Nurse Practitioner or Physician Assistant

About the Role

The Nurse Practitioner or Physician Assistant will provide care within the Inpatient Pulmonary units at Cincinnati Children's, including the Transitional Care Center (TCC) and Complex Pulmonary (A7C) units. This role offers a broad-spectrum experience with a pulmonary focus, serving patients from infancy to adulthood with complex respiratory needs.

Key Responsibilities

• Patient Care:
• Perform patient history and/or physical exams.
• Assess and diagnose chronic and acute illnesses.
• Formulate, document, and monitor treatment plans.
• Order and monitor therapeutic interventions, including laboratory, radiological, and diagnostic tests.
• Provide clinical consultation and order interdisciplinary consults.
• Prescribe medications in accordance with Federal and State Law & Rules and CCHMC policy.
• Attain and maintain competency in subspecialty practice, skills, and procedures.
• Outcomes Identification and Planning:
• Develop measurable goals for continuity of care and consistency among providers.
• Develop, prioritize, evaluate, and modify comprehensive plans of care.
• Address diagnoses or issues appropriately.
• Involve patient/family/caregiver in outcomes and plans of care when possible.
• Consider risks/benefits, costs, clinical effectiveness, current scientific evidence, clinical guidelines, and clinical expertise.
• Incorporate new knowledge and strategies to initiate change if desired outcomes are not achieved.
• Maintain and update documentation on outcomes, goals, and plans of care.
• Professional Practice:
• Maintain professional behaviors aligned with core values and care standards.
• Participate in quality improvement activities or research.
• Engage in lifelong learning and professional development.
• Serve as a preceptor, role model, or mentor.
• Contribute to the professional development of peers and colleagues.
• Integrate ethical considerations and research findings into practice.
• Provide leadership by participating on committees or in professional organizations.
• Advocate for the pediatric patient/family/caregiver.
• Serve as a leader, influencing healthcare and APP practice and policy.
• Care Management:
• Maintain competency in skills and procedures.
• Promote self-management and family-centered care.
• Employ diverse strategies and interventions to promote health and a safe environment.
• Provide leadership in care management for optimal quality and cost-effective care.
• Document and communicate with the healthcare team for integrated pediatric care.
• Delegate appropriate monitoring, assessment, and interventions.
• Consult to influence the identified plan of care and enhance others' abilities.
• Make appropriate referrals and discuss recommendations with patient/family/caregiver.
• Order and/or perform appropriate treatments, therapies, and procedures.
• Provide patients/families/caregivers with diagnostic and laboratory results and information on proposed therapies.
• Evaluation:
• Systematically and continuously evaluate assessment data and outcomes.
• Revise diagnoses, outcomes, plans of care, and implementation as needed.
• Evaluate the accuracy of diagnoses, effectiveness of interventions, and plan of care strategies.
• Include patient/family/caregiver and other healthcare providers in the evaluation process.
• Base the evaluation process on advanced knowledge, practice, and research.
• Utilize evaluation results to make or recommend process or structural changes.

Requirements & Tech Stack

• Role: Nurse Practitioner or Physician Assistant
• Specialty Focus: Inpatient Pulmonary (TCC, Complex Pulmonary)
• Patient Population: Ages infant to adult.
• Key Patient Conditions:
• Trach/ventilator dependent, non-invasive/BiPAP dependent patients.
• Bronchopulmonary Dysplasia (BPD).
• Neuromuscular diseases (e.g., Duchenne’s Muscular Dystrophy, Spinal Muscular Atrophy).
• Restrictive lung disease (due to scoliosis or chest wall abnormalities).
• Cystic Fibrosis.
• Asthma.
• Obstructive Sleep Apnea.
• Rare Lung Disease.
• Lung transplant recipients.
• Family Training: Home ventilator, tracheostomy tube care, GTube care, emergency preparedness, airway clearance modalities, medications, feeding regimens.
• Interdisciplinary Collaboration: Works with care managers and social workers.
• Schedule:
• Rotating/Flex (Days and Nights)
• 12-hour shifts
• Includes holidays and weekends
• Call requirement
• FTE: 0.9 (Full-time)

Qualifications

• Master's degree in a related field.
• Pediatric Acute Care certification preferred.
• Family or Pediatric Primary Care certifications accepted.
• PA Certification required.
• Licensure and certification in accordance with CCHMC Delineation of Privileges.
• Multi-state licensure in addition to Ohio licensure may be required based on subspecialty.