Nurse Practitioner or Physician Assistant, Inpatient Pulmonary (TCC, Complex Pulmonary)

Cincinnati Children's•Greendale, WI

7d•Onsite

About The Position

This position involves rotating through all inpatient Pulmonary Units, including Base Transitional Care Center (TCC), Liberty Transitional Care Center (TCC), and A7C (Complex Pulmonary). On the TCC units, the role serves patients from infant to adult who are dependent on positive pressure support (trach/ventilator dependent, non-invasive/BiPAP dependent). These patients often have complex disease processes affecting their airway, lungs, and respiratory mechanics, including conditions like Bronchopulmonary Dysplasia (BPD), neuromuscular diseases (e.g., Duchenne’s Muscular dystrophy, Spinal Muscular Atrophy), and restrictive lung disease due to scoliosis or chest wall abnormalities. A key responsibility is training families on home ventilator use, tracheostomy tube care, GTube care, and emergency preparedness for technology-dependent loved ones. On A7C, the focus is on managing complex pulmonary conditions such as Cystic Fibrosis, Asthma, Obstructive Sleep Apnea, Rare Lung Disease, and patients undergoing or having received a lung transplant. Across all three units, families are trained on providing their child’s care needs at home, including education on home ventilators, tracheostomies, airway clearance modalities, medications, feeding regimens, and emergency preparedness. While the role is within pulmonary medicine, patients are complex and often have multiple diagnoses across various body systems, offering a broad-spectrum experience with a pulmonary focus. The scope for this subspecialty role will not exceed the scope of the collaborating or supervising MD.

Requirements

Master's degree in related field.
Licensure and certification in accordance with CCHMC Delineation of Privileges
Multi-state licensure in addition to Ohio licensure may be required based on subspecialty
Pediatric Acute Care certification preferred but will accept Family or Pediatric Primary Care certifications
PA Ceritification

Responsibilities

Perform history and/or physical exams on patients presenting for care in area of expertise.
Assess and diagnose illnesses, including chronic and acute conditions.
Formulate, document and monitor a treatment plan.
Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam.
Provide clinical consultation, order interdisciplinary consults.
Prescribe medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attain and maintain competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Develop outcomes as measurable goals that provide direction for continuity of care & consistency among providers.
Develop, prioritize, evaluate & modify an individualized comprehensive plan of care.
Address each diagnosis or issue, as appropriate.
Derive outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources.
Consider risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporate new knowledge & strategies to initiate change in practice if desired outcomes not achieved.
Maintain documentation & updates accordingly outcomes, goals & the plan of care.
Maintain professional behaviors aligned with core values and care standards.
Participate in quality improvement activities or research to improve the care delivery process & patient care outcomes.
Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance.
Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth.
Integrate ethical considerations & research findings into practice.
Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting.
Advocate for the pediatric patient/family/caregiver.
Serve as a leader, influencing both healthcare/APP practice & policy.
Maintain competency in skills/procedures.
Promote self-management & family centered care.
Employ diverse & complex strategies, interventions, & teaching to promote health & a safe environment.
Provide leadership in care management to achieve optimal quality, cost-effective care.
Document & communicate with healthcare team members to achieve an integrated delivery of pediatric care services.
Delegate appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver.
Provide consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system.
Make appropriate referrals and discuss recommendations with patient/family/caregiver.
Order and/or perform appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice.
Provide patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Use a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed.
Evaluate the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes.
Include the patient/family/caregiver & other healthcare providers in the evaluation process.
Base the evaluation process on advanced knowledge, practice, research, & document appropriately.
Utilize the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.