Nurse Practitioner (Acute Care), Physician Assistant or Clinical Nurse Specialist - Pediatric Cardiac Intensive Care Unit (PCICU) III

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Job Title

Nurse Practitioner (Acute Care), Physician Assistant or Clinical Nurse Specialist - Pediatric Cardiac Intensive Care Unit (PCICU) III

Location

Cleveland

Facility

Cleveland Clinic Main Campus

Department

Pediatric Institute-Children's Institute

Shift

Day/Night Rotation

Schedule

6:00am-6:00pm/6:00pm-6:00am

Job Summary

APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practices with a variety of specialty-based populations including neonatal, pediatric, and adult. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care. PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care (the practice of medicine) in a variety of healthcare settings. Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730). Performs complete histories and physicals on patients of all ages to establish and record patient's current health status. Develops a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients within any setting in which patients have complex, acute, critical and chronic health conditions. Practices in any setting in which patients require complex monitoring and therapies and high intensity medical/surgical interventions and/or continuous vigilance within the range of high-acuity care.

Job Details

Cleveland Clinic's Pediatric Institute is currently seeking a qualified Pediatric Acute Care Nurse Practitioner for a full time position in the Pediatric Cardiac Intensive Care Unit. The hired APP will care for critically ill patients, pre and post operatively, with congenital heart disease. They will often manage patients on vasoactive support, mechanical ventilation, CRRT, and ECMO or Ventricular Assist Devices. Patient population varies from neonates to adults with congenital heart disease that require repeat intervention. The hours for this position will include three thirteen hours shifts including rotating days/nights/weekends and holidays.

Call will also be required.

Previous APP experience is preferred, however new graduates with ICU experience are welcome to apply.

Job Responsibilities

Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.

Must be able to work with collaborating physician.

Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as privileged by CCF Credentialing Board.

Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged by CCF Credentialing Board.

May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy.

Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board.

Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations.

Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.

Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.

Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.

Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.

Performs research follow-up studies.

Assists in data analysis.

Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.

Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.

May serve as clinical preceptor for PA/APRN students and other health professionals.

May serve as Faculty for onboarding new employees.

Demonstrates a high standard of moral and ethical behavior.

Demonstrates compassion and professionalism and a commitment to excellent patient care.

Routinely takes call and works off shift hours: Weekends/holidays, nights; shifts cover 24 hours, 7 days a week.

Special procedure privileging is required

Other duties as assigned.

Education

APRN: EDUCATION: Effective 05/01/2014: MSN required upon hire or within 5 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.

Graduate of an accredited ARPN training program.

PA: EDUCATION: Graduate of an A.R.C.-approved Physician Assistant Program.

Master's degree in Physician Assistant Studies and/or applicable state license through the State Medical Board for certificate to practice.

Certifications

APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.

National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing, current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).

Basic Life Support (BLS) through the American Heart Association (AHA) required.

Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.

PA: Current certification as a Physician Assistant through the NCCPA (or successor).

Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.

Must have a Physician Supervision Agreement (listed on State Medical Board website) and/or signed addendum to Physician Supervision Agreement.

Must be privileged by CCF's Credentialing Board.

If candidate has held a license to prescribe within another jurisdiction and needs to obtain a Master's degree in order to apply for CT prescribe from applicable state, the candidate will be subject for review for eligibility for hiring within our system.

Basic Life Support (BLS) through the American Heart Association (AHA) required.

Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA) may be required based upon work setting.

Competencies (Complexity of Work)

APRN/PA: Excellent analytical and decision making skills are required.

Strong written and verbal communication skills.

Ability to work as a member of a multi-disciplinary team.

Demonstrated competency and the ability to perform advanced assessment and diagnosis.

Demonstrated ability to utilize the electronic medical record.

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate