Pediatric Cardiothoracic Nurse Practitioner - (BCH-Oakland/San Francisco)

University of California, San Francisco•San Francisco, CA

4d•Hybrid

About The Position

The Pediatric Cardiothoracic Nurse Practitioner will deliver comprehensive healthcare under the clinical supervision of the Chief of Pediatric Cardiothoracic Surgery at UCSF Benioff Children’s Hospital –Oakland/San Francisco and under the administrative supervision of the Director of Pediatric Critical Care at UCSF Benioff Children’s Hospital – San Francisco. The Nurse Practitioner will collaborate with a dynamic interdisciplinary team of providers to care for patients in the Pediatric Cardiac Transitional Care Unit and in all inpatient areas that care for pediatric cardiothoracic surgery patients. Care is also provided in the outpatient clinic, via telehealth, and potentially in the operating room (depending on departmental need, experience, and interest). In the clinic and inpatient areas, the Nurse Practitioner will be responsible for assessment, evaluation, planning, teaching, and case management of preoperative and postoperative cardiothoracic surgery patients. The Nurse Practitioner will primarily work at UCSF Benioff Children’s Hospital – San Francisco campus and may cross train to the UCSF Benioff Children’s Hospital – Oakland campus or other facilities where our Pediatric Cardiothoracic surgeons operate.

Requirements

Graduation from a California Board of Registered Nursing approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP).
Minimum of six (6) months of NP experience in the Pediatric Critical Care or Pediatric Cardiology
Demonstration of advanced interpersonal skills while working with families of acutely and critically ill children
Excellent organization and communication skills
Dedication to patient care
Ability to critically think and problem solve
California Registered Nurse (RN) License without restriction
California Certified Nurse Practitioner (NP) without restriction
California Nurse Practitioner Furnishing Number including Schedule II furnishing privileges
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

One year of working experience as an NP in or pediatric cardiology
RNFA certificate

Responsibilities

Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 . APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.
Performs procedures granted to them via privileges/standardized procedures.
Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with 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, 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 but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations .
Effectively communicates findings, treatment options, and care plans with patients and their families
May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.
Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.
Discharges patients including prescribing/furnishing medications, ordering DME, and 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 who require close management or intervention.
Consults with nursing staff on 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. Includes providing care to new, follow-up, acute, routine, and specialty patients. Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Reviews or collaborates with attending physician as needed. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations . Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 .
Performs procedures individually granted to them via standardized procedures/privileges.
Identifies high-risk groups and complex cases for review with attending physician. 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 the ordered tests, procedures, and radiographic studies in a timely fashion.
Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.
Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not include management of inpatients.
Attends department quality improvement meetings and participates in patient evaluation and planning.