Advanced Practice Provider (Acute Care NP/PA) - Pediatric Cardiac Intensive Care Unit (PCICU) III
Posted 16 days ago
Quick overview
Provide advanced care for critically ill pediatric patients with congenital heart disease, managing complex supports like ECMO and mechanical ventilation. Collaborate with a multidisciplinary team to conduct physical exams, develop treatment plans, and perform specialized medical procedures.
Requirements summary
Requires a Master's degree (MSN or PA studies) and national certification as a Nurse Practitioner or Physician Assistant. Must hold valid state licensure and BLS certification, with PALS, ACLS, or NRP often required based on the setting.
postgraduate degreeprofessional certificatePatient EducationAcute Care
Job description
At Cleveland Clinic Health System, we believe in a better future for healthcare.
And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.
We all have the power to help, heal and change lives — beginning with our own.
That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.
Job Title Advanced Practice Provider (Acute Care NP/PA) - Pediatric Cardiac Intensive Care Unit (PCICU) III Location Cleveland Facility Cleveland Clinic Main Campus Department Job Code T98102 Shift Day/Night Rotation Schedule 6:00am-6:00pm/6:00pm-6:00am Job Summary 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 APRN 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.
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 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
Effective 05/01/2014: MSN required upon hire or within 3 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 APRN program. If in neonatal care service area Master’s Degree is required upon hire. PA Graduate of an A.R.C. approved Physician Assistant Program. Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
Languages
Oral and written communication in
English
Certifications: NP Currently licensed as a Nurse Practitioner in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. 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. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. CNS Currently licensed as a Clinical Nurse Specialist in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing. 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. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals PA Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. License to practice and prescribe issued by their practicing states Licensing Board. Current DEA License or DEA designee as required by NCQA. 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); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Work
Experience: Related clinical experience preferred.
Physical
Requirements: Typical physical demands include the ability to walk and stand for long periods of time. Manual and finger dexterity and eye/hand coordination to perform physical examinations. Requires corrected vision and hearing to a normal range. Occasionally lifts and carries items weighing up to 50 pounds. May require exposure to communicable diseases and/or body fluids.
Personal
Protective
Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the
Agency of
Health
Care
Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster. Cleveland Clinic is pleased to be an equal employment opportunity employer. We know that fully supporting our caregivers is what creates the best outcomes for our patients. Our outstanding, comprehensive offerings are an investment in your health, well-being and future. What began in Cleveland in 1921 has grown to include locations throughout, the U.S. and even other countries. For you, that means more opportunities to learn, grow and serve patients — while finding caring, thriving communities both at work and at home. Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Headquartered in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. Among Cleveland Clinic’s 70,800 employees worldwide represent 140 medical specialties and subspecialties. Cleveland Clinic is a 6,500-bed health system that includes a 173-acre main campus near downtown Cleveland, 19 hospitals, more than 220 outpatient facilities, and locations in southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England.
