We re searching for a Nurse Practitioner Acute to provide comprehensive care for the pediatric transplant patients within the specialty area through direct medical/nursing care in collaboration with the physician. This includes: health promotion, health supervision, illness prevention, diagnosis, treatment and management of various health problems and conditions. Clinical management of the pediatric patient, will be performed in both the inpatient and outpatient settings at Children's Hospital and University of Nebraska Medical Center. Inpatient care includes rounding on patients, being a care consultant, coordination of discharge follow-up, and care conference attendance. Outpatient care includes detailed history taking, assessments, medication management, attending care conferences, telephone triage, care planning, patient and family education, and monitoring of lab results. The APRN/NP is a clinical expert, mentor and educator, leader, collaborator, and researcher. Schedule and call responsibilities vary according to area and needs of the department.
- In collaboration with physician(s), assesses patient, synthesizes and analyzes data, orders diagnostic tests and therapeutic treatments, and evaluates clinical outcomes.
- Completes an accurate assessment (history and physical examination) of the pediatric patient.
- Syntheses and analyzes data obtained through assessment to develop a comprehensive plan of care that is individualized and reflects patient care needs and includes interventions and treatments to attain expected outcomes.
- Implements plan with appropriate medical orders utilizing CPOE (computerized provider order entry)
- Uses jointly approved protocols appropriately, if required.
- Evaluates and revises plan as indicated by changes in patient condition or needs.
- Communicates medical plan to caregivers, staff members and physicians.
- Demonstrates proper use of laboratory and radiologic studies to assist in diagnosis and interprets results correctly.
- Demonstrates understanding of caregiver dynamics involved in the ill pediatric patient.
- Utilizes the nursing process to meet the development and psychosocial needs of the pediatric patient/caregiver.
- Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals.
- Uses sound medical/clinical judgment during care for the pediatric patient.
- Consults/collaborates with physicians as indicated.
- Uses jointly approved protocols to guide decision making, if required.
- Stays within Scope of Practice.
- Documents assessments, plan of care, interventions and patient response to treatment.
- Assumes leadership role to establish and monitor standards of practice to improve patient care including recommending ways to improve clinical practice, participation in related educational activities, utilizes and/or participates in research, participation in professional organizations and performance improvement teams, and incorporation of new clinical information into practice.
- Serves as a role model for staff by facilitating, supporting, mentoring, taking initiative, and practicing proactive problem solving.
- Serves as a reliable and visible resource for staff.
- Conducts or utilizes research and new clinical information to recommend ways to improve clinical practice.
- Participates in educational activities and networking related to practice.
- Seeks experiences and learning opportunities related to practice.
- Participates in professional organizations.
- Serves on Performance Improvement teams as needed.
- Assures that clinical practice meets national standards of pediatric healthcare.
- Coordinates project or program development and effective implementation.
- Prescribes therapeutic measures and medications according to the State of Nebraska APRN/NP Statutes.
- Orders and/or administers medication according to Children s Hospital & Medical Center policy.
- Utilizes e-prescribing when ordering outpatient medications, including controlled substances.
- Performs select (as identified by the clinical service chief) invasive procedures, according to the APRN-NP Scope of Service, according to Children s Hospital policy.
- Follows medical staff policy/guidelines for obtaining and maintaining privileges (CHMC & Nebraska Medicine)
- Appropriately documents procedures according to Children s Hospital Policy/ Procedure.
- Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed.
- Maintains practice agreement with service of specialty, and practices within framework of respective scope of practice.
- Must be knowledgeable in billing regulation practices to include documentation requirements/CPT coding regulations.
- Knowledge of physical, mental, developmental, emotional and social needs of the neonate, infant, toddler, pre-school, school age and adolescent patients
- Maintains current knowledge and skill level in field through reading appropriate journals, networking, and attendance at conferences or seminars.
- Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.
- Strong interpersonal and communication skills with the ability to work effectively with multiple disciplines.
- Ability to be self-directed, with minimum supervision, and detail oriented.
- Education as required by Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by ARPN licensure in the State of Nebraska.
- 3 years APP experience preferred.
- Current and valid unrestricted Nebraska state licensure (e.g., APRN, PA, RN,) required
- Current and valid Basic Life Support (BLS) through the American Heart Association is required.
- Current and valid Pediatric Advanced Life support (PALS) required, within 6 months of hire.
- Maintain active Federal DEA license required within 30 days of hire.
- Current and valid nationally recognized APP board certification required
- Current and valid nationally recognized pediatric nurse practitioner acute care certification is required
Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed.
Children's Hospital & Medical Center - Omaha