Nurse Practitioner / Physician Assistant - CCU/CICU Split

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Rotating (United States of America)

Seeking Breakthrough Makers

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A Brief Overview

The Cardiac Center at the Children’s Hospital of Philadelphia (CHOP) is seeking an experienced Nurse Practitioner or Physician Assistant to join our advanced practice team in a unique split role across the Cardiac Intensive Care Unit (CICU) and Cardiac Care Unit (CCU). This position offers the opportunity to provide high-quality, family-centered care to infants, children, and young adults with complex congenital and acquired heart disease across the full continuum of cardiac care.

As part of a nationally recognized, multidisciplinary program—comprising Cardiology, Cardiothoracic Surgery, Cardiothoracic Anesthesia, Cardiac Critical Care Medicine, and Cardiac Nursing—the APP will collaborate closely with a diverse team to manage patients ranging from critically ill post-operative and transplant populations in the CICU to medically complex patients requiring continuous monitoring and advanced therapies in the CCU.

The CICU is a 38-bed unit caring for critically ill children pre- and post-cardiac surgery, as well as those awaiting transplantation. CHOP’s cardiac surgical program performs more than 850 procedures annually, including open and closed heart surgeries and heart transplantation, with outcomes among the best in the nation. In both the CICU and CCU, the APP will be responsible for comprehensive patient assessment, diagnostic interpretation, medical management, and coordination of care across disciplines and care settings.

APPs provide 24/7 coverage and play an integral role in patient and family education, perioperative management, and quality and safety initiatives. This role offers the opportunity to work within a highly collaborative environment while contributing to innovation, education, and community and global outreach efforts within one of the leading pediatric cardiac programs in the country.

The ideal candidate will have:

• At least 1 year of experience practicing as a Physician Assistant or Nurse Practitioner required
• For new graduate APPs: complete CHOP's APP Clinical Immersion Program - https://careers.chop.edu/us/en/app-clinical-immersion-program
• For any questions, please reach out to Jim Kerwin - kerwinj@chop.edu

What you will do

• Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care.
• Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process.
• Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions.
• Manages the plan of care through evaluation, modification and documentation according to the patient's response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes.
• Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness.
• Facilitates the patient's transitions between and within health care settings.
• Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members.
• Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers.
• Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice.
• Education Qualifications
• Bachelor's Degree Physician Assistant - Required
• Master's Degree Physician Assistant - Preferred
• Or
• Master's Degree Nursing Required
• Skills and Abilities
• Ability to work in an inter-professional team setting with multiple responsibilities.
• Ability to use computer and electronic medical records effectively.
• Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role.
• Computer Competency
• Basic use of a computer (mouse, keyboard, printer, USB ports).
• Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).
• Web browsing, intranet search, document access.
• Use of shared network file space.
• Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors).
• Navigation and use of clinical communication systems.
• Information Literacy
• Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
• Accesses needed information effectively and efficiently.
• Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
• Evaluates outcomes of the use of information.
• Information Management Literacy
• Navigation of the electronic health record system.
• Ability to locate and review specific patient data in various clinical information systems.
• Effectively uses clinical decision support tools.
• Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.
• Ability to collect clinical data using quality improvement tools.
• Licenses and Certifications
• Prescriptive Authority - Pennsylvania State Licensing Board – Required within 3 months of hire
• Specialty Certification - in area of education/subspecialty. Required certification must match scope of practice for that practice area. Required upon hire
• Registered Nurse - Pennsylvania State Licensing Board – Required upon hire
• Certified Registered Nurse Practitioner (CRNP) - Pennsylvania State Licensing Board – Required upon hire or
• Certified Physician Assistant (PA-C) - Pennsylvania State Licensing Board – Required upon hire
• Certified Physician Assistant (PA-C) - National Commission on Certification of Physician Assistants – Required upon hire
• To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.
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