About this opportunity
Connecticut Children's lists this Physician Assistant/APRN - CVICU - Hartford, CT opportunity in hartford, Connecticut. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Job Description
Completes thorough but appropriately focused evaluations of pediatric patients (from neonates to adolescents and young adults), including competent and age appropriate histories and examinations. Identifies level of illness severity in a timely manner. Presents thoughtful assessments to the supervising physician and works towards prescribing necessary care plans. Performs appropriate procedures under their responsibility with the appropriate guidance. Knows when and how to seek assistance.
Responsibilities
Cardiac Critical Care includes the knowledge and skills to diagnose and manage children with life threatening illnesses and injuries. These include conditions that cause respiratory, circulatory, neurologic, renal or hepatic failure, severe infectious, hematologic, or immune disorders, and poisoning. In addition, privileges include care of children needing cardiopulmonary resuscitation, stabilization during transport, complex pre- and post-operative care.
A list of specific core management modalities used by the critical care APP includes, but is not limited to (with supervision of CVICU attending, PICU attending, Cardiology attending, and CT Surgery attending)
Application and regulation of extracorporeal respiratory, renal, and circulatory assist devices (ECCS, ECMO, LVAD)
Application of cardiac output monitoring
Application of respiratory therapy
Anticoagulation
Bag mask ventilation
Elective and emergency management of the difficult airway including use of LMA (laryngeal mask airway), lightwand stylet, flexible scope, obturator airway and other techniques
Enteral nutrition
Brain protective strategies using medications, osmolar agents, temperature regulation, and ventilation-
Interpretation of continuous EEG monitoring
Interpretation and management of acid base disturbance
Interpretation and management of fluid, electrolyte, and metabolic abnormalities
Interpretation of blood gases
Interpretation of electrocardiogram and echocardiogram
Interpretation of intracranial pressure monitoring, and management of intracranial pressure abnormalities
Interpretation of vascular and cardiac chamber pressure measurement
Medical management of patients during intra and interhospital transport
Medical modulation of the autonomic nervous system
Parenteral nutrition
Respiratory support weaning techniques
Thrombolytic therapy
Tracheal intubation (oral and nasotracheal, emergency perlaryngeal)
Tracheotomy Care
Use of blood component therapy
Use of inotropes, vasoconstrictors, vasodilators
Use of mechanical ventilation, positive end-expiratory pressure, and continuous position airway pressure
Use of medications to promote a brief or prolonged state of analgesia, anxiolysis, moderate or deep sedation, or emergency and non-emergency general anesthesia
Use, zeroing, and calibration of transducers, use of amplifiers and recorders of physiologic parameters
Diagnostic and Therapeutic Procedures
Application of hypothermic therapy
Arterial puncture
Emergency cardiac pacemaker insertion and application
Emergency cardioversion, defibrillation, transcutaneous pacing
Exchange transfusion
Insertion arterial catheters
Insertion of hemodialysis and peritoneal dialysis catheters
Insertion peripheral and central venous catheters
Insertion pulmonary artery catheter
Insertion of umbilical catheters
Interpretation of respiratory mechanics studies tests
Laryngoscopy
Lumbar puncture
Needle and tube thoracostomy
Paracentesis
Point of Care Ultrasound for the insertion of vascular catheters, pericardiocentesis, thoracentesis and paracentesis
Thoracentesis
Consultations and care for adults 21 years of age and over with congenital cardiac anomalies (as approved by the Hospital CMO and Leadership)
Consultations are provided as per policy.
Perinatal and fetal consultations for congenital cardiac anomalies.
Consultations are provided as per policy.
FPPE Guidelines
Concurrent observation of one-week on-service/on-call rotation by an Active member of the Department.
Peer review through the departmental quality assessment activities
Criteria for Reappointment
Documentation confirming CME activity during the past 24 months consistent with state licensing requirement.
Provide proof and maintain current ACLS, PALS and BLS
Sedation
Sedation is considered a core privilege of Cardiac Critical Care Medicine under the guidelines established in Connecticut Children’s Policy: Procedural Sedation
Privileges for sedation must be requested separately by all physicians and Advanced Practice Providers with clinical privileges in the CVICU per Connecticut Children’s Medical Executive Committee. It is expected that practitioners requesting privileges in the CVICU request such privileges.
