Instructor or Assistant Professor Advanced Practice Provider

The Department of Pediatric / Division of Pediatric Neonatology is recruiting for a full-time APP for the Neonatal Intensive Care Unit (NICU) at PeaceHealth Southwest.

The appointee shall provide services as assigned by the supervisor in furtherance of the universitys missions and goals of teaching research patient care outreach and public service.

The Clinical Faculty APP delivers care aligned with a defined scope of practice in the Neonatal Intensive Care Unit (NICU) at PeaceHealth Southwest with work expectations operationalized through departmental workflows productivity standards and performance expectations consistent with the collective bargaining agreement (CBA) and institutional policies.

This role is structured to meet contract-defined work expectations of 166.4 annual shifts per year (1.0 FTE) aligned with the staffing model for PeaceHealth Southwest NICU including 12.5-hour shift-based scheduling continuous 24/7 coverage and clinical coverage expectations that include days nights weekends and holidays consistent with unit scheduling guidelines

The Clinical Faculty APP will participate in departmental scheduling processes including weekends and holidays with scheduling practices aligned to contract provisions equitable distribution of coverage and maintenance of safe consistent clinical operations.

The duties of this position include:

Clinical Activities (not assigned administrative education or research FTE):

• Patient Population:
  • Neonates and infants requiring Level III neonatal intensive care services including premature infants critically ill newborns and medically complex patients.
  • Patients may include those requiring stabilization intensive monitoring procedural support and coordination of multidisciplinary care.
• Practice area and practice type:
  • Inpatient practice within the Neonatal Intensive Care Unit (NICU).
  • Shared practice model in collaboration with attending neonatologists and interdisciplinary care teams with independent practice responsibilities consistent with APP scope licensure training and credentialing.
  • APPs practice with a high degree of clinical autonomy within their scope licensure and credentialed privileges in collaboration with the interdisciplinary care team.
• Clinical coverage requirement:
  • Participation in a shift-based 24/7 staffing model providing continuous APP coverage at PeaceHealth Southwest NICU.
  • Scheduled coverage includes 12.5-hour day and night shifts weekends holidays and assignment across the full scheduling cohort.
  • Position expectations include participation in night and weekend coverage that may exceed 40% of total shifts consistent with the defined staffing model for this contracted community-based practice. Assignment of greater than 40% night/weekend coverage is contingent upon the continued use of back-to-back shifts.
  • Participation in voluntary back-to-back day-to-night shifts when scheduled is permitted consistently with departmental staffing guidelines.
  • Support for patients requiring neonatal intensive care including but not limited to admissions daily ongoing care discharges (planned and unplanned as clinically appropriate) consultations delivery attendance neonatal resuscitation transport coordination triage and team-based patient care responsibilities as assigned
• Department specific activities:
  • Practice includes provision of neonatal care in a community-based contracted practice environment including collaboration with onsite and remote neonatologist support consistent with the PHSW care model.
  • Management of NICU patients including assessment diagnosis treatment planning and ongoing clinical management.
  • Attendance at high-risk deliveries and neonatal resuscitations.
  • Performance of procedures within scope of practice and credentialed privileges (e.g. intubation umbilical line placement lumbar puncture thoracostomy/chest tube placement thoracentesis venous and arterial access procedures surfactant administration and other procedures as credentialed) consistent with institutional privileging standards
  • Participation in multidisciplinary rounds care coordination discharge planning and family communication.
  • Completion of consultations both prenatal consults and consults requested by other community newborn providers (pediatricians family medicine ER)
  • Support of patient safety quality improvement clinical protocols and compliance with departmental and institutional standards.

Faculty Activities (service scholarship and research):

• Clinical APP faculty are expected to engage in activities that support professional advancement and are consistent with faculty pursuits and standard work expectations commensurate with rank role effort allocation and departmental guidelines.
• Faculty pursuit opportunities specific to position:
  • Participation in quality improvement patient safety and clinical innovation initiatives
  • Development implementation or evaluation of evidence-based practice guidelines or clinical protocols
  • Participation in scholarly activity including presentations publications abstracts posters or other dissemination of work
  • Involvement in clinical translational educational or practice-based research as applicable
  • Teaching precepting and mentorship of learners including APP students residents fellows or new APP faculty
  • Participation in departmental institutional or professional committees task forces or service activities
  • Engagement in professional development leadership development and advancement activities consistent with promotion criteria
  • Contribution to departmental strategic initiatives and other faculty pursuits as assigned or mutually agreed upon
  • Other activities as outlined in the Standard Work: Clinical Faculty Pursuit Expectations for Employees in the APU CBA (SOM)

Other Activities (not covered above):

• APPs are eligible for continuing education support consistent with the collective bargaining agreement including CME funding. Continuing education activities may be supported through a combination of CME funds PTO and/or faculty pursuits time as applicable
• All APPs are expected to support the clinical education and research mission of OHSU through routine clinical care that includes working with students trainees and patients participating in research consistent with their role scope of practice and applicable contract and institutional policies.

Education:

Successful completion of a graduate-level advanced practice provider program (e.g. Masters or Doctor of Nursing Practice DNP for Nurse Practitioners or Masters/Doctorate for Physician Assistants) from an accredited program.

Registrations Certifications and/or Licenses:

• Current RN and APRN licensure with the Oregon and Washington Board of Nursing.
• Current national certification as a Neonatal Nurse Practitioner
• Current BLS NRP and PALS certification as required for the position
• DEA Registration.

- OR -

• Current PA licensure with the Oregon and Washington Medical Board.
• Current NCCPA Certification.
• Current BLS NRP and PALS certification as required for the position.
• DEA Registration.

Experience:

• Appointee must be a board-certified Neonatal Nurse Practitioner (NNP) or Physician Assistant (PA) with appropriate training experience and clinical competency to provide care for infants in a Level III Neonatal Intensive Care Unit (NICU).
• For new graduates completion of required clinical training and eligibility for licensure credentialing and privileging as required for the role is required.

Skills and Abilities:

• Demonstrated clinical judgment critical thinking and decision-making skills in a complex care environment.
• Ability to assess diagnose and manage patients within scope of practice and applicable privileges.
• Ability to perform procedures and clinical interventions consistent with training and role requirements.
• Strong communication and interpersonal skills including effective collaboration with patients families physicians nurses and interdisciplinary teams.
• Ability to function effectively in a fast-paced high-acuity environment including emergency or rapidly changing situations.
• Ability to prioritize manage workload and adapt to evolving clinical needs.
• Proficiency with electronic health records clinical documentation and relevant medical technology.
• Commitment to patient safety quality improvement professionalism and continuous learning.

• Experience providing advanced practice care in neonatal critical care inpatient or pediatric settings preferred.
• Experience managing high-acuity or medically complex patients preferred.
• Experience with neonatal procedures emergency response and interdisciplinary team-based care as applicable to scope of practice preferred.

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