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

Children’s Hospital of Philadelphia•Philadelphia, PA

1d•$115,060 - $152,450•Onsite

About The Position

The Progressive Care Unit is a 24 bed Critical Care unit that is dedicated to managing patients who are medically fragile and dependent on respiratory technologies. The PCU focuses on preparing patients and their families for transition out of the hospital once they are medically ready through training caregivers or to transitional care centers. At CHOP, patients who have tracheostomies and have airway issues and/or are ventilator dependent are managed only in one of the ICUs or the PCU. Consequently, respiratory technology dependent patients without ICU needs are admitted to the PCU for inpatient evaluation and management of acute or subacute issues. Providers who are new-to-practice will receive a robust 16-20 week training inclusive of 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 population of patients that matches his/her delineation of privileges and skill set. 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.

Requirements

Bachelor's Degree Physician Assistant Required
Master's Degree Physician Assistant Preferred
Master's Degree Nursing Required
Doctorate Nursing Preferred
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 Teams). (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)
Certified Physician Assistant (PA-C) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Certified Physician Assistant (PA-C) (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Physician Assistant License (Delaware) - Delaware State Licensing Board - upon hire - Required and Certified Physician Assistant (PA-C) - National Commission on Certification of Physician Assistants (NCCPA) - upon hire - Required
Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Certified Registered Nurse Practitioner (CRNP) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Advanced Practice Nurse (APN) (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Prescriptive Authority (Pennsylvania) - Pennsylvania State Licensing Board - within 3 months - Required or Prescriptive Authority (New Jersey) - New Jersey 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
Doctorate Nursing 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.