NP or PA - Neuro ICU

Catholic Health•West Islip, NY

1d•Onsite

About The Position

The Neuro ICU Advanced Practice Provider (APP) delivers comprehensive, high-acuity care to patients with complex neurological and neurosurgical conditions at Good Samaritan University Hospital, an academic tertiary-care center within Catholic Health. The APP collaborates with intensivists, neurosurgeons, neurologists, and critical care RNs to manage critically ill patients, perform advanced procedures, and optimize outcomes in a fast-paced Neuro ICU. The position is full-time and identified as a night-shift role. Shifts may also include days, weekends, and holidays as part of a 24/7 service. The work takes place in a high-acuity, fast-paced, team-based clinical setting, with exposure to emergencies requiring rapid intervention and opportunities for growth and specialization.

Requirements

Current New York State license as a Nurse Practitioner or Physician Assistant.
Master’s or doctoral degree from an accredited NP or PA program.
National board certification: AANP or ANCC for NPs, or NCCPA for PAs.
BLS and ACLS certifications.
At least 1–2 years of critical care, neurology, neurosurgery, or ICU-related experience; new graduates with a strong ICU RN background may be considered.
Advanced neurological assessment skills.
Strong critical thinking and autonomous decision-making.
Ability to manage multiple high-acuity patients in a dynamic ICU setting.
Excellent communication and interdisciplinary collaboration skills.
Compassionate, patient-centered care philosophy.
Willingness to work in a 24/7 service with rotating shifts.

Nice To Haves

FNP or AGACNP preparation is preferred for Nurse Practitioners.
ACNP or AGACNP certification for Nurse Practitioners.
Neuro ICU or neurosurgical APP experience.
Experience with EVD/ICP monitoring and neurocritical care protocols.
CCRN, CNRN, or NCCPA specialty certifications.
NIH Stroke Scale certification.

Responsibilities

Perform comprehensive neurological and critical care assessments for patients with conditions including acute stroke, traumatic brain injury, subarachnoid hemorrhage, status epilepticus, brain tumors, spinal cord injury, and complex postoperative neurosurgical cases.
Develop and implement evidence-based medical management plans in collaboration with attending physicians.
Interpret CT, MRI, EEG, continuous neuromonitoring, and laboratory results.
Manage intracranial pressure monitors, external ventricular drains, Licox systems, and cerebral perfusion monitoring systems.
Initiate and titrate vasoactive, sedation, hyperosmolar, and anticonvulsant critical care infusions.
Respond to code strokes, rapid response activations, seizures, airway compromise, and acute neurological deterioration.
Depending on training and privileges, perform central venous catheter placement, arterial line insertion, lumbar puncture, ventilator management and airway stabilization, bedside ultrasound for procedural guidance, and removal of EVDs or drains under neurosurgical protocols when credentialed.
Participate in daily multidisciplinary rounds with neurosurgery, neurology, neurointensivists, nursing, respiratory therapy, rehabilitation services, pharmacy, and case management.
Communicate clinical plans to patients and families and provide education and support regarding neurological diagnoses.
Serve as a clinical resource to nursing staff and contribute to improvement of Neuro ICU protocols.
Maintain accurate, timely documentation in the electronic medical record.
Follow hospital patient-safety, infection-prevention, and critical-care guidelines.
Participate in Neuro ICU quality initiatives, including stroke metrics, morbidity and mortality reviews, CLABSI and CAUTI reduction, and evidence-based neurocritical care pathways.
Participate in neurocritical care continuing education and maintain required certifications and hospital competencies.
Engage in research, performance-improvement projects, or academic collaboration as appropriate.