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.
The Progressive Care Unit (PCU) is a 25-bed unit for patients who are medically fragile and dependent on respiratory technologies. The staff are dedicated to managing a child's healthcare needs while maximizing their development. The doctors, nurse practitioners, nurses, respiratory therapists, physical therapists, case managers, social workers, child life, and other staff work together to provide compassionate and clinically competent care. The PCU also provides training, education, and emotional support for families, which would help them safely care for their child outside of the hospital.