Advanced Practice Provider - Nurse Practitioner or Physician Assistant
About The Position
Shriners Children's Hawaii is seeking a PRN Advanced Practice Provider (Nurse Practitioner or Physician Assistant) for its pediatric orthopedic team. The position provides clinical care in outpatient clinics and inpatient settings, working closely with pediatric orthopedic surgeons and other members of the care team. The APP primarily supports pediatric orthopedic outpatient clinics and the inpatient floor, including care for children with musculoskeletal conditions and acute injuries such as walk-in fractures. The APP conducts assessments, develops treatment plans, coordinates follow-up, educates patients and families, orders and interprets diagnostic studies, and collaborates with physicians and ancillary staff. The role includes independent evaluation and management of straightforward orthopedic injuries, including simple fractures, with pediatric orthopedic surgeons available for consultation. Casting and splinting experience is preferred, but training may be provided to a qualified candidate with an interest in orthopedics. Scheduling is based on departmental needs, primarily during weekday clinic hours from 9:00 a.m. to 7:00 p.m. Saturday clinic coverage is expected 2–3 times per month. Candidates can generally expect five to seven days' notice when shifts are available. There is no minimum shift commitment to maintain PRN status. Compensation is based on relevant experience and departmental equity.
Requirements
- For Physician Assistants: Master of Physician Assistant Studies or equivalent degree from an accredited Physician Assistant program.
- For Physician Assistants: Current, unrestricted Physician Assistant license in the state of practice.
- For Physician Assistants: NCCPA certification.
- For Nurse Practitioners: MSN or DNP from an accredited Nurse Practitioner program.
- For Nurse Practitioners: ANCC, AANP, or equivalent board certification in an applicable specialty, such as Pediatric Nurse Practitioner or Family Nurse Practitioner.
- For Nurse Practitioners: Current, unrestricted RN and APRN licenses in the state of practice.
- Eligibility for an active DEA registration.
- Basic Life Support for Healthcare Providers (BLS for HCP) certification.
- Pediatric Advanced Life Support (PALS) certification may be required based on clinical assignment.
- Credentialing and privileging by the medical staff in accordance with hospital bylaws.
- Strong pediatric assessment and clinical decision-making skills.
- Familiarity with pediatric specialty protocols and post-surgical care.
- Excellent communication and interpersonal skills for engaging with patients, families, and care teams.
- Proficiency in EHR systems and clinical documentation.
- Commitment to patient safety, family-centered care, and trauma-informed practice.
Nice To Haves
- At least two years of pediatric advanced practice experience is strongly preferred.
- Experience in pediatric orthopedics, orthopedics, sports medicine, emergency medicine, urgent care, or a related clinical specialty is highly desirable.
- Casting and splinting experience is preferred.
Responsibilities
- Conduct comprehensive, age-appropriate health assessments, histories, and physical examinations.
- Formulate differential diagnoses and develop care plans in coordination with supervising physicians and the care team.
- Manage orthopedic, spinal, and neuromuscular specialty populations.
- Provide pre-operative and post-operative evaluations and ongoing management in inpatient and ambulatory surgical environments.
- Order and interpret diagnostic imaging, laboratory work, and other tests as permitted by licensure and protocol.
- Perform routine procedures and assist in specialty surgical cases within the scope of licensure.
- Prescribe medications and therapeutic interventions consistent with the scope of practice and organizational policies.
- Participate in multidisciplinary clinics and care conferences to support coordinated, integrated care.
- Educate patients, caregivers, and staff on disease processes, treatment plans, and home care strategies.
- Document clinical findings, treatment plans, and patient responses in the electronic health record.
- Support quality improvement, patient safety, and research initiatives as appropriate to the role.
- Provide mentorship or precepting to clinical staff or trainees as assigned.
- Maintain compliance with hospital, state, and federal regulations, including infection control and documentation standards.
- Perform additional duties within the scope of licensure to support patient care and organizational goals.
- Maintain professional licensure, certifications, and mandatory training in accordance with state and organizational requirements.
