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Job Title

Nurse Practitioner (Acute Care), Physician Assistant or Clinical Nurse Specialist–Pediatric Cardiac Intensive Care Unit (PCICU) III

                        

Location

Cleveland

                    

Facility

Cleveland Clinic Main Campus

                     

Department

                      

Job Code

T98102

                     

Shift

Day/Night Rotation

                       

Schedule

6:00am-6:00pm/6:00pm-6:00am

                       

Job Summary

Cleveland Clinic's Pediatric Institute is currently 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 hours 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.

APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practices with a variety of specialty-based populations including neonatal, pediatric, and adult. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care.

PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care (the practice of medicine) in a variety of healthcare settings. Functions with the collaboration agreement of a Physician, (as per O.R.C. 4730). Performs complete histories and physicals on patients of all ages to establish and record patient's current health status. Develops a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients within any setting in which patients have complex, acute, critical and chronic health conditions. Practices in any setting in which patients require complex monitoring and therapies and high intensity medical/surgical interventions and/or continuous vigilance within the range of high-acuity care.

                         

Job Details

Job Responsibilities:

• Conducts thorough medical histories, performs complete physical examinations (where indicated), 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 thru 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.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster. 

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities