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. This assignment requires staff to work >60% during evenings, weekends, or holidays

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 practiceand delegation of the supervising physician
• Meet on a regular cadence with the supervising physician for case review.

#LI-BD1

Required Education/Experience:

- For NPs in the critical care role: Master's degree in nursing with a concentration in acute care

- For PAs: Graduate of a nationally accredited physician assistant program

Required Credentials:

For NPs:

- Active, unencumbered registered nurse and advanced registered nurse practitioner licensure in the State of Washington

- Pediatric acute care certification required

For PAs:

- Active, unencumbered physician assistant licensure in the State of Washington

- Initial certification by the National Commission on Certification of Physician Assistants

For All Providers:

- Active Drug Enforcement Authority registration

- Current American Heart Association Basic Life Support (BLS) for Healthcare Professionals is required at time of hire and to be maintained continuously throughout employment. American Heart Association Pediatric Advanced Life Support (PALS) will also be accepted in lieu of BLS for Healthcare Professionals.

-Some clinical locations may require American Heart Association Pediatric Life Support training and continuous maintenance of certification.

- Active clinical privileges as an Allied Health Provider at Seattle Children's Hospital must be secured prior to time of hire and must be maintined in good standing and in compliance with all medical staff bylaws, continuousy thorughout employment.

- Any and 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.

Preferred:

- Two years experience in advanced practice provider role

- Two years experience in pediatric health care

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors.

Seattle Children's offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. for more information.

Hope. Care. Cure. These three simple words capture what we do at Seattle Children's -- to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families' ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country.

In 2022, U.S. News & World Report once again ranked Seattle Children's among the nation's best children's hospitals - for the 30th year in a row. For more than a decade, Seattle Children's has been nationally ranked in all 10 specialty areas evaluated by U.S. News & World Report. We are honored to be the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution, and classified among America's best large employers by Forbes, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it's delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.

Our community welcomes diverse experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our increasingly diverse patients and families. Our organization recruits, employs, trains, compensates, and promotes without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The people who work at Seattle Children's are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves within this community, which cultivates and promotes equity, diversity, and inclusion at all levels.

Seattle Children's is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.