Reference #: 1007012SHIFT:Rotating (United States of America)

　　Seeking Breakthrough Makers

　　Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

　　At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

　　CHOP's Commitment to Diversity, Equity, and Inclusion

　　CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

　　We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.

　　A Brief Overview

　　The Cardiac Center is a multidisciplinary center that consist of five major hospital departments: Cardiology Cardiothoracic Surgery, Cardiothoracic Anesthesia, Cardiac Critical Care medicine and Cardiac Nursing.

　　The Cardiac Intensive Care Unit is a 34-bed unit caring for critically ill children pre- and post- surgery and/or children awaiting transplantation Our surgical team performs more than 850 pediatric heart surgeries each year, inducing open heart and closed heart procedures and heart transplant- with outcomes that are among the best in the nation.

　　Our APP team consists of Acute Care Nurse Practitioners, Physician Assistants and House Physicians providing 24-hour coverage, 365 days per year. Our APPs are passionate about their work, and their influence extends beyond the hospital to community and global initiatives.34-bed CICUOver 850 pediatric cardiac surgeries each yearCHOP was named #1 Large employer in the nation by Forbes in 2022!

　　To learn more about our Center for Advanced Practice and innovative programs for our APPs, please visit

　　In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment.

　　What you will doAssesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care.Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process.Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions.Manages the plan of care through evaluation, modification and documentation ac ording to the patient's response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes.Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness.Facilitates the patient's transitions between and within health care settings.Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members.Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers.Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice.

　　Education QualificationsMaster's Degree Nursing RequiredDoctorate Nursing Preferred

　　Skills and AbilitiesAbility to work in an inter-professional team setting with multiple responsibilities.Ability to use computer and electronic medical records effectively.Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role.Computer CompetencyBasic use of a computer (mouse, keyboard, printer, USB ports).Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).Web browsing, intranet search, document access.Use of shared network file space.Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors).Navigation and use of clinical communication systems.Information LiteracyDetermines the nature and extent of clinical information needed and uses the appropriate technology to access it.Accesses needed information effectively and efficiently.Evaluates information and its sources critically and appropriately incorporates it into clinical practice.Evaluates outcomes of the use of information.Information Management LiteracyNavigation of the electronic health record system.Ability to locate and review specific patient data in various clinical information systems.Effectively uses clinical decision support tools.Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.Ability to collect clinical data using quality improvement tools.

　　Licenses and CertificationsRegistered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required orRegistered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required andCertified Registered Nurse Practitioner (CRNP) (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required orAdvanced Practice Nurse (APN) (New Jersey) - New Jersey State Licensing Board - upon hire - Required andPrescriptive Authority (Pennsylvania) - Pennsylvania State Licensing Board - within 3 months - Required orPrescriptive Authority (New Jersey) - New Jersey State Licensing Board - within 3 months - Required andSpecialty Certification - in area of education/subspecialty. Required certification must match scope of practice for that practice area. - upon hire - Required