About The Position

Cleveland Clinic's Pediatric Institute is currently seeking a qualified Pediatric Acute Care Nurse Practitioner for a full time position in the Pediatric Cardiac Intensive Care Unit. The hired APP will care for critically ill patients, pre and post operatively, with congenital heart disease. They will often manage patients on vasoactive support, mechanical ventilation, CRRT, and ECMO or Ventricular Assist Devices. Patient population varies from neonates to adults with congenital heart disease that require repeat intervention. The hours for this position will include three thirteen hours shifts including rotating days/nights/weekends and holidays. Call will also be required.

Requirements

  • MSN required upon hire or within 5 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
  • Graduate of an accredited ARPN training program.
  • Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.
  • National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing.
  • Basic Life Support (BLS) through the American Heart Association (AHA) required.
  • Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) may be required based upon work setting.
  • Graduate of an A.R.C.-approved Physician Assistant Program.
  • Master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice.
  • Current certification as a Physician Assistant through the NCCPA.
  • Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.
  • Must have a Physician Supervision Agreement and/or signed addendum to Physician Supervision Agreement.
  • Must be privileged by CCF's Credentialing Board.
  • Basic Life Support (BLS) through the American Heart Association (AHA) required.

Nice To Haves

  • Previous APP experience is preferred, however new graduates with ICU experience are welcome to apply.
  • Two years clinical advanced practice nursing experience preferred.
  • Two years relative clinical experience preferred.

Responsibilities

  • Conducts thorough medical histories, performs complete physical examinations, initiates appropriate lab, radiology tests or other special tests required for evaluation of illness.
  • Scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
  • Must be able to work with collaborating physician.
  • Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures.
  • Performs routine procedures such as injections, immunizations, suturing and wound care.
  • Manages simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury.
  • May prescribe and monitor medications as allowed by prescriptive authority.
  • Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis.
  • Provides information and answers routine questions of patients regarding their disease.
  • Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
  • Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly.
  • Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
  • Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team.
  • Performs research follow-up studies and assists in data analysis.
  • Participates in quality monitoring thru the review of records and treatment plans for patient outcomes.
  • Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
  • May serve as clinical preceptor for PA/APRN students and other health professionals.
  • May serve as Faculty for onboarding new employees.
  • Demonstrates a high standard of moral and ethical behavior.
  • Demonstrates compassion and professionalism and a commitment to excellent patient care.
  • Routinely takes call and works off shift hours: Weekends/holidays, nights; shifts cover 24 hours, 7 days a week.
  • Special procedure privileging is required.
  • Other duties as assigned.
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