The APRN/PA is a skilled health care provider and has successfully completed an organized program of education that provides specialized certification. The APRN/PA will practice autonomously in a collaborative practice setting with physicians with practice comparable in scope, specialty, and expertise. This role manifests a high level of expertise in the assessment, diagnosis, and treatment of actual and potential health problems of pediatric patients. The APRN/PA will manage the care of pediatric patients with acute and chronic illness and disease in the Pediatric Intensive Care Unit. The APRN/PA will be required to order, interpret, and evaluate tests and studies to assess clinical problems and health care needs. The APRN/PA will develop a diagnosis by analyzing and synthesizing collected data, independently and in collaboration with the physician develop treatment plans, perform diagnosis and therapeutic interventions consistent with board certification and organizational medical staff privileges, prescribe and monitor medications as allowed by prescriptive authority as indicated by the Arkansas State Board of Nursing and organizational policy. The APRN/PA will participate in medical team rounds, collaborate with nursing, medical and other healthcare team members regularly to ensure quality patient care. The APRN/PA will perform admission history and physicals, document progress notes, complete discharge summaries as required. The APRN/PA will serve as a resource for staff/residents and clinical preceptor for APRN students. The APRN/PA will also conduct research by participating in data collection as indicated and provide consultations at various levels and will be responsible for performing job duties in accordance with the philosophy and policies of the UAMS Department of Pediatrics, Division of General Pediatrics, and the mission of Arkansas Children’s Hospital.
Clinical: Provide direct clinical services for critically ill pediatric patients with multi-organ trauma or multi-system failure, according to established protocols and utilizes evidence-based clinical practice standards in collaboration of an ICU physician. Obtain patient health histories and complete physical examinations. Document findings noting pertinent normal and abnormal findings. Order and interpret appropriate diagnostic and laboratory tests. Perform approved therapeutic or diagnostic procedures based upon patient clinical status to include performance of procedures to include central lines, arterial lines, PICC lines, intubations, lumbar puncture, chemical pleurodesis, and needle thoracentesis. Formulate and implement treatment plan for acute illness management in collaboration with the designated primary physician and/or attending back-up physician(s). Participate in multidisciplinary rounds. Document in medical records and appropriate narrative summaries. Assess patient for change in status and institute appropriate interventions. Initiate necessary emergency interventions to stabilize patient. Provide family-centered care by communicating with the family regarding the hanging health care needs of their family member. Assess family adaptation, coping skills and the need for crisis or other intervention. Utilize current research and evidence-based decision-making in all clinical practice.
Education: Participate in staff education, educate other APRNs and students, residents, fellows. Teach Pediatric Advanced Life Support.
Research: Participate in clinical investigations and initiate research within scope of practice. Assist in maintaining PICU databases, performing chart audits, and quarterly IRRs.
Leadership: Provide nursing leadership to PICU team.
Interpersonal Relations: Update families on care and progress of their child; support families and other team members through crisis situations. Facilitate appropriate and professional interactions between PICU team members
Professionalism: Serve as positive role model for entire professional staff through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, and problem- solving skills.
Master's in Nursing or Physican Assistant required.
Acute Care Pediatric Nurse Practitioner: Master's in Nursing from an accredited school/college of Nursing, current or eligible to apply for APRN license, National Certification as an Advanced Practice Registered Nurse in the specialty of Acute Care Pediatrics, must be eligible for prescriptive authority certificate granted by the ASBN. Minimum of 3 years of RN experience. ICU based nursing experience for at least one year. RN license (AR or Compact state). Certification as an Acute Care Pediatric Nurse Practitioner or eligible to apply.
Minimum Requirements: Physician Assistant: Master’s degree in Physician Assistant with at least 1 year ICU experience. Significant Pediatric experience required.