ordering, interpretation, performance, and supervision. (0%)
• Formulates differential diagnoses by priority (0%)
• Diagnoses complications and orders appropriate interventions. (0%)
• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address immediate critical care needs. (10%)
• Utilizes evidenced based practice guidelines, pathways or protocols in an individualized, dynamic plan of care that can be applied across the continuum. (0%)
• Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Prescriptive authority for prescribing, ordering, and or administering drugs; including (but not limited to) schedule II, III, IV, and V drugs and necessary medical devices. (10%)
• Manages further diagnostic tests through ordering, interpretation, performance, and supervision. (0%)
• May perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removals. (0%)
• Assesses educational needs of the patient-care staff and provide one-on-one as well as formal education as needed. Maintains ongoing communication and collaboration with interdisciplinary health care team. (0%)
• Assesses educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families. Document all pre and post-care education in patients' medical record. (10%)
• Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient continuum of care. (0%)
• Implements and evaluates appropriate educational programs for DHMC MICU patient care staff and other healthcare providers as appropriate. (0%)
• Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable. (H&P, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries in medical record per specific patient unit or service, death summary) (10%)
• Documentation is timely, meets critical care compliance standards and captures patient acuity. (0%)
• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice nurse practitioners. Role model advanced practice professionalism through conduct, communication, dress, leadership, ethical decision-making, critical thinking and problem solving skills. (0%)
• Seeks opportunities for active engagement in research and the analysis of evidenced based practice. (0%)
• Actively participates in Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations. (0%)
• Maintains CEUs, and membership in a professional organization. (0%)
• Participates actively in designing, implementing and improving unit specific performance metrics through DH Lean initiatives and other means where appropriate. (0%)
• Collaborates with MICU, SICU and PCU leadership in advancing cross-unit, cross-disciplinary performance initiatives. (0%)
• Completes training as a Lean Black belt and participates in unit-specific Lean initiatives as directed by the MICU leadership. (0%)
• Utilizes current research and evidence-based decision-making in all clinical practice. (0%)
• Incorporates clinical research findings in the development and implementation of standards of care. (0%)
• Supports IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and reporting patient outcomes including toxicities or adverse events. (0%)
• Provides expertise and resource information to other healthcare providers, patients and families, and the community at large related to critical care medicine, procedures, interventions, and conditions. (0%)
• Assists in developing new business opportunities through outreach programs and tele-critical care initiatives. (0%)
• Implements and evaluates appropriate educational programs for referring MDs (0%)
• Develops programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of Denver Health Medical Center. (0%)

Education:

• Master's Degree Required

Work Experience:

• 1-3 years critical care/cardiology/cardiothoracic NP experience
• 1-3 years year of critical care nursing experience preferred

Licenses:

• ACLSAdvanced Cardiovascular Life Support Required and
• BLS-Basic Life Support (BLS/CPR) - AHA - American Heart Association Required

Knowledge, Skills and Abilities:

• Knowledge of medical principals and procedures.
• Knowledge of community resources for appropriate procedures.
• Skill in eliciting history from patients, performing physical exams and formulating assessments of and treatment plans for patients.
• Ordering appropriate diagnostic studies to aid in diagnosis.
• Knowledge of appropriate administration and prescription of medications.
• Skill in utilizing the principles and practices of effective and persuasive communication to elicit information, negotiate problem resolution, and/or garner support for various programs or policies.
• Skill in obtaining information from patients, calming and reassuring patients and motivating patients to accept treatments. Ability to exercise initiative and judgment in selecting proper treatment.
• Ability to respond appropriately in emergency situations.
• Ability to prepare accurate reports.
• Ability to establish and maintain effective working relationships with employees, other departments and the public.
• A strong foundation in evidenced based practice and education and has a responsibility for ensuring adherence to critical care pathways and protocols and ensures an environment of safe quality care.
• Ability to demonstrate sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation.
• Computer skills required.
• Computer skills preferred.

Shift

Work Type

Salary

Benefits

• Competitive pay

• Outstanding benefits

• Education opportunities

• Shared leadership and advancement opportunity

• State-of-the-art facilities

• Immediate retirement plan matching

• Professional clinical advancement program

• Participation in evidence-based projects

• Public Service Loan Forgiveness (PSLF) eligible employer

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Our Values

• Respect

• Belonging

• Accountability

• Transparency

All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.

Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.

As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.

Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).

Denver Health values the unique ideas, talents and contributions reflective of the needs of our community. For more about our commitment to diversity visit: https://www.denverhealth.org/for-professionals/careers/diversity-and-inclusion

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About Denver Health

Take your career to the next level at Denver Health, where we offer a robust benefits package and endless opportunities for growth. Denver Health is a nationally-ranked, locally-trusted, premier healthcare institution located in the heart of Denver, Colorado.Twenty-five percent of all Denver residents, or approximately 150,000 individuals, receive their health care here. We are known as an integrated health care system that encompasses multidisciplinary academic specialties, a community health system, a level I adult trauma center, pediatric emergency and urgent care center home to Denver Public Health and many of the nation's leaders in medicine.Denver Health is an Equal Opportunity Employer At Denver Health we pride ourselves on our commitment to diversity. Equal opportunity is a fundamental principle of Denver Health. As an equal opportunity employer, Denver Health is committed to recruit, hire, promote and administer all human resource actions in a non-discriminatory manner. Denver Health is committed to providing equal opportunities in all business practices and to all persons regardless of age, race, color, national origin, genetic information, religion, sex, pregnancy, disab...ility, sexual orientation, gender identity, gender expression, marital status or veteran status (collectively “protected status”). Denver Health strives to maintain a work environment that is free from unlawful harassment and discrimination and will not tolerate any such conduct by employees or directed at employees within the scope of their employment. Read the full Human Resources Employee Principles and Practices policy.

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