Pediatric Acute Care Nurse Practitioner

2 weeks ago

Cleveland, Ohio, United States Cleveland Clinic Full time

Cleveland Clinic's Pediatric Institute is 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-hour 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.

Job Responsibilities:

  • Conducts thorough medical histories, performs complete physical examinations, 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 through 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.

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