Acute Care Pediatric Nurse Practitioner

## Acute Care Pediatric Nurse Practitioner Apply:
On-Site:
Galveston, TX:
Full time:
Posted Today:
JR101375
** Company Overview
** Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.  

With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please  to learn more about our locations.  
** CURRENT EMPLOYEES**:
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** Job Description
** Shriners Children’s Texas is seeking a full-time Acute Care Pediatric Nurse Practitioner to join our growing inpatient and PICU team in Galveston. This provider will deliver critical overnight coverage across all inpatient and PICU service lines, including Burn, Orthopedics, Spine, and Cleft Lip & Palate.  The provider will serve as the primary in-house overnight advanced practice provider, working exclusively from 6:00 p.m. to 7:00 a.m. Responsibilities include managing patient care needs across the hospital during overnight hours, performing urgent assessments, coordinating and completing admissions, responding to changes in patient condition, and supporting nursing staff across all service lines.

The NP works collaboratively with multidisciplinary teams to ensure continuity of care and seamless handoffs to daytime providers while practicing with a high degree of autonomy under established clinical protocols. Intensivist physicians are available for consultation and escalation as needed.  The NP will provide care for critically ill pediatric patients in a 15-bed Pediatric Intensive Care Unit (PICU), with a primary focus on high-acuity burn cases.

The unit also manages a broad spectrum of complex conditions, including septic shock, cardiogenic shock, respiratory failure, and acute respiratory distress syndrome (ARDS), as well as select orthopedic populations such as spine patients and those with osteogenesis imperfecta (OI). The PICU receives referrals from throughout the region and internationally, including Mexico and Central America, creating a medically complex and diverse patient population.

With an average daily census of 4 to 8 patients, providers benefit from meaningful exposure to high-acuity care while maintaining manageable patient volumes that support quality care and professional development.  This full-time position follows a nights-only schedule, with providers typically working 11 to 12 shifts per month or 33 to 36 shifts per quarter, excluding approved time away. Weekend and holiday coverage is shared as equitably as possible among the team.

Scheduling is evaluated on a quarterly basis, providing flexibility for self-scheduling while maintaining a fair and balanced workload across providers.  This is an exceptional opportunity to play a key role in delivering high-quality, specialized pediatric care in a collaborative, mission-driven environment dedicated to improving the lives of children and their families.  
** Key Responsibilities*
* * Provide continuous overnight clinical management for inpatient and PICU patients across all service lines
* Perform urgent assessments, overnight admissions, and care escalation as needed
* Execute core PICU bedside…