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 (PCU) is a 24-bed Critical Care unit dedicated to managing medically fragile patients who are dependent on respiratory technologies. The PCU focuses on preparing patients and their families for transition out of the hospital through caregiver training or to transitional care centers. Patients with tracheostomies, airway issues, or ventilator dependency are managed in the ICUs or PCU. Respiratory technology-dependent patients without ICU needs are admitted to the PCU for inpatient evaluation and management of acute or subacute issues. New providers will receive a 16-20 week training program as part of the Advanced Practice Clinical Immersion Program, including clinical, didactic, and simulation-based education. The Hospital Provider Nurse Practitioner or Physician Assistant, in collaboration with an attending physician, is responsible for the direct care and follow-up of patients within their defined scope of practice and skill set in inpatient and hospital-outpatient areas. The role encompasses clinical practice, consultation, professional development, education, and research.

Requirements

Bachelor's Degree Physician Assistant
Certified Physician Assistant (PA-C) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required
Certified Physician Assistant (PA-C) (New Jersey) - New Jersey State Licensing Board - upon hire - Required
Physician Assistant License (Delaware) - Delaware State Licensing Board - upon hire - Required
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
Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required
Certified Registered Nurse Practitioner (CRNP) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required
Advanced Practice Nurse (APN) (New Jersey) - New Jersey State Licensing Board - upon hire - Required
Prescriptive Authority (Pennsylvania) - Pennsylvania State Licensing Board - within 3 months - Required
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
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)
Computer Competency: 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)
Information Literacy: 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)
Information Management Literacy: 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)

Nice To Haves

Master's Degree Physician Assistant Preferred
Master's Degree Nursing Required
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.
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.