Nurse Practitioner - Medical Neonatal Intensive Care Unit

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A Brief Overview

The Newborn/Infant Intensive Care Unit (N/IICU) at Children's Hospital of Philadelphia is a100- bed Level IV unit with significant growth planned in the coming years.For more than 50 years, we've cared for critically ill babies with all types of conditions and congenital malformations using the latest technology and advances in neonatal medicine.

We provide care for neonates who need acute medical care, including multidisciplinary evaluations, complex surgical intervention, ECMO and special low-dose radiologic imaging.

The medical staff is organized into teams, led by a senior neonatologist. Fellows, neonatal nurse practitioners, physician assistants, and pediatric residents work with the neonatologists on each team to provide care for 12-18 babies. CHOP N/IICU APPs also have the opportunity to practice at our level III NICU at our King of Prussia and at the Hospital of the University of Pennsylvania.

About the Newborn/Infant Intensive Care Unit (N/IICU) | Children's Hospital of Philadelphia (chop.edu)

In collaboration with an attending physician, the Nurse Practitioner 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 NPs 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 NP 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.

We also offer a Nocturnist role with this team at a higher salary.

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

• 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 (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or
• Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required and
• Certified Registered Nurse Practitioner (CRNP) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or
• Advanced Practice Nurse (APN) (New Jersey) - New Jersey State Licensing Board - upon hire - Required and
• Prescriptive Authority (Pennsylvania) - Pennsylvania State Licensing Board - within 3 months - Required or
• Prescriptive Authority (New Jersey) - New Jersey State Licensing Board - within 3 months - Required and
• Specialty Certification - in area of education/subspecialty. Required certification must match scope of practice for that practice area. - 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 be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.

Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.

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