Medical ICU Nurse Practitioner, FT/Days (memorialhermann)

Job Description

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

Bring your commitment to excellence to Memorial Hermann, where your contributions are appreciated & your voice matters.

From a Level 1 trauma center to the #2 rehabilitation hospital in the country, to our partnership with the Houston Rockets, you can practice with top professionals.
Earn more for your expertise through our Professional Nurse Advancement Program.
Generous PTO including personal days & a spiritual holiday.

*8-10 hour shifts, 4-5 days/week (40 hours/week)
*Rotating weekends (only 1 weekend day/week)
*Prior NP experience required; leadership experience needed
*At least 2 years of ICU NP experience and prior RN ICU experience

DAILY ROLES & RESPONSIBILITIES:
• Primarily cover the Medical ICU with overflow in Surgical ICU
• Review the patient’s charts daily and assess for any gaps in treatment
• Pre-round before multidisciplinary rounds, assess patients and make changes to the patients plan of care
• Order AM labs and diagnostics as necessary
• Focus on ICU metrics to include line necessity, ventilator weaning, blood glucose control, order entry, restraint utilization, core measures and home medication reconciliation
• Assist with the documentation of problems and diagnosis
• Document transfer notes for all patients transferring the unit
• Assist with discharge order and documenting a discharge summary
• Round on the unit at the beginning of the shift and will place orders as needed with Intensivist consultation
• Assist with the coordination of multidisciplinary rounds
• Assist with new admissions by entering admission orders and brief HPI if needed.
• Assist with family communications and provide patient education
• Perform invasive procedures such as central line placement, arterial line placement, PICC line, midline, dialysis catheter placements, and endotracheal intubations
• Assist with the removal of drains and dressing changes
• Respond to CODE BLUE activations in the MICU and SICU medical overflow, or as requested by the Intensivist on call for West Tower
• Serve as a resource and provide education to nursing staff as needed
• Participate in discharge planning, MDDR rounding with Case Management
• Follow up on downgraded patients and ensure appropriate orders are placed
• Post-round with Pharmacist for orders recap after rounds and at the end of the shift
• End of shift rounds with nursing staff and Intensivist


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; Masters of Nursing preferred

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 within 6 months of hire date

Experience/ Knowledge/ Skills: 

• Two (2) years clinical nursing experience in area of intended practice
• 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.
• Other duties as assigned.