Nurse Practitioner / Physician Assistant - Inpatient ICU Flex Team

About the role

SHIFT: Rotating (United States of America)

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

CHOP is hiring for a full-time experienced Nurse Practitioner or Physician Assistant to work on our Inpatient ICU Flex Team at Main Hospital. In collaboration with an attending physician, the Nurse Practitioner and Physician Assistant, is responsible for the direct care and follow-up of at least two populations of patients that matches his/her delineation of privileges and skill set.

This role requires at least one year of APP experience in the inpatient hospital setting. The Flex APP will be oriented and credentialed to at least two, but no more than four, different inpatient units and provide direct care and follow up to those patients. These inpatient units will include the PICU, CICU, Surgical NICU, and Medical NICU. This care is delivered in defined inpatient and hospital-outpatient areas.

The components of the role include clinical practice, consultation, professional development, education, and research. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients and may be required to utilize invasive interventions and procedures to promote physiologic stability as per their delineation of privileges.

The role will also include off-shift responsibility which may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment.

The role will also include off-shift responsibility. The off-shift rotation schedule may include days, evenings, nights, and weekends will be determined by the clinical needs of the practice environment.

The ideal candidate will have

• At least 1 year of experience practicing as a Physician Assistant or Nurse Practitioner required
• At least 1 to 2 years of experience working in an ICU clinical setting preferred
• For new graduate APPs: complete CHOP's APP Clinical Immersion Program -

What you will do

• Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care.
• Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process.
• Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions.
• Manages the plan of care through evaluation, modification and documentation according to the patient's response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes.
• Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness.
• Facilitates the patient's transitions between and within health care settings.
• Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members.
• Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers.
• Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice.

Education

• Master's Degree Nursing - Required

Or

• Bachelor's Degree Physician Assistant - Required
• Master's Degree Physician Assistant - Preferred

Skills and Abilities

• Ability to work in an inter-professional team setting with multiple responsibilities.
• Ability to use computer and electronic medical records effectively.
• Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role.
• Computer Competency
• Basic use of a computer (mouse, keyboard, printer, USB ports).
• Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).
• Web browsing, intranet search, document access.
• Use of shared network file space.
• Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors).
• Navigation and use of clinical communication systems.
• Information Literacy
• Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
• Accesses needed information effectively and efficiently.
• Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
• Evaluates outcomes of the use of information.
• Information Management Literacy
• Navigation of the electronic health record system.
• Ability to locate and review specific patient data in various clinical information systems.
• Effectively uses clinical decision support tools.
• Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.
• Ability to collect clinical data using quality improvement tools.

Licenses and Certifications

• Prescriptive Authority - Pennsylvania State Licensing Board - Required within 3 months of hire
• Specialty Certification - in area of education/subspecialty. Required certification must match scope of practice for that practice area. Required upon hire
• Registered Nurse - Pennsylvania State Licensing Board - Required upon hire

OR

• Certified Physician Assistant (PA-C) - Pennsylvania State Licensing Board - Required upon hire
• Certified Physician Assistant (PA-C) - National Commission on Certification of Physician Assistants - Required upon hire
• Certified Registered Nurse Practitioner (CRNP) - Pennsylvania State Licensing Board - Required upon hire

Additional information

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine.

Salary Range

$117,900.00 - $156,300.00 Annually

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

This job is eligible for an incentive program.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.