ROLE DESCRIPTION: The advanced practice provider (APP) in this position will work collaboratively with families and a multidisciplinary health team in medical or surgical subspecialty. They are responsible for providing service line coverage and patient management for an acute inpatient service. This APP Team provides 24/7 coverage including days, nights, weekends (day and night) and holiday hours required. Potential for call coverage.
This position is on the GI Lumen service which provides care for pediatric patients with acute pancreatitis, inflammatory bowel disease, intestinal failure, motility disorders, failure to thrive, feeding intolerance, chronic constipation, short gut syndrome, etc. The role includes both medical and pre/post-surgical care including multi-system problems for this patient population.
Schedule Details: This role is a 0.8 FTE (average of 32 hours per week). Schedule will be primarily 12 hour shifts. Shifts include daytime (6am to 6pm) and nights (6pm to 6am). Currently minium of 2 weekend night shifts per month (Friday and Saturday night).
Rotating schedule, up to 60% nights.
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.
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/APP practice & policy.
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.
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
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.
Nurse practitioner applicants must have minimum 2 years pediatric RN experience AND either:
Pediatric acute care certification OR
Family or pediatric primary care certification with extensive critical care or transplant experience
Physician Assistant applicants must:
Have current License to Practice as a PA in the State of Ohio
Be certified with NCCPA and have maintainedcertification
Multi-state licensure in addition to Ohio licensure may be required base on subspecialty
At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a 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.