Advanced Practice Provider - CICU (Full Time, Days)

Nicklaus Children's•Miami, FL

23h

About The Position

The Advanced Practice Provider is responsible, in association with cardiologists and intensivists, for inpatient management of critically ill patients with primary cardiac conditions in the cardiac care center and cardiac intensive care unit. The role provides and facilitates comprehensive clinical care for complex critically ill pediatric patients, using advanced knowledge, critical-thinking skills, and hands-on clinical skills. The provider serves as a key communication resource across the multidisciplinary team. The position includes conducting patient assessments and rounds; ordering and interpreting diagnostic studies; prescribing and monitoring medications and therapies within established protocols; documenting care in the electronic medical record; coordinating complex care from admission through transfer and discharge; and educating patients, families, and caregivers. Procedures are performed within the provider’s education, certification, scope of practice, and approved competencies. The role works collaboratively with supervising physicians and other disciplines to support safe, high-quality patient outcomes.

Requirements

Master’s degree in nursing or DNP from an accredited school of nursing.
Valid Florida APRN license, maintained active and in good standing throughout employment.
Pediatric Acute Care Nurse Practitioner certification by the Pediatric Nursing Certification Board (PNCB), maintained active and in good standing throughout employment.
American Heart Association BLS certification, maintained active and in good standing throughout employment.
American Heart Association PALS certification, maintained active and in good standing throughout employment.
American Heart Association ACLS certification, maintained active and in good standing throughout employment.
Level II background check.
Strong interpersonal, communication, collaboration, and conflict-resolution skills.
Ability to perform specialized expert skills required for the specialty area.
Ability to recognize subtle changes in patient condition and adapt care accordingly.
Ability to work independently and collaboratively with other disciplines using discretion and independent judgment.
Ability to maintain confidentiality of sensitive information.
Ability to interpret, adapt, and react calmly under stressful conditions.
Ability to problem-solve, formulate a plan of care, and evaluate patient responses to care.
Ability to relate cooperatively and constructively with patients, families, and coworkers.
Availability to work weekends, nights, and holidays with varying schedules.

Nice To Haves

Prior Advanced Practice Registered Nurse experience is preferred.

Responsibilities

Conduct medical rounds, including history-taking and medication verification, oversee and document plans of care, and ensure best practices are followed.
Perform focused cardiac or comprehensive assessments and document findings accurately.
Develop and maintain a sufficiently comprehensive plan of care to guide the interdisciplinary team toward desired outcomes.
Serve as a clinical expert and role model, identifying clinical issues.
Coordinate complex care across the continuum from admission through transfer and discharge.
Review patient records before admission, including laboratory results, consent, advance directives, and custody documentation.
Provide and ensure parent education, diagnosis-related discharge planning, and wellness training, including parenting skills.
Write orders; monitor and adjust drug therapies; and order, interpret, and evaluate diagnostic tests within education, experience, and established protocols in collaboration with supervising physicians.
Prescribe, monitor, and evaluate medications and therapies in accordance with protocol.
Complete accurate and timely clinical documentation within 24 hours and document patient follow-up according to guidelines.
Integrate information from a wide variety of sources to make clinical judgments and decisions about orders, procedures, referrals, and treatment.
Provide patient information and complete the handoff process to physicians and advanced practice providers at shift changes and patient reassignments.
Communicate professionally, verbally and in writing, with interdisciplinary team members to maintain continuity and optimize patient outcomes.
Order medications efficiently and accurately in accordance with the Five Rights of Medication Administration and medication administration policies, with the goal of zero medication errors.
Follow infection-control standards and use personal protective equipment according to policies and procedures.
Perform procedures within APRN education, certification, scope of practice, and approved competencies.