Advanced Practice Provider - Pediatric Critical Care

Seattle Children's Hospital•Seattle, WA

4d•Onsite

About The Position

Seattle Children’s Hospital is seeking a dedicated, highly skilled Advanced Practice Provider (NP or PA) to join our nationally recognized Pediatric Critical Care Medicine team. In this role, you will serve as a front-line Advanced Practice Provider managing a high-acuity cohort of critically ill pediatric patients within a collaborative, team-based model. You will deliver direct inpatient care and assume primary responsibility for the clinical management of infants, children, teens, and young adults in our 40-bed state-of-the-art PICU.

Requirements

For Nurse Practitioners (NP): Master’s degree or higher in Nursing with a Pediatric Nurse Practitioner concentration.
For Physician Assistants (PA): Graduate of a nationally accredited Physician Assistant program.
Completion of a Pediatric Acute Care Nurse Practitioner (PNP-AC) program OR at least one year of current work experience in a pediatric ICU/critical care setting.
Completion of a formal postgraduate critical care training program (including precepted clinical experience) OR at least one year of direct work experience in pediatric critical care.
Active, unencumbered Washington State license as a PA-C or RN/ARNP.
PA: Initial and maintained certification by the NCCPA.
NP: Current national certification as a Pediatric or Family Nurse Practitioner (PNP or FNP).
Active Pediatric Advanced Life Support (PALS) certification.
Active Drug Enforcement Administration (DEA) registration.
Must obtain and maintain full medical or allied health professional staff privileges prior to the employment start date. Privileges cannot be limited, revoked, suspended, conditioned, or probationary (excluding standard initial appointment probation).

Responsibilities

Manage high-acuity pediatric inpatient admissions.
Serve as a frontline responder for bedside decompensations, clinical deterioration, airway emergencies, and acute resuscitations within the PICU.
Direct and monitor patients receiving Extracorporeal Membrane Oxygenation (ECMO) in collaboration with bedside specialists and the ECLS team.
Prescribe, manage, and titrate continuous hemodialysis and Continuous Renal Replacement Therapy (CRRT) for severe acute kidney injury, fluid overload, or metabolic crises.
Manage complex mechanical ventilation strategies, including both invasive and non-invasive positive pressure modalities.
Provide comprehensive, inpatient medical management for critically ill pediatric patients across a wide spectrum of acute diagnoses: Organ Failure & Transplants, Surgical Recovery, Critical Medical Emergencies, and Oncology & Hematology Support.
Conduct detailed daily history and physical exams, interpret real-time bedside diagnostics (ABGs, chest radiographs, hemodynamic monitoring, lab panels).
Lead and participate in daily multidisciplinary inpatient rounds alongside attending physicians, physician trainees (fellows/residents), subspecialty consultants (Nephrology, Cardiology, Neurosurgery, Transplant), and bedside nurses.
Direct inpatient care transitions, coordinating multi-system management, step-down criteria, and handoffs to acute care inpatient floors.
Active participation in departmental quality improvement (CQI) initiatives, inpatient safety projects, research, and ongoing clinical education for trainees, staff, patients, and families.