A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for a patient's condition that falls within their specialty area of practice.

NOTE: Medical orders, progress notes and treatments plans are not required to be countersigned by a physician.

Responsibilities

CLINICAL PRACTICE

1. Assesses the health status of patients/families by means of comprehensive health history and physical examination.

2. Initiates and orders selected therapeutic and diagnostic procedures, consultations and laboratory examination, prescribes medication regimens, interprets findings and alters plan of care according to accepted standards of care and practice guidelines

3. Educates and counsels in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses.

4. Documents findings and plan of care in the patient's medical record.

5. Consults with physician according to established standards, policies, procedures, and protocols.

6. Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area.

7. Initiates referrals to specialty services and fosters continuity of care.

8. Participates in team meetings and conferences to enhance an interdisciplinary approach to care delivery.

9. Maintains patient/employee confidentiality in the management of information.

10. Develops the plan of care based on the diagnoses and individual patient needs:

11. Records, reports, and interprets the clients' responses to the plan of care.

12. Performs a patient record review with the collaborating physician in a timely fashion but not less than every three months if utilizing a collaborative practice agreement.

13. Completes the Focused Professional Practice Proctoring Evaluation (FPPE) or the Ongoing Professional Practice Proctoring Evaluation (OPPE) as required by Medical Staff for continued credentialing status.

13. Practices as a member of the allied health staff according to the rules and regulations of the Medical Staff and the bylaws of the Hospital Staff.

PROFESSIONAL DEVELOPMENT

1. Supports the mission, vision, philosophy and goals of the Department of Nursing and the MSHS.

2. Demonstrates accountability for own nursing practice.

3. Considers ethical issues of professional nursing practice and adheres to the code of ethics.

4. Demonstrates a humanistic, kind, and caring attitude in the delivery of health care.

5. Serves as a resource person to nurses and other health team members.

6. Participates in peer review.

7. Incorporates research findings in clinical practice.

8. Participates in approved nursing and medical research studies.

9. Keeps knowledge current by self-directed learning, literature review and attendance at educational programs.

10. Participates in defining, maintaining, and interpreting standards of nursing practice.

11. Contributes to the maintenance of a positive image of advanced practice nursing in the medical center and in the local community by implementing programs which recognize nursing as a profession.

12. Participates in departmental and interdisciplinary committees which influence and/or determine policies affecting nursing practice and patient care delivery.

13. Seeks opportunities to enhance professional nursing practice and influences outcomes.

14. Treats co-workers, patients and families with dignity and respect.

Qualifications

At least two years of nursing experience in area of specialty practice applied for. Nurse Practitioner experience of at least one year preferred

Licensure: New York State License with current registration as a registered nurse.

State Certification: Certified by the New York State Department of Education as a Nurse Practitioner with current registration as follows:

a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR is certified as a Nurse Practitioner by a national association via examination.

b. Has completed a pharmacy component of not less than the required semester hours or the equivalent AND has been instructed in New York State and Federal Laws relating to prescriptions and recordkeeping (3-hour course).

c. Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3600 hours experience as a practicing Nurse Practitioner.

OR

Has a Collaborative Relationship with a physician based on employment in clinical practice in the NP role at Mount Sinai Hospital. If there is a documented work history as a Nurse Practitioner with greater than 3600 practice hours. Please note all NPs regardless of their status will be placed on an FPPE initially)

Education:

Master's degree program designed to prepare a NP to diagnose, treat, and prescribe for a patient's condition that fall within their specialty area of practice or the successful completion of an approved supplemental education program, i.e., post-Masters NP certificate.

Experience: Previous progressive experience relevant to the area of clinical practice required.

For all NPs hired effective June 1, 2019, National Board Certification in Advanced Practice Nursing required. For NPs who bill for professional services, National Board Certification is required regardless of hire date. The Board Certification requirement may be deferred up to 1 year if approved by Chief Nursing Officer or designee.

Credentialed through the Credentialing Committee of the Medical Board with approved Delineation of Privileges

Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification required

Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), The Neonatal Resuscitation Program (NRP) certificates as required by specialty.

Collective bargaining unit: SEIU 1199-MSBI-NP

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About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

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The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.