Nurse Practitioner / Physician Assistant - Inpatient Surgery

Children’s Hospital of Philadelphia•Upper Merion Township, PA

2d•$117,900 - $156,300•Onsite

About The Position

The Surgical Advanced Practice Provider team provides 24/7 front-line inpatient and consultative support to surgical patients at the King of Prussia Hospital. The Surgical APP cares for patients in Otolaryngology (ENT), Plastics, Urology, and Neurosurgery, and provides procedural support—including laceration repair—in a consultant role for the hospital and emergency department. Orientation takes place at both the Philadelphia campus and King of Prussia Hospital. The position includes off-shift responsibilities; rotation may include days, evenings, nights, weekends, and holidays, based on the clinical needs of the practice. Under the supervision of or in collaboration with an attending physician, the Advanced Practice Provider delivers direct care to patients within their scope of practice and skill set in defined inpatient and procedural areas. The role includes clinical practice, consultation, professional development, education, and research. Clinical responsibilities involve increased accountability, including management of a cohort of high-acuity patients and, as required, use of invasive interventions and procedures to promote physiologic stability. The King of Prussia Hospital cares for acutely ill, surgical, and injured patients from surrounding communities, as well as specialized patients previously cared for at the University City campus. The hospital aims to provide high-value care through appropriate alignment of resources while meeting the needs of patients, families, and staff.

Requirements

At least 1 year of experience practicing as a Physician Assistant or Nurse Practitioner; required.
New graduate APPs must complete CHOP’s APP Clinical Immersion Program.
Master’s degree in Nursing required for the Nurse Practitioner pathway, or bachelor’s degree as a Physician Assistant required for the Physician Assistant pathway.
Ability to work in an inter-professional team setting with multiple responsibilities.
Ability to use computers and electronic medical records effectively.
Basic computer use, including mouse, keyboard, printer, and USB ports.
Basic use of Microsoft Office, including word processing, spreadsheets, presentations, and Skype.
Ability to browse the web, search the intranet, access documents, and use shared network file space.
Basic use of patient-facing technology, such as IV pumps, point-of-care devices, and cardiac monitors.
Ability to navigate and use clinical communication systems.
Ability to determine clinical information needs and use appropriate technology to access information effectively and efficiently.
Ability to critically evaluate information and its sources, incorporate it appropriately into clinical practice, and evaluate outcomes of information use.
Ability to navigate the electronic health record and locate and review patient data in clinical information systems.
Ability to use clinical decision support tools and follow policies and procedures related to confidentiality, security, and privacy in clinical information systems.
Ability to collect clinical data using quality improvement tools.
Pennsylvania prescriptive authority required within 3 months of hire.
Specialty certification in the area of education or subspecialty, matching the scope of practice, required upon hire.
Pennsylvania Registered Nurse license required upon hire for the Nurse Practitioner pathway.
Pennsylvania Certified Physician Assistant (PA-C) license and National Commission on Certification of Physician Assistants certification required upon hire for the Physician Assistant pathway.
Pennsylvania Certified Registered Nurse Practitioner (CRNP) license required upon hire for the Nurse Practitioner pathway.

Responsibilities

Assess complex acute, critical, and chronically ill patients for urgent and emergent conditions; evaluate relevant data for physiologic instability and formulate plans of care.
Perform therapeutic interventions to stabilize acute and critical health problems, as permitted by the Scope of Practice Document and credentialing and privileging.
Analyze indications, contraindications, complication risks, and cost-benefits of therapeutic interventions.
Manage, evaluate, modify, and document plans of care in response to patients’ therapy and changes in condition, with a focus on optimizing outcomes.
Incorporate health promotion, health protection, and injury prevention into care plans for patients with complex acute, critical, and chronic illness.
Facilitate patient transitions between and within health care settings.
Educate patients, families, nursing staff, and provider teams, and consult with multidisciplinary health care team members.
Participate in scholarly activities, including research and education.
Maintain required competencies, identify learning needs, seek appropriate educational offerings, and participate in personal professional development.
Support the professional development of others by acting as a preceptor and mentor to nurses, nurse practitioners, students, and other health care providers.
Promote patient safety by raising safety concerns, changing practice to enhance safety, reporting errors or potential errors through system mechanisms, and sharing accountability for safe practice.
Provide inpatient and consultative surgical patient care in ENT, Plastics, Urology, and Neurosurgery, including procedural support such as laceration repair.