Nurse Practitioner or Physician Assistant - Emergency Medicine

Texas Children's Hospital•The Woodlands, TX

2h•Onsite

About The Position

Texas Children’s Hospital is seeking a motivated Nurse Practitioner or Physician Assistant to work in a pediatric setting. The advanced practice provider delivers developmentally and age-appropriate health maintenance for well children, episodic care for ill children, and comprehensive care for children with chronic conditions. The role operates under a delineation of clinical privileges, established guidelines, clinical protocols, and—where applicable—delegation by a supervising physician. The provider assumes independent and interdependent responsibilities for assessment, diagnosis, and initiation of treatment and procedures. Duties are performed in a manner appropriate to the ages of patients served. The provider also contributes to education, research, consultation, and evaluation of clinical practice. Nurse Practitioner duties include gathering and evaluating health assessment data; taking comprehensive health, developmental, and family histories; examining patients and distinguishing normal from abnormal findings; performing or recommending age-appropriate screening; providing health maintenance and promotion; and performing and evaluating diagnostic procedures and laboratory tests. The NP collaborates with physicians and other healthcare professionals on differential diagnoses and plans of care, evaluates patient responses and adjusts care, documents assessments and plans, communicates effectively, consults or refers when appropriate, and provides education to patients, families, communities, and healthcare professionals. The NP maintains professional knowledge and skills, participates in relevant committees and annual quality-improvement activities, and demonstrates behaviors consistent with advanced nursing practice. Physician Assistant duties include providing medical services within the PA’s education, training, scope of practice, and supervising physician’s delegation; taking and documenting comprehensive patient histories; identifying and documenting normal and abnormal findings; prescribing or administering delegated medications; administering appropriate vaccines; ordering diagnostic tests consistent with differential diagnoses; collaborating with the interdisciplinary team; and developing respectful, empathetic, collaborative relationships with patients and families. Successful candidates must undergo respiratory fit testing in compliance with occupational health and safety standards.

Requirements

Nurse Practitioner: Master’s degree in nursing.
Nurse Practitioner: RN license from the Texas Board of Nursing or Nursing Licensure Compact.
Nurse Practitioner: Certification as FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP from the Texas Board of Nursing.
Physician Assistant: Bachelor’s degree.
Physician Assistant: PA-Cert-Physician Assistant certification by the Texas Medical Board.

Nice To Haves

Nurse Practitioner: PNP-AC or ENP certification is strongly preferred.
Physician Assistant: Pediatric experience is strongly preferred.

Responsibilities

For Nurse Practitioners: Collect and evaluate health assessment data and manage a patient caseload.
Obtain comprehensive health, developmental, and family histories and document them in the medical record.
Assess patients through physical examinations and distinguish normal from abnormal findings.
Perform or recommend age-appropriate health screening procedures and provide health maintenance and promotion.
Perform and evaluate diagnostic procedures and laboratory tests.
Develop differential diagnoses and plans of care in collaboration with physicians and other healthcare professionals.
Manage specific patient problems under established delegation protocols; evaluate responses to interventions and modify care plans as appropriate.
Document patient data, clinical impressions, and plans of care accurately.
Communicate effectively, collaborate with healthcare disciplines, and work to eliminate communication barriers.
Interview patients and families, involve them in care planning, and request consultations or referrals when appropriate.
Educate patients, families, the community, and healthcare professionals.
Maintain current professional, managerial, and technical knowledge; participate in staff development, continuing education, relevant committees, and annual quality-improvement activities.
For Physician Assistants: Provide medical services within education, training, scope of practice, and supervising physician delegation.
Obtain and document comprehensive patient histories and distinguish and document normal and abnormal findings.
Prescribe or administer medications as delegated by the supervising physician and document them in medical records.
Administer appropriate vaccines as observed by physicians and document them in medical records.
Order diagnostic tests consistent with differential diagnoses.
Collaborate with the interdisciplinary team and establish respectful, empathetic, collaborative relationships with patients and families.
Undergo respiratory fit testing as required for successful candidates.