Nurse Practitioner or Physician Assistant, Inpatient Pulmonary; TCC, Complex Pulmonary

Rotating all inpatient Pulmonary Units including Base Transitional Care Center (TCC), Liberty Transitional Care Center (TCC), and A7C (Complex Pulmonary) - , APP Team Nurse Practitioner and/or Physician Assistant

Location A

APP Pulmonary

Rotating (United States of America)

Full time

36

0.9

Regular

Division of Pulmonary Medicine

Rotating all inpatient Pulmonary Units including Base Transitional Care Center (TCC), Liberty Transitional Care Center (TCC), and A7C (Complex Pulmonary) - , APP Team Nurse Practitioner and/or Physician Assistant

On both Base and Liberty TCC, 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 complex loved one with technology dependence.

On A7C, we are trained in the management of 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 3 units, we train families on how to provide their child’s care needs s 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.

This position will provide a broad-spectrum experience, with a pulmonary focus.

Experienced or New Graduate, Nurse Practitioner or Physician Assistant

• Pediatric Acute Care certification preferred but will accept Family or Pediatric Primary Care certifications, PA Ceritification

• Rotating/Flex (Days and Nights)
• 12-hour shifts
• Includes holidays and weekends
• Call requirement

• 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…