Nurse Practitioner or Physician Assistant, Plastic Surgery-Craniofacial

Cincinnati Children's

1d•Onsite

About The Position

Division of Plastic Surgery Description of APP Role: Work collaboratively with families and a multidisciplinary health team (The Cleft and Craniofacial team which consists of Human Genetics, Plastic Surgery, ENT, Pulmonary, Audiology, Speech Therapy, Dentistry, Orthodontics, Dietitian, and Social Work) to provide coordinated care management for infants, children, adolescents, and some adult patients with a Cleft lip and/or palate, Craniosynostosis, or other Craniofacial Conditions. This is primarily an outpatient position that includes individual clinics and participation in multidisciplinary team clinics. Support for inpatients is also included. The APP role will assist with managing infant feeding of the cleft population as a newborn, provide surgical education for upcoming surgeries (e.g. cleft lip repair, palate and VPI procedures), and make referrals to subspecialties when indicated.

Requirements

Master's degree in related field.
May require clinical license, certification or training
OR Doctorate of Nursing Practice degree
Licensure and certification in accordance with CCHMC Delineation of Privileges
Multi-state licensure in addition to Ohio licensure may be required base on subspeciality

Nice To Haves

Minimum 2 years pediatric nursing experience with emphasis in area of specialty
Master's degree in nursing AND Current license to practice nursing in the State of Ohio. Certification as an advanced practice nurse appropriate to meet requirements of Nurse Practitioner position (e.g., PNP or FNP) required AND Certificate to prescribe as applicable
Master's degree in physician assistant studies
Certification- FNP, PNP-PC preferred
Physician Assistant NCCPA Certification
Specialty experience preferred: Pediatric, primary care or neonatology experience preferred

Responsibilities

Manage newborn cleft feedings and monitoring growth.
Developmental screening from newborn through childhood.
Pre-op teaching for craniofacial procedures (e.g. cleft related procedures)
Oversee care coordination by craniofacial nursing team
Referrals to appropriate subspecialties
Participation in quality improvement and research initiatives
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.
Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers.
Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care.
Addresses each diagnosis or issue, as appropriate.
Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources.
Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved.
Maintains 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/APRN practice & policy.
Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides 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; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes 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.
Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD.