APP Per Diem Main Line Health

Children's Hospital of Philadelphia•Lower Merion Township, PA

About The Position

In collaboration with an attending physician, the Hospital Provider Nurse Practitioner provides direct care and follow-up for a patient population within the practitioner's scope of practice and skill set. Care is delivered in defined inpatient and hospital-outpatient areas. The role includes clinical practice, consultation, professional development, education, and research. Depending on the practice area, acute or critical care education and certification may be required. The clinical role includes increased accountability for managing a cohort of high-acuity patients and may involve invasive interventions and procedures to promote physiologic stability. Off-shift responsibilities may include days, evenings, nights, weekends, and holidays, based on the clinical needs of the practice environment. The position requires a master's degree in nursing and the applicable nursing, advanced practice, prescriptive authority, and specialty credentials for Pennsylvania or New Jersey. Practitioners are expected to maintain competencies, contribute to patient and workforce education, participate in scholarly work, and uphold patient safety practices. Employees with patient-care-building or patient-facing responsibilities must receive an annual influenza vaccine as a condition of employment.

Requirements

Master's degree in Nursing.
Ability to work in an inter-professional team setting with multiple responsibilities.
Ability to use computers and electronic medical records effectively.
Pennsylvania pathway: Pennsylvania RN license, Pennsylvania CRNP certification, and Pennsylvania prescriptive authority, required upon hire; or New Jersey pathway: New Jersey RN license, New Jersey APN certification, and New Jersey prescriptive authority, required upon hire.
Specialty certification in the area of education/subspecialty, required upon hire.
Computer competency, including basic computer and Microsoft Office use, web browsing and intranet searches, access to documents, shared network file space, patient-facing technology, and clinical communication systems.
Information literacy: determine clinical information needs, access information effectively, critically evaluate information and sources, apply information appropriately to practice, and evaluate outcomes.
Information management literacy, including navigating the electronic health record and clinical information systems, locating and reviewing patient data, using clinical decision support tools, understanding confidentiality, security and privacy requirements, and collecting clinical data with quality improvement tools.
Receive an annual influenza vaccine if working in patient care buildings or having patient-facing responsibilities.

Responsibilities

Assess complex acute, critical, and chronically ill patients for urgent and emergent conditions; evaluate relevant data for physiologic instability and develop a plan of care.
Perform therapeutic interventions to stabilize acute and critical health problems, as authorized by the Scope of Practice Document and credentialing/privileging process.
Analyze indications, contraindications, complication risks, and cost-benefits of therapeutic interventions.
Manage, evaluate, modify, and document the plan of care according to patient response; manage changes in condition to optimize outcomes.
Incorporate health promotion, health protection, and injury prevention into care plans for patients with complex acute, critical, and chronic illness.
Facilitate patient transitions between and within health care settings.
Educate patients and families, nursing staff, and provider teams; consult with multidisciplinary health care team members.
Participate in research, education, and other scholarly activities.
Maintain required competencies, identify learning needs, and pursue appropriate educational offerings.
Support the professional development of others by serving as a preceptor and mentor to nurses, nurse practitioners, students, and other health care providers.
Promote patient safety by raising safety concerns, changing practice to enhance safety, reporting errors or potential errors through system mechanisms, and sharing accountability for safe practice.