12 Sep 2017

Full-Time Pediatric Nurse Practitioner- Critical Care

Orlando Health- Arnold Palmer Hospital for Children – Posted by jquiltyAnywhere

NOTE: This job listing has expired and may no longer be relevant!

Job Description

In search of a new Acute Care Peds NP graduate or experienced Peds NP with critical care experience. Two positions available. One is a day shift (three 12 hour day shifts and one weekend per month) and one is a varied shift (one 12 hour day shift, two 12 hour swing shifts and one weekend per month)-

To become a vital member of the intensive care team under the supervision of the ICU physician

Essential Functions

• Possess specialized skill and knowledge unique to the ICU setting in which they practice (Medical, Surgical, Neurosurgical, Cardiovascular, etc)

• Provides direct clinical services for critically ill patients according to established protocols and utilizes evidence-based clinical practice standards.

• Obtains comprehensive and focused history and physician exam on critically ill patients

• Responsible for evaluating critically ill complex (multi-organ failure) patients in the ICU and step down units by synthesizing data, physical exam and pertinent medical history to assess clinical scenario and prescribe appropriate interventions and medications.

• Uses clinical judgment and evidence based medicine to order and schedule appropriate laboratory and radiographic studies.

• Works with supervising physician to determine and place appropriate specialty consultations.

• Evaluates critically ill patients in the ICU and step down units by synthesizing data, physical exam and pertinent medical history to assess clinical scenario and prescribe appropriate interventions and medications.

• Works in collaboration with supervising and consulting physicians to formulate and implement plan for management of critical ill patients.

• Performs complex procedures in the diagnosis and treatment of medical and surgical problems (including but not limited to: Central venous catheter placement, arterial catheter placement, chest tube placement, lumbar puncture, thoracentesis, paracentesis, endotracheal intubation, therapeutic bronchoscopy –i.e removal of secretions and BAL.)

• Performs advanced cardiac life support. In a medical emergency, the nurse practitioner will act on behalf of the supervising medical staff member to maintain life support until a licensed physician arrives to manage the patient.

• Removes catheters, drains, sutures and staples.

• Interprets arterial blood gas report and appropriate management of invasive and noninvasive modes of mechanical ventilation.

• Assesses need for vasoactive medication and places appropriate order sets and titration parameters.

• Interpretation of invasive and noninvasive hemodynamic monitoring, waveforms and EKG and institutes appropriate interventions.

• Interprets radiographic tests, including but not limited to CT scan, MRI and X-rays.

• Operates with the highest degree of independence in provision of patient care services with minimal physician supervision and generally in a highly specialized area

• Performs emergent lifesaving procedures in cases such cardiac arrest, respiratory arrest, massive hemorrhage, or similar catastrophe.

• Performs preliminary daily rounds independently and daily multidisciplinary rounds (i.e., attending physicians, fellows, pharmacist, dietician, respiratory therapist)

• Assesses patient for changes in status and capable of instituting appropriate interventions in sub-acute, acute and emergent situations.

• Notifies attending physician about unusual or unexpected events or problems requiring direct physician consultation.

• Initiates necessary emergent interventions to stabilize acutely deteriorating patients.

• Prescribes medication using evidence based medicine, clinical judgment and plan of care as discussed in rounds as agent for supervision physician.

• Writes and/or dictates concise thorough patient progress notes, consult notes, history and physical notes and clinical resumes.

• Documents the preparation, procedure, outcome and complications of therapeutic and diagnostic procedures performed.

• Explains the necessity, preparation, nature and anticipated effects of procedures or tests to patients, patient’s family and staff.

• Provides family-centered care by communicating with family regarding the changing health care status of their family member.

• Provides family education as needed and works to answer or address family’s questions or concerns.

• Assesses family adaptation, coping skills and need for crisis or other intervention.

• Utilizes current research and evidence based medicine approach in all clinical practice.

• Supports IRB approved clinical research/trials through a variety of activities including but not limited to: ordering diagnostic tests, prescreening patients, recording laboratory and diagnostic results, administering therapeutic interventions per trial protocols and documenting outcomes per hospital and trial protocols.

• Remains in compliance with national accreditation and state licensure

• Participates and supports accreditation, compliance, policies, procedures and regulatory activities.

• Embodies professionalism through conduct, appearance, communication, mutual respect, ethical decision making and leadership skills.

• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education.

• Contributes to excellence in patient care, research, teaching and consulting.

• Provides appropriate patient and family education.

Salary to be determined based on experience

How to Apply


Job Categories: Nurse Practitioner. Job Types: Full-Time.

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