Danbury

Connecticut Children's Medical Center•Danbury, CT

11d•Onsite

About The Position

Provider covers both NICU and pediatric patients at our Danbury and Norwalk Hospital community sites. Completes thorough but appropriately focused evaluations of term and premature newborns in the delivery room, newborn nurseries, and Level III NICUs, including competent and age appropriate histories and examinations. Rounds with Neonatologists and collaborates on plans of care for premature infants. Performs daily evaluations on babies in the well baby nursery, provides anticipatory guidance to new parents and families. Recognizes which infants need advanced care. Also supports care of pediatric patients in the community setting – completes consultations in the emergency department and cares for pediatric patients, ages 0 to 18 years, on our inpatient unit at Danbury Hospital and ED/Observation unit at Norwalk Hospital with support from PHM and PEM attendings. Collaborates with PHM to formulate a diagnosis and treatment plan as well as providing patient and family education. In all areas: presents thoughtful assessments to the supervising physician and works towards prescribing necessary care plans. Performs appropriate procedures under their responsibility with the appropriate guidance. Knows when and how to seek assistance. Identifies level of illness severity in a timely manner. Responsibilities Medical knowledge Clinical knowledge. With guidance, applies basic medical knowledge to common diagnoses in departments. Expands clinical knowledge by asking insightful questions, seeking knowledge independently and reading medical literature critically. Incorporates issues of child health advocacy, preventive health care, ethical dilemmas, and cost of tests and therapies. Diagnostic evaluation . Provides basic evaluation (e.g., diagnostic testing and consultation) for common diagnoses. Increasingly recommends broad evaluation based on an unfocused differential diagnosis. Reports results of diagnostic studies, identifying clinically significant results with guidance. Patient history. Gathers patient information following a template. Adapts the template with guidance and as appropriate to filter and prioritize pertinent positives and negatives based on broad diagnostic categories or possible diagnoses. Patient care Clinical reasoning. Presents clinical facts (e.g., history, exam, tests, consultations, etc.) to preceptor, supervising physician, and care team. Ultimately generates an unfocused differential diagnosis based on the clinical facts. Organize and prioritize patient care. Completes assigned patient care responsibilities focused on individual patients. Patient management . Increasingly participates in the creation of patient management plans. Discusses plans with patients/families. Delivery Room. Attends deliveries with preceptor until independence in neonatal resuscitation is established. Procedures as defined by clinical department. Increasingly exposed to the array of core procedures and guided in the performance of these. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty. Interpersonal and communication Patient and family centered communications. Works to establish rapport with patients/families. Develops therapeutic relationship in straightforward encounters. Seeks guidance when adjusting communication strategies in order to mitigate barriers and meet patient/family expectations. Interpersonal and team communication. Participates within the inter-professional team. With guidance, clearly and appropriately requests consultation, presenting relevant patient information to supervising physician. Communication within the Health Care System . Accurately and timely records information in the patient record. Responds in a timely fashion and in appropriate form (e.g., in-person, HER, telephone, email) to requests. Seeks guidance on best mode of communicating when uncertain. Practice-based learning and improvement Evidence-based and informed practice . Develops and articulates clinical questions. Accesses available evidence with appropriate guidance. Reflective practice and commitment to personal growth. Participates in feedback sessions. With guidance from lead/manager, develops professional goals and a learning plan, incorporating feedback and performance data. Professionalism Performs responsibilities in a thorough and timely manner. Proactively seeks guidance in new, complex and/or stressful situations. Participates in creating, promoting and sustaining a healthy and productive team and work environment. Familiarizes self with institutional resources that are meant to promote well-being. System-based practice System navigation for patient centered care-coordination of care. Increasingly involved in coordinating care of patients in routine clinical situations. Identifies the need for and engages inter-professional team based on patient and family needs. Population and community health. Incorporates awareness of population and community health needs and disparities and knowledge of local resources to inform understanding of patient/family health concerns. Supervisory Duties (if applicable) n/a

Requirements

Advanced Practice Nurse Practitioner: Graduate degree in nursing accredited by one of the national certifying bodies in nursing. (Or, on or before December 31, 2004, completion of an advanced nurse practitioner program recognized by a national certifying body for certification as a nurse practitioner.)
Physician Assistant: Graduation from a physician assistant program accredited, at the time of graduation, by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
Current Advanced Practice Nurse Practitioner in the State of Connecticut.
Certified by the National Commission on Certification of Physician Assistants, Inc. (NCCPA).
Current Physician Assistant licensure in the State of Connecticut.
Neonatal Resuscitation Provider (NRP) certification required within 3 months of hire.
Pediatric Advance Life Support (PALS) certification required within 3 months of hire.
Federal DEA and CT controlled substance registration required.
Medical knowledge sufficient to recognize patterns, trends and disease traits and to fully engage in APP learning opportunities, effectively applying such knowledge to basic clinical evaluations and patient care.
Exemplary written and verbal communication.
Respectful and compassionate in interactions with staff, patients, and families.
Demonstrates accountability for assigned work and the extent of one’s involvement in patient care.
Demonstrates openness to feedback.
Ability to incorporate feedback and learnings into work effort.

Nice To Haves

Experience in delivery room management and neonatal resuscitation and/or experience in pediatric health management preferred.

Responsibilities

Completes thorough but appropriately focused evaluations of term and premature newborns in the delivery room, newborn nurseries, and Level III NICUs, including competent and age appropriate histories and examinations.
Rounds with Neonatologists and collaborates on plans of care for premature infants.
Performs daily evaluations on babies in the well baby nursery, provides anticipatory guidance to new parents and families.
Recognizes which infants need advanced care.
Completes consultations in the emergency department and cares for pediatric patients, ages 0 to 18 years, on our inpatient unit at Danbury Hospital and ED/Observation unit at Norwalk Hospital with support from PHM and PEM attendings.
Collaborates with PHM to formulate a diagnosis and treatment plan as well as providing patient and family education.
Presents thoughtful assessments to the supervising physician and works towards prescribing necessary care plans.
Performs appropriate procedures under their responsibility with the appropriate guidance.
Identifies level of illness severity in a timely manner.

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