About this role
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Up to $20,000 Sign On Bonus
The University of Miami Uhealth Department of Ambulatory Nursing at Bascom Palmer in Miami has an exciting opportunity for an Advanced Practice Registered Nurse (APRN). The incumbent delivers medical care to a wide variety of patients. The APRN is also examines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care.
CORE JOB FUNCTIONS
Performs and documents complete physical examinations and comprehensive health histories.
Functions independently to perform age-appropriate history and physical for patients.
Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs.
Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities
Implements interventions to support the patient to regain or maintain physiologic stability.
Assists with the provision of care in accordance with facility, state, and federal regulations.
Monitors the effectiveness of interventions.
Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients.
Collaborates with multidisciplinary team members by making appropriate referrals.
Facilitates staff, patient and family decision making by providing educational tools.
Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Education:
Master’s degree in relevant field
Certification and Licensing:
Valid State of Florida APRN License
Experience:
Minimum 2 years of relevant advanced practice nursing experience preferred
Knowledge, Skills and Attitudes:
Ability to exercise sound judgment in making critical decisions.
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively in both oral and written form.
Department Specific Functions
OVERVIEW:
The BPEI Consult Service provides initial evaluation and high-standard eye care outside ABLEC to patients admitted at JMH, Holtz Pediatric Hospital, Ryder Trauma Center, and UHealth facilities: UHealth Tower, Sylvester Cancer Center, and others:
UHM/Sylvester Consults
Initiation of the consult: Consult APRN carries the page for UMH facilities, responds to page in less than 30 min and proceeds with the consult in a timely manner.
Timing: Routine consults less than 12 h. UMH ER consult less than 3 h. STAT consults less than 1 h.
Escalation of the consult as needed: Optometry resident/Consult APRN, Fellow OD, Director of Consult Service, Ophthalmology specialty Medical Director (Ex: Retina, Cornea, Pediatrics, Glaucoma, Neuro, etc.) Medical Director BPEI.
Consult visit:
Consult APRN notifies optometry resident about consultation request for preliminary evaluation.
Optometry resident will be available from 8.00am to 5.00pm on weekdays.
Optometry resident proceeds with preliminary evaluation using the case of instruments located at UHT pharmacy 4th floor.
After preliminary evaluation optometry resident triage with Consult APRN and write a note in Epic, pending it for fellow evaluation and note signing.
Consult APRN will exam patient: Adds addendum-documentation, signs attestation/encounter and update running list of UMH consult patients.
The Consult APRN will escalate to appropriate service for additional evaluation if needed.
Visit should be properly documented in EPIC and should include comments about discussion of the results with a patient or a next of kin, particularly in cases of poor visual prognosis.
Assessment and Plan must be clearly documented, and HCP and nursing staff has to be informed about any critical decision.
If discharged on the day of the consultation, have them open appointment slot at BP the same day.
Inpatient psychiatry consults can be sent to BPEI ED and must have a sitter.
UMH Instrument Case: Includes medications and instruments: Located at the 4th floor of UHT pharmacy.
Optometric Resident and APRN will sign out case and return case to UHT Pharmacy.
UHT Pharmacy will replace medication including expired medication.
Non-functioning equipment will be reported by the Consult APRN for repair initiation/replacement.
The case will be returned as orderly as it was received.
Documentation of the visit: EPIC.
Full note. Use smart phrases
External photos should be included on the note
Consent for any procedure to be performed including scrapping and testing.
Instruction about follow up and calling back if any worsening
Communication with HCP when radical procedures expected or needed
Instruction upon discharge for FU.
Signing Charts: Consult APRN will sign the chart in no more than 48h.
APRN will assist in obtaining Informed Consent and necessary equipment for any bedside procedure including but not limited to testing, samples for microbiology or pathology, surgical procedures, transfer to BPEI for special treatment, among others.
Running list of patients: Consult APRN is responsible to keep updated running list of patients in FU and recently discharged on EPIC.
Active patients – patients requiring follow-up
Completed patients - patients recently discharged
Consult Service APRN will properly hand-off the active patients to evening/weekend Consult Fellow.
Consult APRN will report monthly and as needed to the Consult Service Medical Director.
JMH/Holtz/Ryder Consults
Initiation of the consultation: Ophthalmology Resident carries the pager for Jackson facilities, responds to pager in less than 30 min and proceeds with the consultation in a timely manner.
Timing: Routine consults less than 12 h., ER consultation less than 3 h., STAT consults less than 1 h.
