Nurse Practitioner / Physician Assistant - Progressive Care Unit (PCU)

Children’s Hospital of Philadelphia•Philadelphia, PA

3d•$117,900 - $156,300•Onsite

About The Position

The Progressive Care Unit (PCU) is a 24-bed Critical Care unit dedicated to managing medically fragile patients dependent on respiratory technologies. The PCU focuses on preparing patients and their families for transition out of the hospital by training caregivers or facilitating transfers to transitional care centers. At CHOP, patients with tracheostomies, airway issues, or ventilator dependence are managed exclusively in the ICUs or the PCU. Consequently, patients dependent on respiratory technology without ICU needs are admitted to the PCU for inpatient evaluation and management of acute or subacute issues. Providers new to practice will receive a comprehensive 16-20 week training program, including clinical, didactic, and simulation-based education, as part of the Advanced Practice Clinical Immersion Program. In collaboration with an attending physician, the Hospital Provider Nurse Practitioner or Physician Assistant is responsible for the direct care and follow-up of a patient population that aligns with their delineation of privileges and skill set. This care is provided in defined inpatient and hospital-outpatient areas. The role encompasses clinical practice, consultation, professional development, education, and research.

Requirements

Master's Degree Nursing - Required
Bachelor's Degree Physician Assistant - Required
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
Certified Registered Nurse Practitioner (CRNP) - 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
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.

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 and formulates a plan of care.
Performs therapeutic interventions to stabilize acute and critical health problems, adhering to the Scope of Practice Document and approved credentialing/privileging.
Analyzes the indications, contraindications, risk of complications, and cost-benefits of therapeutic interventions.
Manages the plan of care through evaluation, modification, and documentation based on the patient's response to therapy, optimizing patient outcomes.
Incorporates health promotion, health protection, and injury prevention measures into the plan of care within the context of complex acute, critical, and chronic illness.
Facilitates patient transitions between and within healthcare settings.
Serves as an educational resource to patients/families, nursing staff, and the provider team.
Acts as a consultant to multidisciplinary healthcare 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, acting as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other healthcare providers.
Demonstrates 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.