NP or PA - Neuro ICU

• Neuro ICU Advanced Practice Provider (APP)
• Good Samaritan University Hospital – West Islip, NY
• (Nurse Practitioner or Physician Assistant)
• FT – varied shifts (am and pm combined shifts)

Position Summary

The Neuro ICU Advanced Practice Provider (APP) delivers comprehensive, high-acuity care to patients with complex neurological and neurosurgical conditions at Good Samaritan University Hospital, an academic tertiary-care center within Catholic Health. The APP works collaboratively with intensivists, neurosurgeons, neurologists, and critical care RNs to manage critically ill patients, perform advanced procedures, and optimize outcomes in a fast-paced Neuro ICU.

Key Responsibilities

Clinical Care & Patient Management

Perform comprehensive neurologic and critical care assessments on Neuro ICU patients, including acute stroke, traumatic brain injury, subarachnoid hemorrhage, status epilepticus, brain tumors, spinal cord injury, and complex post-operative neurosurgical patients.

• Formulate and implement evidence-based medical management plans in collaboration with attending physicians.
• Interpret diagnostic studies including CT, MRI, EEG, continuous neuromonitoring, and lab results.

Manage Advanced Neuromonitoring Devices Such As

• Intracranial pressure (ICP) monitors
• External ventricular drains (EVDs)

Licox and Cerebral Perfusion Monitoring Systems

• Initiate and titrate critical care infusions (vasoactive, sedation, hyperosmolar therapies, anticonvulsants).
• Respond to emergencies including code strokes, rapid response activations, seizures, airway compromise, and acute neurologic deterioration.
• Procedures (Depending on training & privileges)
• Central venous catheter placement
• Arterial line insertion
• Lumbar puncture
• Ventilator management and airway stabilization
• Bedside ultrasound for procedural guidance
• Removal of EVDs or drains per neurosurgical protocols (if credentialed)

Communication & Collaboration

Participate in daily multidisciplinary rounds with neurosurgery, neurology, neurointensivists, nursing, respiratory therapy, rehab services, pharmacy, and case management.

Communicate clinical plans clearly to patients and families; provide education and support regarding neurological diagnoses.

• Serve as a clinical resource to nursing staff and contribute to ongoing improvement of Neuro ICU protocols.
• Quality, Safety & Documentation
• Maintain accurate, timely documentation in the electronic medical record.
• Follow all hospital guidelines for patient safety, infection prevention, and critical care standards.
• Participate in Neuro ICU quality initiatives including stroke metrics, morbidity/mortality reviews, CLABSI and CAUTI reduction, and evidence-based neurocritical care pathways.

Professional Development

• Participate in continuing education specific to neurocritical care.
• Maintain required certifications and hospital competencies.
• Engage in research, performance improvement projects, or academic collaboration as appropriate.

Qualifications

• Required
• Current NYS license as Nurse Practitioner (FNP/AGACNP preferred) or Physician Assistant
• Master’s or Doctorate degree from an accredited NP or PA program
• National board certification (AANP/ANCC for NP; NCCPA for PA)

BLS and ACLS Certification

• At least 1–2 years of critical care, neurology, neurosurgery, or ICU-related experience (new graduates with strong ICU RN background may be considered)
• Preferred
• ACNP or AGACNP certification for NPs
• Neuro ICU or neurosurgical APP experience
• Experience with EVD/ICP monitoring and neurocritical care protocols
• CCRN, CNRN, or NCCPA specialty certifications
• NIH Stroke Scale certification
• Core Competencies
• Advanced neurological assessment skills
• Strong critical thinking and autonomous decision-making
• Ability to manage multiple high-acuity patients in a dynamic ICU setting
• Excellent communication and interdisciplinary collaboration
• Compassionate, patient-centered care philosophy
• Willingness to work in a 24/7 service with rotating shifts

Work Environment

• High-acuity Neuro ICU with 24/7 coverage
• Shifts may include days, nights, weekends, and holidays
• Exposure to emergency situations requiring rapid intervention
• Fast-paced, team-based clinical setting with opportunities for growth and specialization

Salary Range

USD $77.11 - USD $100.00 /Hr.