Escalation of the consultation as needed: Ophthalmology resident/Consult APRN, Fellow OD, Director of Consult Service, Ophthalmology specialty Medical Director (Ex: Retina, Cornea, Pediatrics, Glaucoma, Neuro, etc.) Medical Director BPEI.
Consult visit:
Ophthalmology resident proceeds with preliminary evaluation using the case of instruments.
After preliminary evaluation Ophthalmology resident triage with Consult APRN and write a note in Cerner, pending it for fellow evaluation and note signing.
Consult APRN will exam patient: Adds addendum-documentation, signs attestation/encounter and update running list of Jackson consult patients.
The Consult APRN will escalate to appropriate service for additional evaluation if needed.
Visit should be properly documented in Cerner and should include comments about discussion of the results with a patient or a next of kin, particularly in cases of poor visual prognosis.
Assessment and Plan must be clearly documented, and HCP and nursing staff has to be informed about any critical decision.
If discharged on the day of the consultation, have them open appointment slot at BP the same day.
Inpatient psychiatry consults can be sent to BPEI ED and must have a sitter.
Jackson Instrument Case: Includes medications and instruments: Located at BPEI Emergency Room.
Non-functioning equipment will be reported by the Consult APRN for repair initiation/replacement.
Documentation of the visit: EPIC.
Full note. Use smart phrases
External photos should be included on the note
Consent for any procedure to be performed including scrapping and testing.
Instruction about follow up and calling back if any worsening
Communication with HCP when radical procedures are expected or needed
Instruction upon discharge for FU.
Signing Charts: Consult APRN will sign the chart in no more than 48h.
APRN will assist in obtaining Informed Consent and necessary equipment for any bedside procedure including but not limited to testing, samples for microbiology or pathology, surgical procedures, transfer to BPEI for special treatment, among others.
Running list of patients: Consult APRN is responsible to keep updated running list of patients in FU and recently discharged on EPIC.
Active patients – patients requiring follow-up
Completed patients - patients recently discharged
Consult Service APRN will properly hand-off the active patients to evening/weekend Consult Fellow.
Consult APRN will report monthly and as needed to the Consult Service Medical Director.
Transfer for special procedures at BPEI:
APRN will facilitate transfer for special procedures at BPEI following Patient Transfer policy.
ABLEH/BPEI Internal Transfer scheduling process
To request a consult appointment, please email Physician Logistics at [email protected] and provide the following information:
Patient Name and MRN
Required imaging/procedures
Provider Name
Preferred appointment location, date, and time
Patient mobility: walking, wheelchair, stretcher, etc.
Relevant patient medical needs: telemetry, negative pressure, etc.
Use of Telehealth in Consults: As appropriate, there will be escalating levels of involvement.
Ophthalmology consultant review of the medical record and EMR consult note written.
Ophthalmology consultant to the patient attending telephone consult and EMR consult note written.
The ophthalmology telemedicine consultation will be facilitated by attending using EMR, using a video call for evaluation.
Ophthalmology consultant bedside exam and EMR consult note written.
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full timeEmployee Type:
StaffOther facts
About University of Miami
UHealth – University of Miami Health System delivers leading-edge patient care by top-ranked physicians who treat some of the most complex cases. Powered by the Miller School of Medicine’s ground-breaking research and medical education, UHealth is the region’s only academic-based health care system. With a comprehensive network of nearly 40 outpatient facilities, its flagship hospital in the heart of Miami’s Health District, and more than 2,700 physicians and healthcare providers across South Florida, UHealth is a vital component of the community that is leading the next generation of health care. UHealth is home to Bascom Palmer Eye Institute, the No. 1 ranked eye hospital in the nation by U.S. News & World Report, Sylvester Comprehensive Cancer Center, the region’s only NCI-designated cancer center, and Desai Sethi Urology Institute, dedicated to urologic research and discovery, and a neurology and neurosurgery program ranked in the top 25 in the nation. These programs along with 100 other specialties make UHealth a trusted destination for compassionate, research-based care. UHealth is dedicated to continually developing an inclusive and rewarding culture for our talent - including hiring pledges with Military.com, AARP and a growing list of partners. UHealth has been honored on Becker's Healthcare 150 Top Places to Work List, emphasizing our commitment to the well-being and growth of our incredible faculty and staff. We also received the 2024 Platinum Bell Seal Certification by Mental Health America (MHA). The University of Miami was recognized by Forbes as one of the Best Employers for Women in 2023 and 2022. You can learn more about opportunities at UHealth at careers.miami.edu.
What you'll do
- The APRN delivers medical care, examines and treats patients independently, and collaborates with other healthcare professionals. Responsibilities include performing physical examinations, prescribing treatments, and facilitating patient transitions within healthcare settings.
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