Reference #: 1006671SHIFT:Day (United States of America)

　　In this role, as a member of the CHOP Fetal APP team, you will care for patients who are pregnant with high-risk fetuses. You will provide prenatal and postnatal care, coordinate multidisciplinary team care, and assist with fetal procedures both in the outpatient clinic and in the operating room. Scrub experience is helpful but not necessary.Previous experience in Women's Health and/or Prenatal Care strongly preferred. Proficiency with fetal heart rate interpretations required in addition to other basic obstetric assessment skills. Day shift with some weekend/night call required.

　　Theat Children's Hospital of Philadelphia is an internationally recognized leader in fetal diagnosis,fetal surgeryand fetal care. We offer highly specialized care to mothers carrying fetuses with known birth defects that require fetal surgery and treatment before or after birth.

　　Here at our Center, you'll find comprehensive, family-centered care in one location, from advanced diagnostic testing, prenatal management and fetal surgery to a special delivery unit, counseling and support services, and expert postnatal care. Our Garbose Family Special Delivery Unit was the world's first birthing unit dedicated to healthy mothers of babies with known birth defects.Since 1995, we've cared for more than 28,658 expectant parents from around the world and performed more than 2,104 fetal surgeries, an unparalleled level of experience caring for the tiniest patients before, during and after delivery that helps us achieve the best outcomes possible.

　　As part of one of the top-ranked and largest children's hospitals in the U.S., we have a high volume of patients and treat the full range of fetal anomalies. We're one of the few fetal centers in the world to offer open fetal surgery for life-threatening conditions, as well as a variety of other fetal interventions such as minimally invasive fetoscopic surgery and ex utero intrapartum therapy. Our team is made up of pioneers in fetal medicine who constantly work to refine and advance the techniques used to treat birth defects.

　　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 OverviewIn 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 additi n 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 according 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 r