JOB SUMMARY The nurse practitioner (NP) is an integral member of a multidisciplinary health care team focused on the care of children with neurological conditions including spasticity and cerebral palsy (CP). The NP functions in both the inpatient and outpatient settings. The NP has a strong foundation in evidence based practice/education and provides an environment of safe quality care. The NP demonstrates an advanced level of medical and nursing knowledge, clinical/technical competence, sound clinical judgment, professional communication skills, timely and compliant documentation, and is responsible for professional development and competency validation. The pediatric spasticity and CP practice includes care for children needing baclofen pumps and Botox injection treatments.
Assessment of Health Status
Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill children with neurological conditions.
Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
The NP may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
Assesses for risks associated with the care of children with complex neurological conditions including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, monitoring for comorbidities, invasive interventions, and diagnostic and therapeutic procedures.
Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions.
Manages diagnostic tests through ordering, interpretation, performance, and supervision.
Formulates differential diagnoses by priority.
Diagnoses complications and orders appropriate interventions.
Formulates Plan of Care
Identifies expected outcomes from diagnosis, and formulates documents a plan of care to address complex, acute and chronic health care needs.
Utilizes evidenced based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
Implements and modifies plan of care.
Prescribes diagnostic strategies and therapeutic interventions needed to achieve expected outcomes.
Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
May perform advanced procedures consistent with privileges and competency validation including medication injections, management and refilling of intrathecal drug delivery systems, and basic wound management.
Communication and Collaboration
Maintains ongoing communication and collaboration with interdisciplinary health care team.
Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care.
Documents/dictates key components of patient's progress via consultation notes, procedural notes, daily progress note and/or clinic notes where applicable.
Documentation is timely, meets acute care compliance standards and captures patient acuity.
Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of students, nursing staff, nurses, graduate and novice nurse practitioners.
Seeks opportunities for active engagement in research and the analysis of evidenced based practice.
Actively participates in Pediatric Grand Rounds, APN council meetings, faculty and unit meetings, M&M presentations.
Maintains CEUs, and membership in a professional organization.
12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.
Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA license.
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