APP: Pediatric and Neonatal ICU Physician's Assistant​/Nurse Practitioner

Position Title

Pediatric and Neonatal ICU Physician's Assistant/Nurse Practitioner

Boston Medical Center Department of Pediatrics is seeking Physician Assistants (PA) or Nurse Practitioners (NP) to be part of a team of Advance Practice Providers (APPs) who provide care under the supervision of an intensivist physician to critically ill patients in both our Level III Neonatal ICU (22 beds) and Pediatric ICU (4 beds). The NICU is staffed 24/7 by an in‑house intensivist providing direct supervision to APPs.

The PICU is staffed by pediatric intensivists who are in‑house during the day and may be at home or in‑house overnight depending on acuity and the needs of the patients and unit. APPs overlap with Boston Children's combined residents to provide frontline care to our patients.

We are seeking energetic team players to join our staff. Experience in the NICU or PICU is not required, but preferred. A full‑time equivalent equates to 40 hours/week including administrative time. Administrative time includes handoffs, division meetings and involvement in unit‑based projects. Both fulltime and part‑time candidates welcome. Clinical shifts are centered around nights and weekends. Following training in both the NICU and PICU, the APP will be assigned shifts in both locations.

At no time will an APP care for patients in both units during a single shift.

• Interview patients and families and perform physical examinations (including obtaining, updating, and studying medical histories).
• Develop a problem list, differential diagnosis, and treatment plan; recommend options and courses of action for patient care.
• Determine abnormal conditions by administering or ordering diagnostic tests, such as X‑rays and laboratory studies, and by interpreting test results.
• Place and modify care orders.
• Complete documentation for admission, daily, and discharge notes.
• Interface with multidisciplinary team members (i.e., nursing, respiratory therapy, dietary, case management, etc.).
• NICU: attend deliveries alone and with the NICU attending.
• Provide consultations for Newborn Nursery as requested.
• Implement physician directives.
• Round with team.
• Provide ongoing patient assessment and intervention.
• Consult specialty and surgical services under direction of attending MD.
• Coordinate discharge including follow‑up appointments, equipment, and discharge teaching.
• Perform therapeutic procedures appropriate to unit following training (i.e., central line placement and removal, arterial line placement, chest tube placement, endotracheal intubation, procedural sedation).
• Protect patients and employees by adhering to infection‑control policies and protocols.
• Comply with federal, state, and local legal and professional requirements.
• Participate in continuing education, quality improvement and patient safety initiatives, educational conferences, and research studies.
• Respond to Pediatric Rapid Responses and Pediatric Codes outside the PICU/NICU.
• Participate in unit patients safety and quality improvement initiatives.
• Keep abreast of advances in patient care.

• Bachelor’s degree.
• Graduate of an accredited and/or approved nurse practitioner or physician assistant program.
• Physician Assistant or Nurse Practitioner licensure within the first 3 months following the receipt of a complete application for medical staff membership and privileges.
• Physician Assistant or Nurse Practitioner certification.
• Basic Life Support (BLS), Neonatal Resuscitation Program (NRP) and Pediatric Advanced Life Support (PALS) certifications.
• Previous pediatric experience preferred.
• Must demonstrate knowledge and skills necessary to assess neonates through young adults.
• Interpersonal skills needed for interacting effectively with physicians, staff, patients and families.

Boston University Chobanian & Avedisian School of Medicine (BU‑CASM) offers a competitive salary commensurate with academic training and practice experience. We continue to evaluate our compensation plan to remain one of the most competitive in salary and benefits. Our staff receive a highly competitive salary and generous benefits that include paid vacation, sick…