Nurse Practitioner or Physician Assistant - Emergency Medicine - PRN
About The Position
Texas Children’s is seeking a motivated Physician Assistant or Nurse Practitioner to work in a pediatric emergency medicine 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 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 role includes independent and interdependent responsibilities for assessment, diagnosis, and initiation of treatment and procedures. Duties must be performed in a manner appropriate to the ages of patients served. The provider is also responsible for education, research, consultation, and evaluation of clinical practice at various levels. This is a PRN position requiring at least 3–4 shifts per month. Shift hours vary and include 7 a.m.–7 p.m., 11 a.m.–11 p.m., and 7 p.m.–7 a.m. Successful candidates must undergo respiratory fit testing in compliance with occupational health and safety standards. Physician Assistant responsibilities include providing medical services within the PA’s education, training, scope of practice, and supervising physician delegation; obtaining and documenting comprehensive health, developmental, and family histories; identifying and documenting normal and abnormal findings; prescribing or administering delegated medications; administering appropriate vaccines as observed by physicians; ordering diagnostic tests consistent with differential diagnoses; fostering interdisciplinary collaboration; and building respectful, empathetic, collaborative relationships with patients and families. Nurse Practitioner responsibilities include collecting and evaluating health assessment data and managing a patient caseload; obtaining patient histories and conducting physical examinations; identifying normal and 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 professionals; evaluating patient responses and adjusting care plans; documenting and communicating assessments, impressions, and plans; coordinating consultations and referrals; educating patients, families, communities, and health professionals; maintaining current professional knowledge and skills through literature, staff development, and continuing education; participating in committees and quality improvement; and demonstrating behaviors consistent with advanced nursing practice.
Requirements
- Physician Assistant: bachelor’s degree required.
- Physician Assistant: Physician Assistant certification from the Texas Medical Board required.
- Nurse Practitioner: master’s degree in nursing required.
- Nurse Practitioner: RN license from the Texas Board of Nursing or Nursing Licensure Compact required.
- Nurse Practitioner: FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP credential from the Texas Board of Nursing required.
- Availability for at least 3–4 shifts per month; shift times vary.
Nice To Haves
- Pediatric Emergency Medicine experience is strongly preferred for both Physician Assistants and Nurse Practitioners.
Responsibilities
- Provide developmentally and age-appropriate 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.
- 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 normal from abnormal findings; prescribe or administer delegated medications; administer appropriate vaccines as observed by physicians; and 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 patient caseloads, obtain histories, and conduct physical examinations.
- For Nurse Practitioners: identify normal and abnormal findings; perform or recommend age-appropriate screenings; and provide health maintenance and promotion for children of all ages.
- For Nurse Practitioners: perform and evaluate diagnostic procedures and laboratory tests; formulate differential diagnoses; and collaborate on plans of care.
- For Nurse Practitioners: evaluate patient responses to interventions and modify plans of care as appropriate.
- For Nurse Practitioners: document and communicate patient data, assessments, impressions, and plans of care.
- For Nurse Practitioners: collaborate with health care disciplines, patients, and families; request consultations and initiate referrals when appropriate.
- For Nurse Practitioners: serve as an educational resource for patients, families, the community, and health professionals.
- For Nurse Practitioners: maintain current professional, managerial, and technical knowledge through professional literature, staff development, and continuing education.
- For Nurse Practitioners: participate in department and hospital committees as assigned and in the departmental Quality Improvement program annually.
- Undergo respiratory fit testing in compliance with occupational health and safety standards.
