Nurse Practitioner - PICU/TCUP (BCH-Mission Bay)

University of California, San Francisco•San Francisco, CA

17h•Onsite

About The Position

UCSF Benioff Children's Hospital is a world-renowned leader in healthcare, recognized for innovation, technology, and compassionate care. It is ranked among the top children's hospitals nationally by U.S. News & World Report. The hospital features 183 beds and over 150 specialists across more than 40 medical areas. The Pediatric Intensive Care Unit (PICU) provides advanced care for critically ill children requiring continuous monitoring, with 20 beds for infants and children with various conditions or recovering from surgery. Annually, over 1,000 children are admitted to the PICU from across the western United States. The Pediatric Transitional Care Unit (TCUP) is an 18-bed unit caring for infants and children with moderate to high complexity conditions, including those recovering from solid organ transplantation, requiring anticoagulant therapy or other infusions, and post-operative specialty surgery care. TCUP also admits patients needing respiratory support (BIPAP, CPAP, high flow nasal cannula) and mechanical ventilation with tracheostomy. The Nurse Practitioner will be an integral part of the team, collaborating with physicians, fellows, and residents to ensure safe patient care delivery and meet productivity expectations. This role involves performing duties related to patient care activities as appropriate and clearly delineated. Nurse Practitioners in the PICU and TCUP provide care in rotating 12-hour shifts.

Requirements

Graduation from a California Board of Registered Nursing recognized Nurse Practitioner Program with a master’s or doctoral degree aligned with an Acute Care Pediatric Nurse Specialization Nurse Practitioner
Nurse Practitioner 1: Minimum of two (2) years of recent experience working as an RN in a pediatric inpatient setting.
Nurse Practitioner 2: Minimum of two (2) years of recent experience working as a NP in a pediatric inpatient or high acuity emergency department setting
California Registered Nurse (RN) License without restriction
California Nurse Practitioner (NP) License without restriction
California Nurse Practitioner Furnishing Number
NP national board certification from an accepted certifying agency aligned with the patient population and clinical role - Pediatric Inpatient (CPNP-AC).
California Driver License (if required for position)
Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address
American Heart Association (AHA) Basic Life Support (BLS) certification
Additional required AHA certifications: PALS
UCSF Medical Center requires all Advanced Practice Providers (APPs) to be credentialed through its Office of Medical Affairs and Governance (OMAG) to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings. Credentialing takes between 60-90 days and must be completed prior to the first working day.

Nice To Haves

Minimum of three (3) years of experience working as an AC-PNP in a level III Pediatric Intensive Care Unit

Responsibilities

Independently or collaboratively evaluates and manages patients, including taking histories, performing physical examinations, responding to changes in patient status, performing consults, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care must be documented in the electronic medical record in accordance with UCSF Rules and Regulations, and services must be billed compliantly.
Performs procedures granted via privileges/standardized procedures.
Identifies patients with acute decompensation or failure and responds according to the hospital plan of care, reviewing with a physician.
Initiates consultations as indicated.
Documents independent assessment findings and recommends appropriate treatments.
Participates in service rounds and patient evaluation and treatment planning.
Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.
Evaluates complex cases and establishes individualized plans of care for disposition to a lower level of care.
Interprets and acts upon completed tests, procedures, and radiographic studies.
Completes clinically relevant paperwork/electronic health record (EHR) documentation, including ordering medications, completing episodic care notes, and discharge summaries.
Effectively communicates findings, treatment options, and care plans with patients and their families.
May first assist in the operating room if privileged and certified.
Monitors and evaluates patients for discharge, setting parameters and guidelines for continuum of care with the multi-disciplinary team, including evaluating and defining the discharge regimen.
Discharges patients, including prescribing/furnishing medications, ordering DME, recommending or referring for ongoing follow-up care, providing discharge teaching, and completing discharge summaries.
Coordinates care throughout the continuum, including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
Coordinates episodic care and determines timing of routine clinic follow-up.
Participates in huddles with clinic/hospital staff and anticipates patients requiring close management or intervention.
Consults with nursing staff on the plan and implementation of individualized nursing care plans.
Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.
Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
Evaluates and manages patients in independent APP encounters, including telehealth, for new, follow-up, acute, routine, and specialty patients.
Reviews or collaborates with attending physician as needed for independent encounters.
Evaluates and manages patients in shared encounters with attending physician, including telehealth, to increase clinic access.
May first-assist in the operating room if privileged, certified, and proctored.
Identifies high-risk groups and complex cases for review with attending physician and initiates consultations as appropriate.
Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.
Interprets and acts upon ordered tests, procedures, and radiographic studies in a timely fashion.
Completes clinically relevant paperwork/EHR, including ordering medications, completing episodic care notes, and telephone encounters.
Attends department quality improvement meetings and participates in patient evaluation and planning.