APRN - Anesthesiology (Pain Service) - (Full Time, Day shift)

Description

Job Summary

Responsible for demonstrating expert clinical practice based upon evidence-based information that focuses on preventing and minimizing pediatric acute/chronic/procedural-related pain in both inpatient and outpatient areas. Serves as a consultant/leader/change agent for pediatric pain-related issues throughout NCHS. Provides formal/informal education of pain-related issues, including State regulations, to all levels of NCH providers, students, and community groups. Partners with patients and families to establish pain-related treatment goals and patient-specific multi-modal treatment plans. Collaborates as a member of the team through effective verbal and written communication methods.   

Job Specific Duties

• Serves as a patient advocate and provides family support/community resources. 
• Reviews inpatient patient list (including new consults) to determine priority of care during rounding based upon patient response to treatment plan and new consults. 
• Conducts pain rounds as often as necessary based on patient and plan of care. 
• Formulates a differential pain diagnosis based upon the assessment, history, physical exam and findings of diagnostic testing.
• Models expert pain management practice to interdisciplinary team and patients.
• Communicates with pain Attending throughout the day and provides hand off regarding admitted patients prior to daily departure. 
• Completes clinical documentation (H&P, notes, results) accurately and in a timely manner of 24 hours. 
• Performs procedures per competency checklist: epidural catheter removal, on-q-soaker catheter removal. 
• Documents within the scope of practice, all electronic medical record (EMR) meaningful use required fields in an effort to optimize utilization. 
• Identifies barriers to the effective provision of pain management (i.e. patient/family related, provider related, system related).
• Promotes pain management nursing through participation with American Society of Pain Management Nurses/APS listserv, Pediatric Pain listserve and ASPMN committees. 
• Provides mentoring in precepting Advanced Practice Provider (APP)/Medical Students/Residents; actively provides feedback and detailed description of areas.
• Attends & ensures active pain participation/representation at assigned hospital-wide meetings and unit-based interdisciplinary patient specific meetings. 
• Accountable for influencing quality, competent patient care. Evaluates role performance according to professional practice standards, relevant statutes & regulations, and institutional guidelines. 
• Provides education to patient/families on the continuing plan of care to include medications and side effects. Updates patient/families daily on Plan of Care (POC). 
• Generates, collects, & integrates data from a wide variety of evidence-based sources in order to make clinical judgments & decisions about appropriate orders, procedures, referrals, & treatments. 
• Develops and implements an individualized pain plan of care (including diagnostic testing) to meet the needs of patients with acute, procedural, chronic and complex pain syndromes.

Qualifications

Minimum Job Requirements

• APRN State of Florida license - must maintain active and in good standing throughout employment.
• Certification by the American Nurse Credentialing Center (ANCC), American Academy of Nurse Practitioner Certification Program (AANP), or Pediatric Nursing Certification Board (PNCB)
• American Heart Association (AHA) BLS - must maintain active and in good standing throughout employment.
• American Heart Association (AHA) PALS - must maintain active in good standing throughout employment.
• Level II Background Check - Successful completion of credentialing by NCHS Medical Administration required.

Knowledge, Skills, and Abilities

• Available for weekend call and weekend coverage required.
• Career Development: Actively involved in the American Society of Pain Management Nurses (ASPMN) within 3 years of hire preferred.
• Strong interpersonal, communication, collaboration, and conflict resolution skills.
• Able to relate cooperatively and constructively with patients, families, and co-workers.
• Able to communicate effectively verbally and in writing.
• Able to maintain confidentiality of sensitive information.
• Ability to problem solve to formulate a plan of care and evaluate the patient's response to care.
• Able to interpret, adapt, and react calmly under stressful conditions.
• Able to react quickly to new challenges (unanticipated events) and resolve issues and address requests in a timely fashion.

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