Advanced Practice Provider - Christiana Care NICU

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A Brief Overview

We are seeking an Advanced Practice Provider (APP) to join our dynamic Neonatal Intensive Care Unit (NICU) team out of ChristianaCare Hospital. The APP will provide comprehensive, family-centered care to critically ill and premature newborns in a high-acuity, Level III NICU setting. In collaboration with neonatologists, nurses, and a multidisciplinary team, the APP will perform advanced clinical assessments, initiate and manage treatment plans, and contribute to ongoing quality improvement and clinical excellence.

In collaboration with an attending physician, the Hospital Provider Nurse Practitioner/Physician Assistant is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. 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 NP/PA in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the Hospital Provider NP/PA may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off-shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment.

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 Qualifications

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

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 variousclinical 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

• Registered Nurse (Delaware) - Delaware State Licensing Board - upon hire - Required or

• Certified Registered Nurse Practitioner (CRNP) (Delaware) - Delaware State Licensing Board - upon hire - Required and

• Prescriptive Authority (Delaware) - Delaware State Licensing Board - within 3 months - Required or

• Specialty Certification - in area of education/subspecialty. Required certification must match scope of practice for that practice area. - upon hire - Required

Licenses and Certifications

• Certified Physician Assistant (PA-C) (Delaware) - Delaware State Licensing Board - upon hire - Required or

• Certified Physician Assistant (PA-C) - National Commission on Certification of Physician Assistants - upon hire - Required

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. Learn more.

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Children's Hospital of Philadelphia (CHOP) is the nation’s first hospital devoted exclusively to the care of children. Since its start in 1855, CHOP has been the birthplace of breakthroughs and dramatic firsts in pediatric medicine.

Built on a foundation of delivering safe, high-quality, family-centered care, the hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children’s lives. Families facing complex conditions come from around the world to find the compassion, care and innovation which have repeatedly earned CHOP a spot on U.S. News & World Report’s Honor Roll of the nation’s best children’s hospitals.

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