Advanced Practice Provider- Pediatric Cardiac Intensive Care Unit

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Organization:

PCICU

Job Summary:

The Advanced Practice Provider (APP) is an integral member of the multidisciplinary healthcare team, delivering expert care in the Critical Care setting. This role involves managing high-acuity intensive care unit (ICU) patients with unstable conditions who require intensive oversight, frequent rounding, and specialized care. Patients may include those in medical and surgical ICUs with complex needs requiring advanced interventions. The APP is responsible for managing complex conditions while ensuring delivery of safe, high-quality care. This role requires advanced medical knowledge, clinical judgment, technical proficiency, professionalism, and excellent interpersonal communication skills. The APP is also accountable for timely and compliant documentation, ongoing professional development, and competency validation. With a strong foundation of medical knowledge, the APP combines evidence-based practice with clinical expertise to meet the unique needs of critical care patients. .

Position Hours:

Full-Time

Nights

3 Shifts Per Week

Join a nationally recognized pediatric cardiac critical care team.

Monroe Carell Jr. Children's Hospital at Vanderbilt is seeking APPs to join our highly specialized Pediatric Cardiac Intensive Care Unit (PCICU) team.

As an Advanced Practice Provider, you will work collaboratively with pediatric cardiac intensivists, congenital heart surgeons, cardiologists, nurses, respiratory therapists, pharmacists, and other multidisciplinary team members to provide exceptional care for infants, children, and adolescents with complex congenital and acquired heart disease.

This position offers the opportunity to practice in a high-acuity environment while contributing to innovative patient care, education, and quality improvement initiatives.

About the PCICU

The Pediatric Cardiac Intensive Care Unit provides comprehensive care for critically ill children with congenital and acquired heart disease. The team manages patients across the continuum of cardiac care, including:

Preoperative and postoperative congenital heart surgery

Complex cardiac medical management

Transplant care

Multidisciplinary cardiac critical care

Responsibilities

The APP will:

Perform comprehensive histories and physical examinations

Develop differential diagnoses and treatment plans

Manage critically ill pediatric cardiac patients in collaboration with attending physicians

Order, interpret, and integrate diagnostic testing

Perform evidence-based clinical management and therapeutic interventions

Facilitate admissions, transfers, and discharges

Coordinate care across disciplines and care settings

Provide patient and family-centered education and support

Document care accurately and efficiently in the electronic health record

Participate in quality improvement, professional development, and scholarly activities

Qualifications

Required

For Nurse Practitioners:

Master's or Doctoral degree from an accredited Nurse Practitioner program

Certification as a Pediatric Acute Care Nurse Practitioner (CPNP-AC)

Eligibility for Tennessee licensure and credentialing

For Physician Assistants:

Graduate of an accredited Physician Assistant program

NCCPA certification

Eligibility for Tennessee licensure and credentialing

Preferred Qualifications

Previous Advanced Practice Provider experience in pediatric critical care, cardiac critical care, or acute care

New graduate CPNP-AC candidates with pediatric RN experience

New graduate PA candidates with EMT experience and/or pediatric clinical rotation experience

Strong interest in pediatric cardiac critical care

Why Vanderbilt?

Monroe Carell Jr. Children's Hospital at Vanderbilt is consistently recognized as one of the nation's leading children's hospitals and serves as a regional referral center for complex pediatric cardiac care. APPs are valued members of the care team and enjoy access to:

A collaborative multidisciplinary practice environment

Opportunities for professional growth and continuing education

Participation in research and quality initiatives

Leadership development opportunities

Mentorship Program for new graduate APPs

A vibrant and growing healthcare community in Nashville, Tennessee

Relocation available for candidates over 100+ miles from Nashville, TN

KEY RESPONSIBILITIES

• •Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.
• •In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ overall care, identifying expected outcomes for diagnoses.
• •Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
• •Forms differential diagnoses and treats acute and chronic conditions.
• •Prescribes therapeutic interventions for both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
• •Utilizes evidence-based, approved practice protocols in planning and implementing care.
• •Initiates appropriate referrals and consultations
• •Provides specialty specific consultation services upon request and within a specialty scope of practice.
• •Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.
• •The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES

• •Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice.
• •Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employes screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient/centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents finding