Nurse Practitioner

Nurse Practitioner - Cincinnati Children's

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Scope for subspecialty role will not exceed the scope of the collaborating or supervising MD.

• Patient Care – Perform history and/or physical exams on patients presenting for care in area of expertise. Assess and diagnose illnesses, including chronic and acute conditions. Formulate, document and monitor a treatment plan. Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam. Provide clinical consultation, order interdisciplinary consults.
  
  Professional practice including but not limited to prescription of medications in accordance with Federal and State Law & Rules and CCHMC policy. Attain and maintain competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
• Outcomes Identification and Planning – Develop measurable goals that provide direction for continuity of care and consistency among providers. Prioritize, evaluate and modify an individualized comprehensive plan of care. Address each diagnosis or issue appropriately. Derive outcomes and plans of care that involve the patient/family/caregiver when possible and are realistic to patient capabilities and resources. Consider risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines and clinical expertise to formulate interventions, treatments and outcomes.
  
  Incorporate new knowledge and strategies to initiate change in practice if desired outcomes are not achieved. Maintain documentation and update outcomes, goals and the plan of care accordingly.
• Professional Practice – Maintain professional behaviors aligned with core values and care standards, participate in quality improvement activities or research to improve the care delivery process and patient care outcomes. Participate in lifelong learning and professional development activities that improve skills and competence in clinical practice and role performance. Serve as a preceptor, role model, or mentor; contribute to the professional development of peers and colleagues to improve pediatric health care and foster the profession’s growth.
  
  Integrate ethical considerations and research findings into practice; provide leadership by participating on committees or in professional organizations, or writing, publishing, and presenting. Advocate for the pediatric patient, family and caregiver. Serve as a leader, influencing both healthcare/APP practice and policy.
• Care Management – Maintain competency in skills and procedures. Promote self‑management and family‑centered care. Employ diverse and complex strategies, interventions, and teaching to promote health and a safe environment. Provide leadership in care management to achieve optimal quality, cost‑effective care. Document and communicate with healthcare team members to achieve an integrated delivery of pediatric care services. Delegate appropriate monitoring, assessment, and interventions according to patient and scope of practice of the caregiver.
  
  Provide consultation to influence the identified plan of care, to enhance the abilities of others to provide health care and to effect change in the healthcare system. Make appropriate referrals and discuss recommendations with patient, family, caregiver. Order and perform appropriate treatments, therapies, and procedures that are based on current knowledge, research, and practice. Provide patient/family/caregiver with diagnostic and laboratory results as well as actual/potential benefits, limitations, and adverse effects of proposed therapies.
• Evaluation – Use a systematic, ongoing evaluation of the assessment data and outcomes to revise or resolve the diagnoses, outcomes, the plan of care and the implementation as needed. Evaluate the accuracy of the diagnosis, effectiveness of interventions and the plan of care strategies in relation to attainment of expected outcomes. Include the…