Pediatric Nurse Practitioner Acute Care or Physician Assistant - Emergency Medicine

Texas Children's Medical Center•Houston, TX

About The Position

The Pediatric Nurse Practitioner Acute Care or Physician Assistant practices in a pediatric setting, providing developmentally and age-appropriate health maintenance for well children, episodic care for ill children, and comprehensive care for children with chronic conditions. The provider works under a delineation of clinical privileges and collaborates with other members of the health care team. Under established guidelines and clinical protocols, the provider assumes independent and interdependent responsibilities for assessment, diagnosis, and initiation of treatment and procedures. Duties are performed in a manner appropriate to the ages of patients served. The advanced practice provider is also responsible for education, research, consultation, and evaluation of clinical practice at various levels. The Nurse Practitioner uses advanced practice knowledge and skills to assess and manage patients, formulate and document plans of care, evaluate responses to interventions, collaborate with physicians and other health care professionals, and provide education to patients, families, the community, and professionals. The Physician Assistant provides medical services within their education, training, scope of practice, and the supervising physician’s delegation, including delegated prescribing or administering medications and ordering diagnostic tests. Successful candidates must undergo respiratory fit testing in compliance with occupational health and safety standards.

Requirements

Nurse Practitioner: Master’s degree in nursing.
Nurse Practitioner: RN license from the Texas Board of Nursing or Nursing Licensure Compact.
Nurse Practitioner: FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP credential from the Texas Board of Nursing.
Physician Assistant: Bachelor’s degree.
Physician Assistant: PA certification by the Texas Medical Board.

Nice To Haves

Pediatric experience is strongly preferred.
PNP-AC or ENP is strongly preferred.

Responsibilities

For the Nurse Practitioner: Collect and evaluate health assessment data and manage a patient caseload.
Obtain and document comprehensive health, developmental, and family histories.
Assess patients’ physical status through examinations and document findings.
Differentiate normal and abnormal findings and document them.
Perform or recommend age-appropriate health screening procedures.
Provide health maintenance and health promotion for children of all ages.
Perform and evaluate diagnostic procedures and laboratory tests.
Analyze multiple sources of data and formulate differential diagnoses in collaboration with physicians.
Follow established delegation protocols to manage specific patient problems.
Formulate plans of care in collaboration with other health care professionals and document them.
Evaluate patient responses to interventions and modify plans of care as appropriate.
Present and document patient data, impressions, and plans of care accurately.
Communicate effectively and work to eliminate communication barriers.
Collaborate with other health care disciplines to provide comprehensive patient care.
Interview patients and/or families effectively and collaborate with them in developing care plans.
Request consultation or initiate referrals for specialized care as appropriate, and communicate assessments, impressions, and plans to the health care team.
Serve as an educational resource for patients, families, the community, and other health care professionals.
Apply new knowledge relevant to pediatric nursing in clinical practice and maintain current professional, managerial, and/or technical knowledge and skills.
Maintain knowledge through professional literature, staff development, and annual continuing education programs.
Participate in assigned department and hospital committees that promote quality nursing care.
Demonstrate Nurse Practitioner role behaviors consistent with the development of advanced nursing practice.
Participate in the departmental Quality Improvement program annually.
For the Physician Assistant: Provide medical services within the PA’s education, training, scope of practice, and delegation of the supervising physician.
Obtain and appropriately document comprehensive health, developmental, and family histories.
Differentiate between normal and abnormal findings and document them appropriately.
Prescribe or administer medications as delegated by the supervising physician and document them in medical records.
Administer appropriate vaccines as observed by physicians and document them in medical records.
Order diagnostic tests consistent with differential diagnoses derived from gathered data.
Collaborate with the interdisciplinary team to improve health care.
Establish relationships with patients and families characterized by mutual respect, empathy, and collaboration.
Undergo respiratory fit testing in compliance with occupational health and safety standards.