UCSF Benioff Children's Hospital is recognized throughout the world as a leader in health care, known for innovation, technology and compassionate care. UCSF has one of the top children's hospitals in the nation, according to a ranking by U.S. News & World Report. Our 183-bed UCSF Benioff Children's Hospital has more than 150 specialists in more than 40 areas of medicine.
The Pediatric Intensive Care Unit (PICU) at UCSF Benioff Children's Hospital provides extraordinary high-level care for children who require continuous monitoring. The unit has 20 beds for infants and children suffering from a variety of conditions or recovering from surgery. More than 1,000 children per year are admitted into the intensive care units at UCSF Benioff Children's Hospital arriving via ambulance, helicopter and airplane from throughout the western United States.
The Pediatric Transitional Care Unit (TCUP) is an 18-bed unit for infants and children suffering from a variety of conditions or recovering from surgery. The TCU provides care to patients with a moderate to high complexity of disease such as those recovering from solid organ transplantation, titration of anticoagulant therapy and other infusion, and post-operative specialty surgery care (ENT, neurosurgery). Patients requiring respiratory support including BIPAP, CPAP, high flow nasal cannula and patients requiring mechanical ventilation with tracheostomy in place are also routinely admitted to the TCUP. The Advanced Practice Provider will act as a full member of the team taking responsibility for the safe delivery of care in collaboration with attending physicians, fellows and residents. This team member will meet productivity expectations as set forth by the Division Chief, performing any duties related to patient care activities that are appropriate and clearly delineated.
Advanced Practice Providers on the PICU and TCUP Team provide care in rotating 12h shifts.
Function
% of time
Duties
Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)
70
Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.
Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations
Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01
APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.
1.2. Performs procedures granted to them via privileges/standardized procedures.
1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.
1.4. Initiates consultations as indicated.
1.5. Documents independent assessment findings and recommends appropriate treatments.
1.6. Participates in service rounds and patient evaluation and treatment planning.
1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.
1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.
1.9. Interprets and acts upon completed tests, procedures, and radiographic studies.
1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations
1.11. Effectively communicates findings, treatment options, and care plans with patients and their families
1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.
1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.
1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.
Inpatient – Care Coordination (may include some or all of the responsibilities listed)
30
1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
1.2. Coordinates episodic care and determines timing of routine clinic follow up.
1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans.
1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.
1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
Required Qualifications:
Graduation from a PA Program accredited by the Accreditation Review Commission on Education for the PA (ARC-PA).
Licenses/Certifications:
UCSF Medical Center requires all Advanced Practice Providers (APPs) to be credentialed through its Office of Medical Affairs and Governance (OMAG) to practice and function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings. Credentialing takes between 60-90 days and must be completed prior to the first working day.
