NP PCU ICU Full-time
Cleveland Clinic

Nurse Practitioner (Acute Care)-Step Down/ICU Intensive Care and Resuscitation House Officer (Avon)

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

Nurse Practitioner (Acute Care)-Step Down/ICU Intensive Care and Resuscitation House Officer (Avon)

                        

Location

Avon

                    

Facility

Avon Hospital

                     

Department

Intensive Care and Resuscitation-Integrated Hospital Care Institute

                      

Job Code

T98526

                     

Shift

Day/Evening/Night/Weekend

                       

Schedule

12:00am-12:00am

                       

Job Summary

                         

Job Details

ICU/Step-Down Unit Rotation: Interested in Critical Care but would like time to develop your critical thinking, assessment and team leader skills before diving fully into the ICU?  The Cleveland Clinic is currently seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners to join us as we grow and develop our successful, NP led team of Acute Care Nurse Practitioners by providing high quality, acute care to patients under the Critical Care umbrella rotating between Step-Down and ICU at Avon Hospital.  NP experience is preferred, however candidates with at least 3 years of experience as a Step Down, Emergency Room or Critical Care RN will be considered.  Successful candidates will have a strong desire for autonomous practice and have the ability to function at the top of their license after training, fully integrating into a community hospital system where they have the ability to affect real change and improve patient outcomes with every interaction.

The Step-Down/ICU Intensive Care and Resuscitation House Officer will, with oversight from the critical care physician, develop and implement plans of care for acutely ill patients.  These may include necessary testing, procedures and consultation with various specialties.  This provider will also assist with Rapid Response and Code Blue efforts throughout the hospital in collaboration with additional Critical Care Nurse Practitioners.  As you progress through your training, you will have the opportunity to obtain further procedural skills that will result in the ability to intubate, place central lines and arterial lines, and manage ventilators. Once fully credentialed you will be able to begin rotating into the ICU to gradually gain exposure to more acutely ill patients.

Duties include, but are not limited to:

  • Daily rounding and development of plans of care for each patient in consultation with the physician
  • Daily progress notes
  • Admissions
  • Transfers
  • Discharges
  • Assistance as Team Leader with Rapid Response and Code Blue in collaboration with the ICU NP
  • Continual communication and collaboration with providers involved in patient care
  • Procedures including intubation, central line placement, arterial line placement, ventilator management and others as necessitated by patient condition

All new hires will undergo an in-depth and fully paid hybrid orientation process that will include:

  • Dedicated didactic time with presentations on applicable topics provided by experts in their field
  • Dedicated time on their home unit with a focus on hands-on daily practice and professional growth and development.
  • Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning at Cleveland Clinic’s Simulation and Advanced Skills Center
  • Hands-on training for procedures in OR and Cadaver Lab
  • Time spent at each regional site to learn workflows and patient management
  • Participation in a mentorship program (1 year in duration)

Education:

APRN 

Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. 
Graduate of an accredited APRN program. 
If in neonatal care service area Master’s Degree is required upon hire. 

Certifications: 

NP 

  • Currently licensed as a Nurse Practitioner in applicable state(s). 

  • Must be licensed as an RN in applicable state(s). 

  • National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. 

  • Basic Life Support (BLS) through the American Heart Association (AHA) required. 

  • Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. 

  • Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. 

  • Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. 

Languages:

Oral and written communication in English

Work Experience:

  • Related clinical experience preferred.

Physical Requirements:

  • Typical physical demands include the ability to walk and stand for long periods of time.
  • Manual and finger dexterity and eye/hand coordination to perform physical examinations.
  • Requires corrected vision and hearing to a normal range.
  • Occasionally lifts and carries items weighing up to 50 pounds.
  • May require exposure to communicable diseases and/or body fluids.

Personal Protective Equipment:

  • Follows standard precautions using personal protective equipment as required.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

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Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life threatening situations, as privileged by CCF Credentialing Board. May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing/Medicine and CCF policy. Performs specialized procedures, including bone marrow aspirations, biopsies and harvest, blood draws, designated IV starts, spinal taps, thoracentesis and paracentesis as well as other specific procedures as directed by the physician, following approval by CCF Credentialing Board. Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking and topics related to medical specialty, with basic recommendations. Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards. Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. Performs research follow-up studies. Assists in data analysis. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care. Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management. May serve as clinical preceptor for PA/APRN students and other health professionals. May serve as Faculty for onboarding new employees. Demonstrates a high standard of moral and ethical behavior. Demonstrates compassion and professionalism and a commitment to excellent patient care. Routinely takes call and works off shift hours: Weekends/holidays, nights; shifts cover 24 hours, 7 days a week. Special procedure privileging is required Other duties as assigned. Education: APRN Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. Graduate of an accredited APRN program. If in neonatal care service area Master’s Degree is required upon hire. PA Graduate of an A.R.C. approved Physician Assistant Program. Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board. Languages: Oral and written communication in English Certifications: NP Currently licensed as a Nurse Practitioner in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required . Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. PA Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. License to practice and prescribe issued by their practicing states Licensing Board. Current DEA License or DEA designee as required by NCQA. Basic Life Support (BLS) through the Am erican Heart Association (AHA) required . Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. Complexity of Work: APRN/PA: Excellent analytical and decision making skills are required. Strong written and verbal communication skills. Ability to work as a member of a multi-disciplinary team. Demonstrated competency and the ability to perform advanced assessment and diagnosis. Demonstrated ability to utilize the electronic medical record. Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Depending on practice, surgical fields may require surgical experience. Work Experience: APRN: Two years clinical advanced practice nursing experience preferred. PA: Two years relative clinical experience preferred. Physical Requirements: APRN/PA: Typical physical demands include the ability to walk and stand for long periods of time. Manual and finger dexterity and eye/hand coordination to perform physical examinations. Requires corrected vision and hearing to a normal range. Occasionally lifts and carries items weighing up to 50 pounds. May require exposure to communicable diseases and/or body fluids. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster . Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities