Advanced Practice Registered Nurses / Physician Assistants
JOB TITLE: Nurse Practitioner/Physician Assistant
LOCATION: Geisinger Medical Center
DEPARTMENT: Pediatric Critical Care
WORK SCHEDULE: Rotation
WORK TYPE: FULL TIME
The primary role is to support the Pediatric Critical Care (PCC) Service at Janet Weis Children’s Hospital (JWCH). In collaboration and under the supervision of the attending physician, the Pediatric Critical Care Nurse Practitioner/Physician Assistant aids in establishing a diagnosis and therapeutic plan of care for the critically ill children in the PICU.
Performs duties to support the goals and objectives of Geisinger in its efforts to provide quality patient care and patient satisfaction.
The Nurse Practitioner reports clinically and administratively to the Medical Director of the PICU.
The Physician Assistant administratively reports to the Vice President of the Institute. Remains active in multiple academic pursuits within the realm of pediatric critical care medicine. This includes but is not limited to quality initiatives, research, innovation and new technology evaluation.
MAJOR DUTIES AND RESPONSIBILITIES:
A. Clinical 1. Performs history and physical examination required for admission, daily care, transfer and discharge of children in the PICU.
2. The PCC attending will direct daily care rounds. The Nurse Practitioner/Physician Assistant will work collaboratively with all members of the PICU team (attendings, residents, bedside RNs, specialists, allied health professionals) during daily rounds to help develop and implement care plans. A daily set of patient goals will be generated during rounds and the NP/PA will be instrumental in achieving or appropriately adjusting these goals throughout the day.
3. Under the guidance of the PCC attending, the PCC NP/PA will review ongoing physical examination findings, monitoring data, diagnostic tests, and radiographic studies. After analysis and synthesis of aforementioned data, the NP will make appropriate changes in the medical/nursing care plan.
4. Offers communication of the medical plan, any subsequent updates and/or changes to the child’s family, PCP and Specialists.
5. Performs daily documentation and completion of the electronic medical record; including maintaining up to date immunizations, allergies, problem lists and other health maintenance records.
6. Performs and maintains competencies of the following procedures; endotracheal intubation, central venous and arterial lines, lumbar puncture, arterial/venous puncture and insertion of chest tubes.
7. Assists in cardiopulmonary resuscitation using accepted PALS guidelines.
8. Under attending guidance, helps facilitate interhospital transport.
9. Provides ventilator/respiratory management with guidance from PCC attending and respiratory therapy.
10. Assists residents and nursing personnel with procedures, care plans, and tasks as needed.
11. Prepares children for intrahospital transfer. Communicates potential for patient transfer with residents, physician extenders and nurse leadership.
12. Available for periodic on-call overnight shifts and weekend shifts (2 per every month) and be available to work off shifts as needed
13. Participates in outreach to community private physicians by providing follow up for their children admitted to the pediatric ICU.
14. Is an active participant in the care of children in the Home Ventilation Program. This includes but is not limited to: Updating immunization record and other health maintenance records, develops and executes discharge plans and arranges for outpatient follow up (in collaboration with the physician, social worker, and case manager).
15. Available to assist in the management of pediatric emergencies that occur outside the PICU (OR, ED, clinic, inpatient wards).
16. Remains active as a subspecialty liaison. This includes but is not limited to pediatric surgery and trauma, pediatric CVTS and other pediatric subspecialties
17. Develops and execute the discharge plan for patients in collaboration with the physician, social worker and case manager.
18. Performs post discharge medical management with home care needs.
19. Performs inpatient rounds (including two weekends per month).
B. Operational Accountability
1. Programmatic supervision and medical education of PCC NP will be provided by the PCC medical director.
2. Maintains proper communication between residents and residency director.
3. Maintains proper communication between physicians, nurse leadership, charge nurses, physician extenders and family centered care advocate regarding new or ongoing patient concerns.
1. Completes Pediatric Critical Care Advanced Practioner curriculum over 1st year of employment
2. Maintains appropriate levels of continuing medical education.
3. Keeps current with unit and organizational communications.
4. Participates in staff, resident, and nursing education and training.
5. Participates in formal educational activities. These include but are not limited to PALS, Pediatric Critical Care Clinical Conference and Nursing CME lectures.
6. Is active in meaningful clinical research as evidenced by publications and/or national presentations.
7. Serves as mentor and role model to students, physician extenders and nursing staff through teaching, supervision and excellence in patient care.
D. Teamwork 1. Excels in developing team momentum, enthusiasm and pride. Participates in clinical work groups.
2. Performs other duties as required or assigned by emergency or other operational reasons for which the employee is qualified to perform.
SPECIFIC POSITION DUTIES:
COMPETENCIES AND SKILLS:
1. Demonstrates the ability to communicate in a timely, professional and respectful manner with all members of the health care team.
2. Demonstrates strong decision making skills.
3. Demonstrates a positive and caring attitude when dealing with children, families and members of the health care team.
4. Demonstrates flexibility in work schedule.
EDUCATION AND/OR EXPERIENCE:
The successful Nurse Practitioner candidate will work in collaboration with the physician and have a certificate of completion from an approved program for Nurse Practitioners or be eligible to hold national certification. Must be eligible for licensure as a nurse practitioner in the state of PA
The successful Physician Assistant candidate will work under the responsibility and supervision of the physician and require completion of an ARC-PA (or predecessor organization) approved physician assistant program, current NCCPA certification or eligibility and Pennsylvania State licensure.
American Heart Association - BLS certified/PALS certified or eligible for certification required.
Opportunity to learn the use of bedside ultrasonography in critical illness will be provided.
Opportunity for ATLS certification will be provided. Certification is strongly desired.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER MEDICAL CENTER: (GMC), located Danville, Pa., the largest tertiary/quaternary care teaching hospital in the region, is licensed for 475 beds, including 89 pediatric beds in the Janet Weis Children’s Hospital. GMC, a Magnet Hospital, maintains the region’s only Level 1 Regional Resource Trauma Center with additional qualifications in pediatrics. GMC offers an array of highly specialized medical and surgical services, including neurosciences, cardiovascular services, transplantation, women’s health (in the Women’s Pavilion), oncology and orthopaedics. The Hospital for Advanced Medicine serves as an integrated center for the most critical patients. Outpatient services are available on and off campus.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.