Cincinnati Children's Hospital Medical Center - Advanced Practice Nursing Careers

Advanced Practice Nursing Jobs
at Cincinnati Children's Hospital Medical Center

Full Job Title: NURSE PRACTITIONER - CRITICAL CARE (PICU)

Job Number: 92875

Location: Cincinnati, OH

Date Posted: 7-13-2017



DEPARTMENT: Advanced Practice Nursing

SUPERVISOR'S TITLE: Clinical Director, Business Director, Department Director

COLLABORATIVE RELATIONSHIPS: All members of the interdisciplinary healthcare team

TITLES SUPERVISED: N/A

TOTAL NUMBER OF FTEs DIRECTLY SUPERVISED: 0

TOTAL NUMBER OF FTEs INDIRECTLY SUPERVISED: 0

PURPOSE OF POSITION: To work collaboratively with families and a multidisciplinary health team in an inpatient hospital-based critical care specialty unit with 24/7 coverage including night, overnight, weekend, and or holidays to provide acute/chronic health care to pediatric patients, including clinical management for a critical care population of a Medical Center dedicated to the care of infants, children, adolescents and some adult patients. Procedurally based and high acuity patients. Provide leadership through education, consultation and research.

Responsibilities
·Compliance - Patient Services Staff
Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in Compliance efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Be mindful and judicious in monitoring safety and departmental policies and procedures. Ensure all individual certifications and Safety College requirements are fulfilled in a timely basis. Work with department managers, nurse council and magnet representatives to identify and share safety best practices. Be mindful of CCHMCs processes and compliance with CMS standards and freely communicate safety and compliance concerns to leadership team members.
·Interprofessional Practice:
Demonstrates consistent integration of the Interprofessional Practice Model (IPM) in all aspects of practice.
·Patient Care - Age Specific and Culturally Diverse
Consistently integrates age specific and culturally diverse concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning.
·Assessment and Diagnosis
Collects & documents comprehensive data in a systematic & ongoing process pertinent to the patient's health or situation, involving the patient/family/caregiver when appropriate; Initiates & interprets age-appropriate & condition-specific laboratory tests & diagnostic procedures; Analyzes & prioritizes complex data to determine the differential diagnoses & revises diagnoses as appropriate to initiate the plan of care; Assessment & diagnoses derived are developmentally appropriate & specific to areas of growth & development, age, cultural sensitivity, & family dynamics.
·Outcomes Identification and Planning
Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation & updates accordingly outcomes, goals & the plan of care.
·Care Management, Education, and Treatment
Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
·Prescriptive Authority
Prescribes appropriate pharmacologic/non-pharmacological agents & interventions that are both universal & unique to the patient, & monitors/evaluates effects.
·Evaluation
Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.
·Professional Practice
Participates in quality improvement activities or research to improve the care delivery process & patient care outcomes; Uses & communicates results to initiate change in practice; Uses creativity, new knowledge, & innovation to improve care; Takes action to achieve goals identified during performance appraisal & peer review, resulting in changes in practice & role performance; Participates in lifelong learning that improves skills & competence in clinical practice/role performance; Serves as preceptor, role model, or mentor; Contributes to the professional development of peers/colleagues to improve pediatric health care & to foster the profession's growth; Integrates ethical considerations & research findings into practice; Provides leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocates for the pediatric patient/family/caregiver; Serves as a leader, influencing both healthcare/APRN practice & policy.

Skills & Competencies
·Diversity Appreciation
Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas; appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself
·Communication - Advanced
Excellent verbal, written and interpersonal communication skills.
·Clinical Care Skills
Skill in physical assessment, diagnosis, well-child care, and management of illness
·Development
Knowledge of growth and development
·Family-Centered Care
Understands and supports family-centered care
·Clinical Knowledge - Specialty
Professional knowledge and clinical ability sufficient to provide evaluation and treatment of complex patients in one or more specialty areas
·Other
Demonstrate skill in leadership, consultation, research and teaching
·Specialty Knowledge
Knowledge of pathophysiology and pharmacology

Required:
·Master's Degree in Nursing AND Current license to practice nursing in the State of Ohio
·Certification as an advanced practice nurse appropriate to meet requirements of Nurse Practitioner position Acute Care PNP required AND Certificate to prescribe as applicable
·Minimum 2 years pediatric nursing experience with emphasis in area of specialty

Preferred: Highly prefer that candidate has PICU experience

APRN Career Opportunities at Cincinnati Children's

Cincinnati Children's Hospital Medical Center – Cincinnati, Ohio

At Cincinnati Children's Hospital Medical Center (CCHMC), our vision is to be the leader in improving child health. We are dedicated to improving child health and transforming delivery of care through fully integrated, globally recognized research, education and innovation.

CCHMC PICU is a 35-bed state- of- the art pediatric intensive care unit with planned expansion to 48 beds. Our current model is a two team approach with 1 APRN per rounding team and a Resource APRN. Resource role varies with the chief responsibilities of MRT response, admissions and ED evaluations.

PURPOSE OF POSITION: To work collaboratively with families and a multidisciplinary health team in an inpatient hospital-based critical care specialty unit with 24/7 coverage including night, overnight, weekend, and or holidays to provide acute/chronic health care to pediatric patients, including clinical management for a critical care population of a Medical Center dedicated to the care of infants, children, adolescents and some adult patients.

QUALIFICATIONS:Skills & Competencies

The role of the APRN in the PICU includes but is not limited to the following:

· History & Physical Examinations

· Ordering an Interpreting Radiology, Laboratory, & other Diagnostic Tests

· Diagnosing & Treating

· Evaluating Outcomes

· Care Coordination & Management including all forms of organ system failure – respiratory, cardiovascular, neurologic, hepatic, renal, & hematologic failure

· Prescribing Medications, Ordering Devices, & Therapies

· ICU Procedures

· Making Consultations & Referrals

· Research

· Providing Education to Patients, Families/Caregivers & Staff

REQUIRED:

Master's Degree in Nursing and current license to practice nursing in the State of Ohio

Certification as an advanced practice nurse appropriate to meet requirements of Nurse Practitioner position Acute Care PNP required

Minimum 2 years pediatric nursing experience with emphasis in area of specialty

Cincinnati Children’s is an Equal Opportunity Employer. Qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, age, genetic information, physical or mental disability, military or veteran status, sexual orientation, gender identity/expression, or other protected status in accordance with applicable federal, state, and local laws and regulations. If you would like more information about equal employment opportunity (EEO) rights as an applicant under the law, please click here

Cincinnati Children’s will not discriminate against applicants and employee for inquiring about, discussing or disclosing their pay or, in certain circumstances, the pay of their co-workers. If you would like more information about the Pay Transparency Nondiscrimination Provision, please click here