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Job Title

Advanced Practice Provider (Peds Acute Care NP/PA) - PICU III Nights

Location

Cleveland

Facility

Cleveland Clinic Main Campus

Department

Peds Cardiology-Children's Institute

Job Code

T98101

Shift

Rotating Shifts

Schedule

6:00am-6:30pm/6:00pm-6:30am

Job Summary

Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs.

Job Details

Cleveland Clinic's Pediatric Institute is currently seeking an experienced Nurse Practitioner (Pediatric Acute care certified) for a full-time NIGHTS position with Pediatric Critical Care. The hired APRN will care for critically ill patients within the Pediatric Intensive Care Unit.

Common patient populations and diagnoses include post operative orthopedic & neurosurgery patients, acute respiratory failure/ARDS requiring mechanical ventilation, bronchiolitis, status asthmaticus, status epilepticus, Diabetic Ketoacidosis, sepsis with need for vasoactive support, PNA, neuromuscular disease, AKI with need for CRRT, acute syndromes associated with neoplastic disease, solid organ transplant, VA/VV ECMO and hepatic failure.

The PCCM Nurse Practitioner performs a comprehensive history and physical exam on patients presenting for care, develops a thorough differential diagnoses for acute and chronic conditions, and formulates an evidence-based plan of care. The PCCM Nurse practitioner provides family and patient centered care with the goal of continuity and consistency amongst all Advanced Practice Providers working within the PCCM department.

Excellent communication and critical thinking skills are required. Previous PICU experience is preferred for this position, however new graduates with strong ICU experience are welcome to apply.

Pediatric Acute Care certification is required.

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 to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
Educates patients and answers questions 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.
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.
Supports professional development of the health care team.
Promotes translation of evidence-based practices, guidelines, and research.
May conduct research studies. May assists in data collection and analysis.
May serve as clinical preceptor for students. May onboard new caregivers.
Other duties as assigned.

Education:

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.

Languages:

Oral and written communication in English

Certifications:

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 American Heart Association (AHA) or American Red Cross required.
Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA) or American Red Cross or ALS through American Red Cross or ALS through American Red Cross; 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.

Complexity of Work:

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.
Demonstrates a high standard of moral and ethical behavior.
Demonstrates compassion and professionalism and a commitment to excellent patient care.
Requires critical thinking skills, decisive judgement, and the ability to work independently.
Must be able to work in a stressful environment and take appropriate action.

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.

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