Pediatric and Neonatal ICU Physician's Assistant / Nurse Practitioner, Department of Pediatrics, Boston Medical Center

Boston Medical Center Department of Pediatrics is seeking Physician Assistants (PA) or Nurse Practitioners (NP) to be part of a team of Advance Practice Providers (PAs and NPs) who provide care under the supervision of an intensivist physician to critically-ill patients in both our Level III Neonatal ICU (22 beds) and Pediatric ICU (4 beds).

The NICU is staffed 24/7 by an in-house intensivist providing direct supervision to APPs. The PICU is staffed by pediatric intensivists who are in-house during the day and may be at home or in-house overnight depending on acuity and the needs of the patients and unit.

APPs overlap with Boston Children's combined residents to provide frontline care to our patients.

We are seeking energetic team players to join our staff. Experience in the NICU or PICU is not required, but preferred. A full-time equivalent equates to 40 hours/week including administrative time. Administrative time includes handoffs, division meetings and involvement in unit-based projects.

Both fulltime and part-time candidates welcome. Clinical shifts are centered around nights and weekends. Following training in both the NICU and PICU, the APP will be assigned shifts in both locations. At no time will an APP care for patients in both units during a single shift.

Key Responsibilities

• Interviewing patients and families and performing physical examination (including obtaining, updating, and studying medical histories).
• Developing a problem list, differential diagnosis and treatment. Recommending options and courses of action for patient care
• Determining abnormal conditions by administering or ordering diagnostic test, such as X-rays and laboratory studies and by interpreting test results.
• Placing and modifying care orders
• Completing documentation for admission, daily and discharge notes
• Interfacing with multidisciplinary team members (i. e. nursing, respiratory therapy, dietary, case management, etc.)
• NICU: attend deliveries alone and with the NICU attending.
• Provide consultations for Newborn Nursery as requested.
• Implementing physician directives
• Rounding with team
• Provide ongoing patient assessment and intervention
• Consulting specialty and surgical services under direction of attending MD
• Coordinating discharge including follow-up appointments, equipment and discharge teaching
• Performing therapeutic procedures appropriate to unit following training (i. e. central line placement and removal, arterial line placement, chest tube placement, endotracheal intubation, procedural sedation)
• Protecting patients and employees by adhering to infection-control policies and protocols
• Comply with federal, state, and local legal and professional requirements
• Participating in continuing education, quality improvement and patient safety initiatives, educational conferences and research studies
• Responding to Pediatric Rapid Responses and Pediatric Codes outside the PICU/NICU
• Participating in unit patients safety and quality improvement initiatives
• Keeping abreast of advances in patient care