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. This is a part time position, and FTE status could vary based on availability within the department.
The Emergency Department at CHOP cares for more than 100,000 patients a year. The ED is a Level 1 Trauma Center and is home to the Poison Control Center. Nurse Practitioners in the Emergency Department practice in all patient environments including the acute care cohort, respiratory cohort, Emergency Department Extended Care Unit (EDECU), and participate in trauma. With experience, NPs can move into a direct biller role.
To learn more about our Center for Advanced Practice and innovative programs for our APPs, please visit https://www.chop.edu/centers-programs/center-advanced-practice
Job Responsibilities (Continued)Job Responsibilities (Continued)Required Licenses, Certifications, Registrations
- Assesses 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.
RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse PractitionerRequired Education and Experience
Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study as a Pediatric Acute Care Nurse Practitioner, or a Pediatric Primary Care Nurse Practitioner with agreement to obtain a Pediatric Acute Care Nurse Practitioner certification and license.
Preferred Education, Experience & Cert/LicAdditional Technical Requirements
- Ability 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.
- Basic 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.
- Determines 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 Literacy
- Navigation 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.