Advanced Practice Provider (Peds Acute Care NP/PA) - Pediatric Cardiac Intensive Care Unit (PCICU) III

Cleveland Clinic•Cleveland, OH

16d•Onsite

About The Position

Cleveland Clinic's Pediatric Institute is currently seeking a qualified Pediatric Acute Care Nurse Practitioner for a full time position in the Pediatric Cardiac Intensive Care Unit. The hired APRN will care for critically ill patients, pre and post operatively, with congenital heart disease. They will often manage patients on vasoactive support, mechanical ventilation, CRRT, and ECMO or Ventricular Assist Devices. Patient population varies from neonates to adults with congenital heart disease that require repeat intervention. The hours for this position will include three thirteen hours shifts including rotating days/nights/weekends and holidays. Call will also be required. Previous APP experience is preferred, however new graduates with ICU experience are welcome to apply.

Requirements

Nationally certified licensed healthcare provider
Functions in collaboration with a physician according to a standard care arrangement and specialty certification (for APRN)
Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730) (for PA)
Performs complete histories and physicals on patients of all ages to establish and record patient's current health status.
Develops a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries.
Excellent analytical and decision making skills are required.
Strong written and verbal communication skills.
Ability to work as a member of a multi-disciplinary team.
Demonstrated competency and the ability to perform advanced assessment and diagnosis.
Demonstrated ability to utilize the electronic medical record.
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Depending on practice, surgical fields may require surgical experience.
Two years clinical advanced practice nursing experience preferred (for APRN).
Two years relative clinical experience preferred (for PA).

Nice To Haves

Previous APP experience is preferred
New graduates with ICU experience are welcome to apply.

Responsibilities

Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
Must be able to work with collaborating physician.
Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board.
Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board.
May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy.
Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.
Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.
Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
Performs research follow-up studies.
Assists in data analysis.
Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
May serve as clinical preceptor for PA/APRN students and other health professionals.
May serve as Faculty for onboarding new employees.
Demonstrates a high standard of moral and ethical behavior.
Demonstrates compassion and professionalism and a commitment to excellent patient care.
Routinely takes call and works off shift hours: Weekends/holidays, nights; shifts cover 24 hours, 7 days a week.
Special procedure privileging is required
Other duties as assigned.