Acute Care Pediatric Nurse Practitioner CICU
Cincinnati Children's Hospital Medical Center

Job Description

At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.

Cincinnati Children's Hospital Has Been Named:

• Consistently recognized by U.S. News & World Report as a top 10 children's hospital in the nation
• One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
• A Top Hospital and Health System for Diversity recognized by DiversityInc
• One of the nation's most innovative companies by Fortune in March 2023
• An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)

Department/Unit: CICU Nurse Practitioner, Acute Care Certification

Hours/Shift: Full Time - 36 hours/week, Day/Night Shift

Benefit Eligibility: Full Time Benefits Eligible

Expected Starting Salary: $54.90 -$68.02

At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.

Cincinnati Children's Hospital Has Been Named once again U.S. News & World Report's Best Children's Hospitals Honor Roll.

Additional Awards and Recognitions:

On Forbes Magazine 2023 list of America's Best Employers for Diversity

On Forbes Magazine 2023 list of America's Best Large Employers

Great Place to Work™ Certified in 2023

An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)

Advanced Practice Providers (APPs) at Cincinnati Children's are recognized as a vital part of our healthcare delivery team. Our APPs bring a passion for improving the lives of our patients and their families through leadership, creativity, and innovation driving exceptional care, research, quality, and process improvement. Cincinnati Children's employs over 650 advanced practice providers with the number growing yearly because of their numerous respected contributions driving the mission of the institution, changing the outcomes for every patient and family.

The Heart Institute is the home of the Midwest's first comprehensive Cardiac Intensive Care Unit (CICU). We provide state-of-the-art care for complex medical and surgical patients, from newborns to adults. Our CICU has three dual-boarded (pediatric cardiology and critical care medicine) and five advanced fellowship trained Cardiac ICU physicians to ensure the best possible outcome for your child.

Care Services

The CICU team offers a wide range of expert care:

Neonatal diagnosis and stabilization

Postoperative surgical care

Care following complex catheter interventions and hybrid procedures.

Management of complex arrhythmias

Care of pre- and post-operative cardiac transplant patients

Management of pulmonary hypertension, heart failure and cardiomyopathy

Care of patients with heart disease who require intensive care for non-cardiac diseases or surgeries.

Care of patients requiring mechanical heart assist, such as extracorporeal membrane oxygenation (ECMO) or ventricular assist devices (Berlin Heart, HeartMate II, SynCardia TAH and others)

Our 34-bed CICU is a national leader in safety (procedure time-out) and improvement initiatives (situation awareness and OR to ICU handoff). We have one of the lowest rates of bloodstream infections and catheter-associated urinary tract infections in the nation.

Market Leading Benefits Including:

Shift Differential & Weekend Differential

Medical coverage starting day 1 of employment.

View employee benefits here: https://www.cincinnatichildrens.org/careers/benefits

Pension plan and optional 403(b) supplemental retirement plans

Tuition reimbursement for continuing education

Expansive employee discount programs through our many community partners

Referral bonus program for current staff!

Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group

Physical and mental health wellness programs

Relocation assistance packages available

SUBFUNCTION DEFINITION: Advanced Practice Providers (APPs) are Advanced Practice Registered Nurse (APRN), Physician Assistant (PA), Nurse Anesthetist (CRNA), Clinical Nurse Specialist (CNS) or Certified Nurse Midwife (CNM) providing clinical services including diagnosis of illness, development and management of treatment plans, prescription of medication. APPs may see patients independently or as part of the health care team.

Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD.

REPRESENTATIVE RESPONSIBILITIES

•Patient Care

Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document, and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consultations. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills, and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.

•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 are not achieved. Maintains documentation & updates according to outcomes, goals & the plan of care.

•Professional Practice

Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes. Participate in lifelong learning and professional development activities that improve skills & competence in clinical practice/role performance. Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the profession's growth. Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocate for the pediatric patient/family/caregiver. Serve as a leader, influencing both healthcare/APP practice & policy.

•Care Management

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.

•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.

Required:

• Masters degree in related field. May require clinical license, certification or training OR Doctorate of Nursing Practice degree, Acute Care Certification

• Licensure and certification in accordance with CCHMC Delineation of Privileges.

• Multi-state licensure in addition to Ohio licensure may be required base on subspecialty

Preferred:

• Experience as an APP in subspecialty

JOB RESPONSIBILITIES

• Patient Care - Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consults. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
  
• 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.
  
• Professional Practice - Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes. Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance. Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth. Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocate for the pediatric patient/family/caregiver. Serve as a leader, influencing both healthcare/APRN practice & policy.
  
• Care Management - 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.
  
• 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.
  

Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD

JOB QUALIFICATIONS

• Masters degree in related field. May require clinical license, certification or training OR Doctorate of Nursing Practice degree
  
• No directly related experience
  
• Licensure and certification in accordance with CCHMC Delineation of Privileges
  
• Multi-state licensure in addition to Ohio licensure may be required base on subspecialty
  

Market Leading Benefits Including*:

• Shift Differential, Weekend Differential, and Weekend Option Pay Programs
  
• Medical coverage starting day 1 of employment. View employee benefits here.
  
• Competitive retirement plans
  
• Tuition reimbursement for continuing education
  
• Expansive employee discount programs through our many community partners
  
• Referral bonus program for current staff!
  
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
  
• Physical and mental health wellness programs
  
• Relocation assistance packages available for nurses!
  

*Benefits may vary based on FTE Status and Position Type

Primary Location
Burnet Campus

Schedule
Full time

Shift
Rotating (United States of America)

Department
APP - Heart Institute

Employee Status
Regular

FTE
1

Weekly Hours
40

Salary Range
$111,155.20 - $142,043.20

Comprehensive job description provided upon request.

Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/AA/M/F/Veteran/Disability.

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