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ICU/Step-Down Unit Rotation: Interested in Critical Care but would like time to develop your critical thinking, assessment and team leader skills before diving fully into the ICU?  The Cleveland Clinic is currently seeking innovative, adaptable and critical thinking Acute Care Nurse Practitioners to join us as we grow and develop our successful, NP led team of Acute Care Nurse Practitioners by providing high quality, acute care to patients under the Critical Care umbrella rotating between Step-Down and ICU at Avon Hospital.  NP experience is preferred, however candidates with at least 3 years of experience as a Step Down, Emergency Room or Critical Care RN will be considered.  Successful candidates will have a strong desire for autonomous practice and have the ability to function at the top of their license after training, fully integrating into a community hospital system where they have the ability to affect real change and improve patient outcomes with every interaction.

The Step-Down/ICU Intensive Care and Resuscitation House Officer will, with oversight from the critical care physician, develop and implement plans of care for acutely ill patients.  These may include necessary testing, procedures and consultation with various specialties.  This provider will also assist with Rapid Response and Code Blue efforts throughout the hospital in collaboration with additional Critical Care Nurse Practitioners.  As you progress through your training, you will have the opportunity to obtain further procedural skills that will result in the ability to intubate, place central lines and arterial lines, and manage ventilators. Once fully credentialed you will be able to begin rotating into the ICU to gradually gain exposure to more acutely ill patients.

Duties include, but are not limited to:

• Daily rounding and development of plans of care for each patient in consultation with the physician
• Daily progress notes
• Admissions
• Transfers
• Discharges
• Assistance as Team Leader with Rapid Response and Code Blue in collaboration with the ICU NP
• Continual communication and collaboration with providers involved in patient care
• Procedures including intubation, central line placement, arterial line placement, ventilator management and others as necessitated by patient condition

All new hires will undergo an in-depth and fully paid hybrid orientation process that will include:

• Dedicated didactic time with presentations on applicable topics provided by experts in their field
• Dedicated time on their home unit with a focus on hands-on daily practice and professional growth and development.
• Multiple simulation days, progressive in nature, that provide real-life patient care scenarios in a safe environment for learning at Cleveland Clinic’s Simulation and Advanced Skills Center
• Hands-on training for procedures in OR and Cadaver Lab
• Time spent at each regional site to learn workflows and patient management
• Participation in a mentorship program (1 year in duration)

Education:

APRN 

Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. 
Graduate of an accredited APRN program. 
If in neonatal care service area Master’s Degree is required upon hire. 

Certifications: 

NP 

• Currently licensed as a Nurse Practitioner in applicable state(s). 

• Must be licensed as an RN in applicable state(s). 

• National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. 

• Basic Life Support (BLS) through the American Heart Association (AHA) required. 

• Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. 

• Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. 

• Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. 

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster. 

Cleveland Clinic is pleased to be an equal employment opportunity employer.