Nurse Practice Associate Pediatric Emergency Department

Identifies problem situations or issues in patient care. Rounds in clinical area(s) and identifies high risk and problem prone cases for identification of priority interventions. Synthesizes, interprets, makes decisions and recommendations, and evaluates responses on the basis of complex sources of data. Decisions made are based on ethical principles that support the patient and family/significant others and the health care team. Uses the ANA Code of Ethics for Nurses to guide practice.

Participates in or facilitates coordination of interdisciplinary teams to develop or revise programs focused on group or systems issues.

Serves as a role model, teacher, coach, and mentor for both professional leadership and accountability for nursing’s role within the healthcare team and community. Ensures practice is in accordance with the Michigan Public Health Code. Provides influential leadership in a manner that is culturally sensitive and preserves autonomy, dignity and rights of patient’s, families and staff.

Builds relationships with multidisciplinary team members and influences change to advance the level of clinical practice and service. Communicates, collaborates, networks with key internal and external stakeholders to ensure continuity, coordination of services and appropriate utilization of resources.

Identifies and communicates resources, both internal and external (e.g., consultants, referrals, community programs, and other healthcare systems) to optimize outcomes for patients and patients’ families.

Participates in and leads efforts to achieve quality outcomes. Identifies and participates in data collection, utilizes data to measure and evaluate outcomes, and implements process improvement methodologies to achieve outcome targets. Collaborates with nursing leadership to assure that processes and services are continuously monitored for quality, cost effectiveness, and efficiency. Collaborates to create, coordinate, implement, and evaluate formal and informal intradisciplinary and interdisciplinary education to improve patient outcomes and qualify of care.

Evaluates current and innovative practices in patient care on the basis of evidence-based practice, research, and experiential knowledge. Incorporates evidence-based practice guidelines, research, and experiential knowledge to formulate, evaluate, and/or revise algorithms, policies, procedures, pathways and protocols. Facilitates processes of change within the healthcare system to provide evidence-based, cost effective care. Provides expertise to guide use of technology, products and devices within the specialty area.

Works with staff to identify areas of clinical inquiry and partners with senior nurse researcher for research activities, dissemination and presentation/publication. Promotes value of lifelong learning and evidence-based practice while continually acquiring knowledge and skills needed to address questions arising in practice to improve patient care.

Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 50 lbs

Waist to Waist > 5 lbs: Seldom up to 50 lbs

Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs

Waist to Overhead > 5 lbs: Seldom up to 5 lbs

Bilateral Carry > 5 lbs: Seldom up to 25 lbs

Unilateral Carry > 5 lbs: Seldom up to 10 lbs

Pushing Force > 5 lbs: Seldom up to 25 lbs

Pulling Force > 5 lbs: Seldom up to 20 lbs

Sitting: Frequently

Standing: Occasionally

Walking: Occasionally

Forward Bend - Standing: Seldom

Forward Bend - Sitting: Seldom

Trunk Rotation - Standing: Seldom

Trunk Rotation - Sitting: Seldom

Squat: Seldom

Stair Climbing: Seldom

Crawling / Kneeling: Seldom

Reach - Above Shoulder: Seldom

Reach - at Shoulder or Below: Seldom

Handling: Seldom

Forceful Grip > 5 lbs: Seldom

Forceful Pinch > 2 lbs: Seldom

Finger/Hand Dexterity: Frequently

Visual Acuity ¹
[None = No; Seldom = Yes]: Seldom

Color Vision (Ishihara) Test
[None = No; Seldom = Yes]: Seldom