NICU-Neonatal Nurse Practitioner/Physician Assistant-Full-Time-Hartford

Connecticut Children's Medical Center•Hartford, CT

3d•Onsite

About The Position

Independently completes thorough evaluations of term and premature newborns primarily in the NICU Level IV tertiary care referral center. Develops and implements informed management plans encompassing complicated and atypical diagnoses, with the ability to modify plans as necessary. Anticipates and triages urgent and emergent issues. Collaborates care and facilitates communication with the supervising physician and the inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice. Incorporates a broader organization awareness into decision-making and interpersonal relationships.

Requirements

Advanced Practice Nurse Practitioner: Graduate degree in nursing accredited by one of the national certifying bodies in nursing. (Or, on or before December 31, 2004, completion of an advanced nurse practitioner program recognized by a national certifying body for certification as a nurse practitioner.) Or… Physician Assistant: Graduation from a physician assistant program accredited, at the time of graduation, by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
At least 5 years of neonatal APP experience.
Current Neonatal Nurse Practitioner licensure in the State of Connecticut. OR… Certified by the National Commission on Certification of Physician Assistants, Inc. (NCCPA). Current Physician assistant licensure in the State of Connecticut.
Neonatal Resuscitation Provider (NRP) certification required within 3 months of hire.
Depending on privileges for role, federal DEA and CT controlled substance registration may be required. Please reference the document: “APP: Certifications by Specialty.”
A breadth of medical knowledge sufficient to independently develop a differential diagnosis and management plan for a range of presentations – through uncommon or atypical presentations and/or where clinical evidence is not straightforward.
Ability to evaluate patient outcomes and implement new procedures and policies, as needed.
Fully competent in performing the core procedures of the department.
Exemplary written and verbal communication skills with the ability to modify communication strategy/method for the audience and circumstance.
Highly organized in the presentation of essential information.
Ability to tactfully and proactively address concerns and propose solutions.
Ability to maintain composure in complex and stressful situations and in the midst of ambiguity or uncertainty.
Skilled at effectively and proactively engaging patients/families in developing a care plan.
Ability to facilitate and coordinate care across all levels of professionals and specialties.
Understands and demonstrates in one’s decision-making and interrelationships a sensitivity to the considerations of the broader team

Responsibilities

Integrates a breadth of medical knowledge that includes complicated and atypical conditions to guide patient care, incorporating evidence-based practice and current literature to support care.
Prioritizes and optimizes evaluation based on risks, benefits, indications, and alternatives to clarify the diagnosis(es). Interprets clinical significance of diagnostic study results while considering study limitations.
Gathers, filters, prioritizes, and synthesizes patient history to develop a differential diagnosis in real-time for complicated or atypical presentations in addition to the uncomplicated or typical.
Integrates clinical facts (e.g., history, exam, tests, consultations, etc.) into a unifying diagnosis(es); reappraises in real time to avoid diagnostic error.
Organizes, prioritizes, and collaborates with others on patient care responsibilities even when patient volume approaches the capacity of the individual or facility; anticipates and triages urgent and emergent issues.
Develops and implements informed management plans for complicated and atypical diagnoses, in addition to common and typical diagnoses, with the ability to modify plans as necessary.
Attends deliveries independently.
Applies full competency in core procedures. May assist in mentoring less experienced APPs in the performance of procedures. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty.
Establishes a culturally competent and therapeutic relationship in straightforward and complex encounters with patients/families, including those with ambiguity and/or conflict. Elicits patient/family values and incorporates awareness of these in communications with patient/family and in patient care. Uses shared decision making with patient/family to make a personalized care plan.
Facilitates and maintains communication with supervising physician and inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice.
Concisely documents updated, prioritized, diagnostic and therapeutic reasoning, including anticipatory (preventive) guidance, in the patient record. Applies increased ability to identify areas for preventive counseling. Aligns type of communication with message to be delivered (e.g., direct and indirect) based on urgency and complexity.
Critically appraises data and applies evidence, even in the face of uncertainty and conflicting evidence, to guide care tailored to the individual patient, including integrating patient preference. Contributes to evidence-based practice based on program needs.
Proactively seeks feedback. Designs and implements a learning plan, incorporating feedback and performance data.
Models professional behavior and maintains composure in all circumstances. Proactively seeks guidance in new or unusually difficult circumstances. Constructively highlights to lead/manager concerns that impact the cohesiveness and well-being of the team. Proactively presents viable solutions for discussion.
Coordinates inter-professional patient-centered care among different disciplines and specialties actively assisting families in navigating the health care system.
Adapts practice to provide for the needs of and reduce health disparities of a specific patient population.
Considers divisional impact of own decisions, especially in relation to improving patient care, systems and processes, and the overall culture and well-being of the organization. Constructively and proactively addresses considerations of others related to the same.