At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's Hospital Has Been Named:
Consistently recognized by U.S. News & World Report as a top 10 children's hospital in the nation
One of four Medical Centers making the list of the 2022 Glassdoor Best Places to Work
A Top Hospital and Health System for Diversity recognized by DiversityInc
One of the nation's most innovative companies by Fortune in March 2023
An LGBTQ+ Healthcare Equality Top Performer in 2022 by The Human Rights Campaign (HRC)
Position: Rotating all inpatient Pulmonary Units including Base Transitional Care Center (TCC), Liberty Transitional Care Center (TCC), and Complex Pulmonary (A7C) - Division of Pulmonary Medicine, APP Team
Nurse Practitioner and/or Physician Assistant
Experience or New Graduate: Either
Qualifications: Pediatric Acute Care certification preferred but will accept Family or Pediatric Primary Care certifications with agreement to obtain Acute Care certification after hire.
Description: On both Base and Liberty TCC units, we serve positive pressure dependent patients (trach/ventilator dependent, non-invasive/BiPAP dependent) ages infant to adult. Patients on these units have a variety of complex disease processes that affect their airway, lungs, and respiratory mechanics. Some frequent patient populations that are seen on the TCC are Bronchopulmonary Dysplasia (BPD), neuromuscular diseases such as Duchenne's Muscular dystrophy or Spinal Muscular Atrophy, and restrictive lungs disease due to scoliosis or chest wall abnormalities. We train families on the home ventilator, tracheostomy tube care, GTube care and emergency preparedness with taking home a medically complex loved one with technology dependence.
On the A7C unit, we manage many other complex pulmonary conditions including Cystic Fibrosis, Asthma, Obstructive Sleep Apnea, Rare Lung Disease, and patients who are in evaluation or have been recipients of a lung transplant.
In all three units, we train families on how to provide their child's care needs at home. This includes teaching and education on home ventilators, tracheostomies, airway clearance modalities, medications, feeding regimens, and emergency preparedness. We have amazing care managers and social workers who organize home nursing if needed and other resources for the home. While we are pulmonary medicine, our patients are complex and often have several other diagnoses that cross over many body systems.
Schedule: Rotating/Flex (Days and Nights)
- 12 hours shifts
- Includes holidays and weekends
- Call requirement
JOB RESPONSIBILITIES
Patient Care- Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consults. Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attains and maintains competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Outcomes Identification and Planning- Develops outcomes as measurable goals that provide direction for continuity of care & continuity of care & consistency among providers. Develops, prioritizes, evaluates & modifies an individualized comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources. Considers risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes. Incorporates new knowledge & strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation & updates accordingly outcomes, goals & the plan of care.
Professional Practice- Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process & patient care outcomes. Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance. Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth. Integrate ethical considerations & research findings into practice; Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocate for the pediatric patient/family/caregiver. Serve as a leader, influencing both healthcare/APP practice & policy.
Care Management- Maintains competency in skills/procedures; Promotes self-management & family centered care; Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment; Provides leadership in care management to achieve optimal quality, cost-effective care; Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services; Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver; Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system; Makes appropriate referrals and discusses recommendations with patient/family/caregiver; Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice; Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Evaluation- Uses a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed; Evaluates the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes; Includes the patient/family/caregiver & other healthcare providers; Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately; Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.
Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD
JOB QUALIFICATIONS
Masters degree in related field. Clinical license, certification or training OR Doctorate of Nursing Practice degree required
Preferred: Experience as an APP in subspecialty
Licensure and certification in accordance with CCHMC Delineation of Privileges
Multi-state licensure in addition to Ohio licensure may be required base on subspecialty
Market Leading Benefits Including*:
Shift Differential, Weekend Differential, and Weekend Option Pay Programs
Medical coverage starting day 1 of employment. View employee benefits here.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many community partners
Referral bonus program for current staff!
Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
Physical and mental health wellness programs
Relocation assistance packages available for nurses!
*Benefits may vary based on FTE Status and Position Type
Primary Location
Burnet Campus
Schedule
Full time
Shift
Rotating (United States of America)
Department
APP Pulmonary
Employee Status
Regular
FTE
1
Weekly Hours
40
Salary Range
$111,155.20 - $142,043.20
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/AA/M/F/Veteran/Disability.