Ongoing review for safety and quality as determined by Chief, Cardiac Critical Care and outcome reporting through Enterprise Quality and Safety Office will be required to ensure quality of care and best outcomes.
Advanced Airway Management
Participation in Operating Room or simulation-based airway management experience regularly or successful management of actual patients requiring advanced airway management up to and including endotracheal intubation in accordance with Connecticut Children’s policy.
Medical knowledge
Clinical knowledge. With guidance, applies basic medical knowledge to common diagnoses in department. Expands clinical knowledge by asking insightful questions, seeking knowledge independently and reading medical literature critically. Incorporates issues of child health advocacy, preventive health care, ethical dilemmas, and cost of tests and therapies.
Diagnostic evaluation. Provides basic evaluation (e.g., diagnostic testing and consultation) for common diagnoses. Increasingly recommends broad evaluation based on an unfocused differential diagnosis. Reports results of diagnostic studies, identifying clinically significant results with guidance.
Patient History
Gathers patient information following a template. Adapts the template with guidance and as appropriate to filter and prioritize pertinent positives and negatives based on broad diagnostic categories or possible diagnoses.
Patient Care
Clinical reasoning. Presents clinical facts (e.g., history, exam, tests, consultations, etc.) to preceptor, supervising physician, and care team. Ultimately generates an unfocused differential diagnosis based on the clinical facts.
Organize and prioritize patient care. Completes assigned patient care responsibilities focused on individual patients.
Patient management. Increasingly participates in the creation of patient management plans. Discusses plans with patients/families.
Interpersonal and communication
Patient and family centered communications. Works to establish rapport with patients/families. Develops therapeutic relationship in straightforward encounters. Seeks guidance when adjusting communication strategies in order to mitigate barriers and meet patient/family expectations.
Interpersonal and team communication. Participates within the inter-professional team. With guidance, clearly and appropriately requests consultation, presenting relevant patient information to supervising physician.
Communication within the Health Care System. Accurately and timely records information in the patient record. Responds in a timely fashion and in appropriate form (e.g., in-person, HER, telephone, email) to requests. Seeks guidance on best mode of communicating when uncertain.
Practice-based learning and improvement
Evidence-based and informed practice. Develops and articulates clinical questions. Accesses available evidence with appropriate guidance.
Reflective practice and commitment to personal growth. Participates in feedback sessions. With guidance from lead/manager, develops professional goals and a learning plan, incorporating feedback and performance data.
Professionalism
Performs responsibilities in a thorough and timely manner. Proactively seeks guidance in new, complex and/or stressful situations.
Participates in creating, promoting and sustaining a healthy and productive team and work environment. Familiarizes self with institutional resources that are meant to promote well-being.
System-based practice
System navigation for patient centered care-coordination of care. Increasingly involved in coordinating care of patients in routine clinical situations. Identifies the need for and engages inter-professional team based on patient and family needs.
Population and community health. Incorporates awareness of population and community health needs and disparities and knowledge of local resources to inform understanding of patient/family health concerns.
Qualifications
Minimum education (degree/type of degree).
Advanced Practice Nurse Practitioner: Graduate degree in nursing accredited by one of the national certifying bodies in nursing. (Or, on or before December 31, 2004, completion of an advanced nurse practitioner program recognized by a national certifying body for certification as a nurse practitioner.)
Physician Assistant: Graduation from a physician assistant program accredited, at the time of graduation, by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA).
License and/or Certification
Required:
Provider licensing: Current State of Connecticut (Pediatric) Advanced Practice Registered Nurse (APRN) licensure. OR Certified by the National Commission on Certification of Physician Assistants, Inc. (NCCPA). Current State of Connecticut Physician Assistant licensure.
Basic Life Support (BLS) and/or Pediatric Advanced Life Support (PALS) certification may be required.
Federal DEA and CT controlled substance registration may be required.
Certain specialties may require additional certifications.
Knowledge, Skills, And Abilities
Medical knowledge and procedures: Medical knowledge sufficient to recognize patterns, trends and disease traits and to fully engage in APP learning opportunities, effectively applying such knowledge to basic clinical evaluations and patient care.
Communication: Exemplary written and verbal communication.
Interpersonal: Respectful and compassionate in interactions with staff, patients, and families.
About Us
Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.
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Worksite address
hartford, CT, 06112, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.