Nurse Practitioner / Physician Assistant - Cardiac Care Unit (CCU)

Children’s Hospital of Philadelphia•Philadelphia, PA

1d•$115,060 - $152,450•Onsite

About The Position

The Cardiac Center is a multidisciplinary program comprised of five major departments: Cardiology, Cardiothoracic Surgery, Cardiothoracic Anesthesia, Cardiac Critical Care Medicine, and Cardiac Nursing. The Cardiac Care Unit (CCU) is a 40-bed unit that cares for medically complex patients requiring continuous monitoring and advanced therapies. Our Advanced Practice Provider (APP) team includes Acute Care Nurse Practitioners and Physician Assistants who work alongside attending physicians and house physicians to provide 24/7, year-round care. Our APPs are integral members of the multidisciplinary care team, delivering expert clinical care while also contributing to education, quality improvement, research, and community and global health initiatives. In collaboration with attending physicians, Nurse Practitioners and Physician Assistants serving in Front Line Ordering Clinician (FLOC) roles are responsible for the comprehensive management and follow-up of a high-acuity patient population within their scope of practice, privileges, and expertise. Care is delivered across designated inpatient and hospital-based outpatient settings. Key responsibilities include direct patient care, clinical consultation, professional development, education, and research activities. APPs in these roles manage complex patient populations and assume a high level of clinical accountability. Depending on unit needs, they may perform invasive procedures and interventions to promote physiologic stability and optimize patient outcomes. These positions also include off-shift responsibilities, with rotating schedules that may encompass days, evenings, nights, weekends, and holidays based on the operational needs of the Cardiac Center.

Requirements

Master's Degree Nursing - Required
Bachelor's Degree Physician Assistant Required
Ability to work in an inter-professional team setting with multiple responsibilities. (Required proficiency)
Ability to use computer and electronic medical records effectively. (Required proficiency)
Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. (Required proficiency)
Basic use of a computer (mouse, keyboard, printer, USB ports). (Required proficiency)
Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). (Required proficiency)
Web browsing, intranet search, document access. (Required proficiency)
Use of shared network file space. (Required proficiency)
Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors). (Required proficiency)
Navigation and use of clinical communication systems. (Required proficiency)
Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. (Required proficiency)
Accesses needed information effectively and efficiently. (Required proficiency)
Evaluates information and its sources critically and appropriately incorporates it into clinical practice. (Required proficiency)
Evaluates outcomes of the use of information. (Required proficiency)
Navigation of the electronic health record system. (Required proficiency)
Ability to locate and review specific patient data in various clinical information systems. (Required proficiency)
Effectively uses clinical decision support tools. (Required proficiency)
Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. (Required proficiency)
Ability to collect clinical data using quality improvement tools. (Required proficiency)
Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required
Certified Registered Nurse Practitioner (CRNP) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required
Certified Physician Assistant (PA-C) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required
Prescriptive Authority (Pennsylvania) - Pennsylvania State Licensing Board - within 3 months - Required
Specialty Certification - in area of education/subspecialty. Required certification must match scope of practice for that practice area. - upon hire - Required

Nice To Haves

Master's Degree Physician Assistant Preferred

Responsibilities

Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care.
Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process.
Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions.
Manages the plan of care through evaluation, modification and documentation according to the patient's response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes.
Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness.
Facilitates the patient's transitions between and within health care settings.
Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members.
Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers.
Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice.