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Advanced Practice Registered Nurse - Radiology -SoleMia

The Advanced Practice Nurse (APRN) is a self-directed advanced practice nurse qualified by graduate education and clinical experience to assist in the management of specialty areas; including clinical practice, consultation, administration, education and research.  This position will promote optimal patient outcomes for Diagnostic Radiology patients at LFMC imaging.  Additionally, the APRN will participate as an adjunct to the nursing staff and in quality improvement activities, discharge planning, and coordination patient care among care givers and within the Diagnostic Radiology arena. This individual will serve as a liaison and educational resource between Radiology Services and UMHC/UMMG/UMH and serve as a resource person to other members of the radiology health care team. This position will promote optimal patient outcomes for patients on the diagnostic radiology services and provide clinical care coordination to move patients quickly, safely, and efficiently in our present health care system. The roles will involve diagnostic and interventional procedures, including contrast administration supervision, mammography, and nuclear medicine at LFMC. 

Specific roles will include:  

Create a diagnostic and interventional radiology procedure manual detailing the procedures and the procedural requirements for each of the hospital facilities were the Diagnostic Radiologists practice. 

Create order sets for each hospital facility for the imaging service for pre-procedure, procedure, post procedure and discharge. All orders for controlled substances do not fall within the Scope of APRN practice and must be written by the imaging Radiologists.

Review phone/fax request for procedure and completes work up check list. 

Identify/Determine inclusion/exclusion criteria for procedures. 

Assessing and managing all imaging patients based on procedure requested. 

Triage Cases with Attending-communicates relevant information to the diagnostic and interventional team. 

 Reviews Images with Attending as required. 

Coordinate special needs/requirement as it relates to specific procedure such as anesthesia or MAC if required. 

Determine necessity of pre-medication and if any patient current medications need to be stopped prior to procedure or another medication substituted in its places. Communication with the patient’s primary care physician for care coordination for pre-existing medical conditions that must addressed prior to or after the Diagnostic and interventional procedure. 

Determine medications which must be withheld prior to the procedure and order alternative medication as required with the scope APRN Prescriptive Authority Protocol dependent upon the hospital facility. 

Evaluate existing pre-procedure laboratory value, CXR, EKG or other testing if required for medical and/or anesthesia clearance. If studies do not exist APRN will order. 

Return Chart to area’s patient access rep to schedule and obtain utilization management/insurance/or other financial clearance if required. 

Pre study assessment & post study follow-up for diagnostic and interventional imaging patients.  

Patient Education (pre/post) procedure including calls from patient regarding procedural question or possible post procedure complications. Perform telephone triage on any call from patient’s regarding post procedural complication and notify Attending ASAP. 

Conducts patient history & physical (modified) and systems evaluation to determine readiness for the procedure. 

Gives instructions as related to specific procedures. 

Evaluate patient outcomes and makes recommendations accordingly. 

Coordinates referrals and transfers or both external and in-house patients if required. 

Tracks and maintains appropriate records and documentation.

Attends rounds and conferences as appropriate. 

Rounds and visits pre/post Diagnostic and Interventional procedure. Writes discharge and 23 hour admit to the hospitalist service if required. 

Maintains follow-up on all Radiology Interventional and diagnostic procedures as well as “no show”. 

Provides pre and post procedure teaching. 

Provides necessary in-service programs for appropriate personnel. 

Communicates with Referral physicians and primary care physicians regarding follow up on referred patient cases. 

Facilitates continuity of care-by organizing, conducting, and participating in patient care conferences.  

Assists the Radiologist in having emergency and elective procedures scheduled 

Orders consultations with other services as required. 

Takes and active role in patient and family education and writes discharge orders. 

Places follow-up telephone calls the following day to check on the status of the post-procedure patients. 

Will see patients in weekly clinic and record patient progress in Uchart. 

Oversee and coordinate all Radiology AI initiatives at LFMC imaging. 

Acts as manager for nurses at LFMC imaging, including coordinating, overseeing and ensuring staff coverage during regular hours and on-call (weekday nights and weekends). 

Supervision Received: 

Reports directly to Dr. Jean Jose, medical director LFMC imaging. 

Supervision Exercised: 

N/A 

MINIMUM QUALIFICATIONS (Essential Requirements):  

Experience Requirements 

Must have a minimum of 2 years clinical RN experience in one of the following specialties: Radiology, Critical Care, Emergency Department, Peri-anesthesia. 

Education Requirements 

Florida Licensed & Board-Certified Advanced Practice Registered Nurse.  
 

Must have current CPR & ACLS, PALS and maintain same.  

Equipment Use 

Operates  Standard office equipment: computer, fax, copier, printers, and any medical EMR systems necessary for job functions.  

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.

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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 - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

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