Nurse Practitioner / Physician Assistant - Inpatient Med-Surg Flex Team

Children's Hospital of Philadelphia•Philadelphia, PA
•$117,900 - $156,300•Onsite

About The Position

Children’s Hospital of Philadelphia (CHOP) is hiring for a full-time experienced Nurse Practitioner or Physician Assistant to work on our Inpatient Medical-Surgical Flex Team at Main Hospital. In collaboration with an attending physician, the Nurse Practitioner and Physician Assistant is responsible for the direct care and follow-up of at least two populations of patients that matches his/her delineation of privileges and skill set. This role requires at least one year of APP experience in the inpatient hospital setting. The Flex APP will be oriented and credentialed to at least two, but no more than four, different inpatient units and provide direct care and follow up to those patients. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients and may be required to utilize invasive interventions and procedures to promote physiologic stability as per their delineation of privileges. The role will also include off-shift responsibility which may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. The role will also include off-shift responsibility. The off-shift rotation schedule may include days, evenings, nights, and weekends will be determined by the clinical needs of the practice environment.

Requirements

  • At least 1 year of APP experience in the inpatient hospital setting.
  • Master's Degree Nursing Required
  • Bachelor's Degree - Physician Assistant Required
  • Ability to work in an inter-professional team setting with multiple responsibilities.
  • Ability to use computer and electronic medical records effectively.
  • Basic use of a computer (mouse, keyboard, printer, USB ports).
  • Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).
  • Web browsing, intranet search, document access.
  • Use of shared network file space.
  • Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors).
  • Navigation and use of clinical communication systems.
  • Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
  • Accesses needed information effectively and efficiently.
  • Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
  • Evaluates outcomes of the use of information.
  • Navigation of the electronic health record system.
  • Ability to locate and review specific patient data in various clinical information systems.
  • Effectively uses clinical decision support tools.
  • Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.
  • Ability to collect clinical data using quality improvement tools.
  • Prescriptive Authority - Pennsylvania State Licensing Board – Required within 3 months of hire
  • Specialty Certification - in area of education/subspecialty. Required certification must match scope of practice for that practice area. Required upon hire
  • Registered Nurse - Pennsylvania State Licensing Board – Required upon hire OR Certified Physician Assistant (PA-C) - Pennsylvania State Licensing Board – Required upon hire
  • Certified Physician Assistant (PA-C) - National Commission on Certification of Physician Assistants – Required upon hire
  • Certified Registered Nurse Practitioner (CRNP) - Pennsylvania State Licensing Board – Required upon hire

Nice To Haves

  • For new graduate APPs: complete CHOP's APP Clinical Immersion Program

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.
  • 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.

Benefits

  • Annual influenza vaccine
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