Advanced Practice Provider; NP​/PA Acute Care Cardiology Unit; ACCU

Job Summary

Department/Unit: ACCU Nurse Practitioner (Acute Care Certification) or Physician Assistant. Hours/Shift: Full Time - 40 hours/week, Day/Night Shift. Benefit Eligibility:
Full Time Benefits Eligible.

The Acute Care Cardiology Unit (ACCU) is part of the Heart Institute and provides comprehensive care for medical and surgical cardiac patients, including heart and heart‑lung transplant. It also serves as an overflow area for medical‑surgical patients. The patient population ranges from newborns to adults and consists of 24 beds. Modalities used include noninvasive monitoring, cardiac telemetry, oxygen, high‑flow nasal cannula, inotropic and antiarrhythmic drug therapy, NIRS, complex drainage tube management, and mechanical/ventricular assist devices such as Berlin Heart, Heart Mate II, Heart Mate III, and Syn Cardia.

• 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 diets, laboratory, radiological and diagnostic tests as deemed necessary.
  • Provide clinical consultation and order interdisciplinary consults.
  • Prescribe medications in accordance with Federal and State Law & Rules and CCHMC policy.
  • Maintain competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused and ongoing professional practice evaluation.
• Outcomes Identification and Planning
  • Develop outcomes as measurable goals that provide direction for continuity of care and consistency among providers.
  • Prioritize, evaluate, and modify individualized comprehensive plans of care.
  • Involve patient/family/caregiver in realistic outcomes and plans of care.
  • Consider risks/benefits, costs, clinical effectiveness, current evidence, and clinical expertise to formulate interventions.
  • Incorporate new knowledge and strategies to initiate change when desired outcomes are not achieved.
  • Maintain documentation and update goals and plans accordingly.
• Professional Practice
  • Maintain professional behaviors aligned with core values and care standards.
  • Participate in quality improvement activities or research to improve care delivery processes and outcomes.
  • Engage in lifelong learning and professional development activities.
  • Serve as preceptor, role model, or mentor; contribute to peer development.
  • Integrate ethical considerations and research findings into practice.
  • Provide leadership by participating on committees, professional organizations, or writing and publishing.
  • Advocate for the pediatric patient/family/caregiver and serve as a leader in practice and policy.
• Care Management
  • Maintain competency in skills and procedures; promote self‑management and family‑centered care.
  • Employ diverse and complex strategies, interventions, and teaching to promote health and a safe environment.
  • Provide leadership in care management to achieve optimal quality and cost‑effective care.
  • Document and communicate with team members for integrated delivery of pediatric care services.
  • Delegate appropriate monitoring, assessment, and interventions based on patient and scope of practice.
  • Provide consultation to influence the identified plan of care.
  • Make appropriate referrals and discuss recommendations with patient/family/caregiver.
  • Order and/or perform appropriate treatments, therapies, and procedures based on current knowledge.
  • Provide diagnostic and laboratory results and explain benefits, limitations, and adverse effects of proposed therapies.
• Evaluation
  • Use systematic, ongoing evaluation of assessment data and outcomes to revise or resolve diagnoses and plans of care.
  • Evaluate effectiveness of…