Nurse Practitioner or Physician Assistant - Emergency Medicine - PRN
About The Position
The Nurse Practitioner or Physician Assistant practices in a pediatric emergency setting, providing developmentally and age-appropriate health maintenance for well children, episodic care for ill children, and comprehensive care for children with chronic conditions. The advanced practice provider works under a delineation of clinical privileges and collaborates with other members of the health care team. Following established guidelines and clinical protocols, the provider takes independent and interdependent responsibility for assessment, diagnosis, and initiation of treatment and procedures. Duties are performed in a manner appropriate to the developmental needs of the patients served. The provider also contributes to education, research, consultation, and evaluation of clinical practice. This is a PRN position requiring at least 3–4 shifts per month. Shift hours vary and may be 7 a.m.–7 p.m., 11 a.m.–11 p.m., or 7 p.m.–7 a.m. Successful candidates must undergo respiratory fit testing in compliance with occupational health and safety standards. Physician Assistant duties include providing medical services within the PA’s education, training, scope of practice, and supervising physician’s delegation; obtaining and documenting comprehensive health, developmental, and family histories; distinguishing normal from abnormal findings; prescribing or administering delegated medications; administering appropriate vaccines as observed by physicians; ordering diagnostic tests consistent with differential diagnoses; collaborating with the interdisciplinary team; and establishing respectful, empathetic, collaborative relationships with patients and families. Nurse Practitioner duties include collecting and evaluating health assessment data and managing a patient caseload; obtaining and documenting comprehensive histories; assessing physical status; distinguishing normal from abnormal findings; performing or recommending age-appropriate screening; providing health maintenance and promotion; performing and evaluating diagnostic procedures and laboratory tests; developing differential diagnoses and plans of care in collaboration with physicians and other health professionals; following delegation protocols; evaluating patient responses and modifying care plans; documenting and communicating assessments and plans; consulting or referring for specialized care; educating patients, families, the community, and health professionals; maintaining professional knowledge through literature and continuing education; participating in assigned department and hospital committees, annual departmental quality improvement activities, and the development of advanced nursing practice.
Requirements
- Physician Assistant: Bachelor’s degree.
- Physician Assistant: Physician Assistant certification by the Texas Medical Board.
- Nurse Practitioner: Master’s degree in nursing.
- Nurse Practitioner: RN license from the Texas Board of Nursing or Nursing Licensure Compact.
- Nurse Practitioner: FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP credential from the Texas Board of Nursing.
Nice To Haves
- Pediatric Emergency Medicine experience is strongly preferred for both Physician Assistants and Nurse Practitioners.
Responsibilities
- Provide pediatric health maintenance, episodic care, and comprehensive care for children with chronic conditions.
- Assess, diagnose, and initiate treatment and procedures under established guidelines, clinical protocols, and clinical privileges.
- Collaborate with physicians and other members of the health care team.
- For Physician Assistants: provide medical services within education, training, scope of practice, and supervising physician delegation.
- For Physician Assistants: obtain and document comprehensive health, developmental, and family histories; distinguish and document normal and abnormal findings.
- For Physician Assistants: prescribe or administer delegated medications and document them in medical records.
- For Physician Assistants: administer appropriate vaccines as observed by physicians and document them in medical records.
- For Physician Assistants: order diagnostic tests consistent with differential diagnoses.
- For Physician Assistants: foster interdisciplinary collaboration and establish respectful, empathetic, collaborative relationships with patients and families.
- For Nurse Practitioners: collect and evaluate health assessment data, manage a patient caseload, obtain histories, and assess physical status.
- For Nurse Practitioners: distinguish normal and abnormal findings and perform or recommend age-appropriate health screening.
- For Nurse Practitioners: provide health maintenance and promotion for children of all ages; perform and evaluate diagnostic procedures and laboratory tests.
- For Nurse Practitioners: formulate differential diagnoses and plans of care in collaboration with physicians and other health professionals, following delegation protocols.
- For Nurse Practitioners: evaluate patient responses to interventions, modify care plans, and document patient data, impressions, and plans.
- For Nurse Practitioners: communicate effectively with patients, families, and health care team members; request consultation or initiate referrals when appropriate.
- For Nurse Practitioners: serve as an educational resource for patients, families, the community, and health professionals.
- For Nurse Practitioners: maintain professional knowledge through literature, staff development, and annual continuing education; participate in assigned committees and annual quality improvement activities.
- For Nurse Practitioners: demonstrate behaviors consistent with development of advanced nursing practice.
- Undergo respiratory fit testing as required for successful candidates.
