Advanced Practice Provider - Pediatric Critical Care

Seattle Children's Hospital is seeking a dedicated, highly skilled Advanced Practice Provider (NP or PA) to join our nationally recognized Pediatric Critical Care Medicine team. In this role, you will serve as a front-line Advanced Practice Provider managing a high-acuity cohort of critically ill pediatric patients within a collaborative, team-based model. You will deliver direct inpatient care and assume primary responsibility for the clinical management of infants, children, teens, and young adults in our 40-bed state-of-the-art PICU.

• FTE Status:
  Full-time (1.0 FTE)
• Work Setting: 100% Inpatient, Pediatric Intensive Care Unit (Forest Zone)
• Shift Model: 12-hour rotating shifts (12-hour days / 14-hour nights)
• Coverage Requirements: 24/7 continuous unit coverage, including day, night, weekend, and holiday rotations

• Direct Inpatient Care & Resuscitation:
  Manage high-acuity pediatric inpatient admissions. Serve as a frontline responder for bedside decompensations, clinical deterioration, airway emergencies, and acute resuscitations within the PICU.
• Advanced Life Support & Organ Technologies:
  • Direct and monitor patients receiving Extracorporeal Membrane Oxygenation (ECMO) in collaboration with bedside specialists and the ECLS team.
  • Prescribe, manage, and titrate continuous hemodialysis and Continuous Renal Replacement Therapy (CRRT) for severe acute kidney injury, fluid overload, or metabolic crises.
  • Manage complex mechanical ventilation strategies, including both invasive and non-invasive positive pressure modalities.
• Complex Diagnoses Management:
  Provide comprehensive, inpatient medical management for critically ill pediatric patients across a wide spectrum of acute diagnoses:
  • Organ Failure & Transplants:
    Acute kidney/liver failure, liver, kidney, intestine, and bone marrow transplants.
  • Surgical Recovery:
    Inpatient post-operative ICU care for complex craniofacial, neurosurgical, pediatric general surgery, Oto, and orthopedic cases.
  • Critical Medical Emergencies:
    Severe sepsis, acute respiratory failure, status epilepticus, severe asthma, submersion injuries and intoxications, and diabetic keto acidosis (DKA).
  • Oncology & Hematology Support:
    Inpatient management of critically ill pediatric oncology and CAR-T therapy patients requiring intensive monitoring.
  • Procedural & Diagnostic Management:
    Conduct detailed daily history and physical exams, interpret real-time bedside diagnostics (ABGs, chest radiographs, hemodynamic monitoring, lab panels).
  • Team-Based Multidisciplinary Rounds:
    Lead and participate in daily multidisciplinary inpatient rounds alongside attending physicians, physician trainees (fellows/residents), subspecialty consultants (Nephrology, Cardiology, Neurosurgery, Transplant), and bedside nurses.
  • Continuity & Care Transitions:
    Direct inpatient care transitions, coordinating multi-system management, step-down criteria, and handoffs to acute care inpatient floors.
  • Quality Improvement &
    
    Education:
    
    Active participation in departmental quality improvement (CQI) initiatives, inpatient safety projects, research, and ongoing clinical education for trainees, staff, patients, and families.

At Seattle Children's Hospital, our Pediatric Intensive Care Unit (PICU) is an award-winning center of clinical excellence located in the state-of-the-art Forest zone at our main campus in Seattle, Washington.

• Regional Critical Care Hub:
  Seattle Children's serves as the sole academic pediatric medical center for the four-state WAMI region (Washington, Alaska, Montana, and Idaho). Our team manages a 40-bed single-patient room PICU caring for over 2,000 critically ill medical and surgical inpatient admissions annually.
• Advanced Life Support & Subspecialties:
  We are home to a nationally recognized Extracorporeal Life Support (ECLS/ECMO) program, Advanced Continuous Renal Replacement Therapy (CRRT), High-Frequency Oscillatory Ventilation (HFOV), an active solid organ transplant service (liver, kidney, intestine), and CAR-T / bone marrow transplant oncology programs.
• Trauma & Regional Impact: PICU providers at Seattle Children's also collaborate with…