Advanced Practice Provider- Cardiac ICU

Seattle Children's Hospital

Date: Sep 23, 2022
City: Seattle, WA
Contract type: Full time
Seattle Children's Hospital

We are searching for a Nurse Practitioner or Physician Assistant to join our cardiac critical care APP team- someone who works well in a fast-paced - high stress setting. In this position, you will provide critical care to neonates, infants, children, adolescents, and young adults with congenital and acquired heart disease, acute and chronic conditions, including independent and interdependent responsibilities in the assessment, diagnosis, initiation of treatment, evaluation of interventions, perform procedures, and evaluation of outcomes. The APP is involved in education, consultation, research, and evaluation of clinical practice at various levels.

We are a highly specialized team that provides direct care and assumes responsibility for the clinical management of pediatric cardiac critical care patients in the pediatric cardiac intensive care unit and as a critical care resource provider. We are a 24-bed unit with an average daily census of 20. The unit is jointly staffed with pediatric critical care fellows and advanced practice providers who equally share patient care responsibilities; however, our APPs are considered experts with MCS and complex critically ill patient management. We are a top 5 heart transplant program with a growing VAD service. We have a pediatric MCS transport program to support our large geographical area. Our team performs more than 500 heart surgeries per year and 698 cardiac catheterization procedures.

Learn more about our CICU at

Our Heart Center offers advanced imaging including MRI and 3D ECHO, blood conservation surgical techniques, cardiac genetics, prenatal cardiology, Single ventricle program, Heart failure and transplant, Hybrid and interventional cardiac catheterization procedures, and electrophysiology.

Learn more about our Heart Center at

Patient & Family Care:

Providing care to infants, children, and adults with congenital and acquired heart disease
  • Conduct patient assessment and medical history, physical exams, and diagnose health and developmental problems
  • Caring for patients with both acute and chronic disease by managing therapeutic regimens
  • Caring for preoperative and postoperative cardiac patients including management of patients on mechanical circulatory support.
  • Caring for heart failure and heart transplant patients.
  • Participating in the intensive care unit medical rounds, including the presentation of clinical information and the progress and management of patients
  • Establishing a treatment plan and evaluation of interventions
  • Collaborates with CICU provider team, consulting services, and
  • Participate in teaching activities conducted by the PCCM fellowship, APPs, and Heart Center fellowship, and CICU attending physicians.
  • Completing bedside rounds at the end of the shift with the on-call night team for the CICU to complete sign-off and update management plans
  • Identify and document patient/family learning needs, readiness to learn, and level of understanding, incorporating family culture and belief systems on all patients
  • Employs diverse & complex strategies, interventions, & teaching to promote health & a safe environment.
  • Provides leadership in care management to achieve optimal quality and cost-effective care.
  • Documents & communicates with healthcare team members to achieve an integrated delivery of pediatric care services.
  • Delegates appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver.
  • Provides 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.
  • Makes appropriate referrals and discusses recommendations with patient/family/caregiver.
  • Orders and/or performs appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice.
  • Provides patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
  • Includes the patient/family/caregiver & other healthcare providers.
  • Advocate for the pediatric patient/family/caregiver.
  • Bases the evaluation process on advanced knowledge, practice, research, & documents appropriately.
  • Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.
APP Professional Practice:
  • Maintains competency in skills/procedures
  • Maintain professional behaviors aligned with core values and care standards
  • Participates in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance.
  • Serve as preceptor, role model, or mentor.
  • Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth.
  • Integrate ethical considerations & research findings into practice
  • Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting.
  • Serve as a leader, influencing both healthcare practice & policy.
In addition, the Physician Assistant will:
  • Provide medical services that are within the education and training of the Physician Assistant within the scope of practice and delegation of the supervising physician
  • Meet on a regular cadence with the supervising physician for case review.


We are looking for the following:
  • Team players, willing to work together within our APP team and within the larger CICU and Heart Center Teams to provide excellent care for our patients and families, advance APP practice, and support their team members.
  • Strong desire to learn, are curious, and able to process and apply constructive feedback to their practice.
  • Good collaborators and communicators willing to work independently and interdependently within the team.
  • Are flexible, compassionate, and strive for excellence.
  • Support our ongoing team growth
  • Able to work a variety of shifts in a 24/7 care model
  • Days, evenings, nights, weekends, and holidays
  • Ability to rotate between days and nights
  • Nurse practitioners are required to have, at minimum, a Master of Science Degree in Nursing (MSN).
  • Physician Assistants-Certified (PA-C) are required to have a Bachelor of Science Degree (BSc).
Certification and Licensure:
  • Pediatric acute care nurse practitioner (PNP-AC) required for nurse practitioners
  • Physician Assistant Certified (PA-C) required for physician assistants
  • PALS certification.
  • Licensure (ARNP or PA-C) in the state of WA
  • DEA registration for the state of WA
  • New graduate pediatric acute care certified nurse practitioners.
  • Physician Assistants who have completed an accredited pediatric APP fellowship or who have experience in pediatrics.
  • Preferred Experience:
  • New graduates:
  • PNP-AC applicants: A minimum of 5 years of RN experience in a pediatric CICU, PICU or Pediatric cardiology.
  • Physician assistants with experience in pediatrics, cardiac first assist, pediatric critical care, and/or pediatric cardiology and/or completion of an accredited pediatric APP fellowship that includes pediatric intensive care and cardiology rotations.
  • Experience as an advanced practice provider (NP or PA-C) in pediatric cardiac critical care, pediatric critical care, pediatric cardiovascular surgery preferred.
Prior to start of employment, must obtain, and maintain in good standing, medical or allied health professional staff privileges that are not limited, revoked, suspended, conditioned or probationary, except for normal probationary periods due to initial appointment (all medical and allied health professional staff members are provisional for the first year).

Any/all medical or allied health professional staff privileges at Children\'s will terminate automatically upon the termination of the individual\'s employment at Children\'s. Termination of employment does not prohibit the individual from seeking medical or allied health professional staff privileges at Children’s as a non-employee in any category for which the individual qualifies. Questions regarding medical or allied health professional staff privileges may be directed to Medical Staff Services.

Covid-19 Vaccination

In accordance with Washington state law, Seattle Children\'s requires that all employees be fully vaccinated against COVID-19. All offers are contingent and your vaccine status will be verified at onboarding.

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