Advanced Practice Registered Nurses / Physician Assistants
DEPARTMENT OF ANESTHESIOLOGY
Columbia University's Department of Anesthesiology and the School of Nursing are seeking a Pediatric Pain Management and Perioperative Care Nurse Practitioner (PPMPCNP).
The PPMPCNP will provide direct care to a diverse pediatric patient population in a tertiary pediatric hospital. Responsibilities include:
Pain Management: 1. Perform inpatient consultation in collaboration with the pediatric pain attending physician 2. Perform assessment of patients by taking problem-oriented histories as they relate to issues of pain; and perform physical examinations, incorporating all relevant clinical data including laboratory and diagnostic data 3. In collaboration with pediatric pain attending physician, develop a problem-oriented plan for diagnostic, therapeutic, and medication modalities relevant to pediatric pain patients followed by the pain service, and document the management plan in the medical record 4. Perform daily rounds and follow-up on pediatric pain patients 5. Prescribe medications including controlled substances, devices, and other medications within New York State and Federal scope of practice law for nurse practitioners 6. Perform and/or assist with approved procedures, including, but not limited to: a. assist anesthesiologists with insertion of epidural catheter b. performing medication boluses via epidural catheter c. removal and dressing changes for epidural catheter d. intravenous bolusing of analgesics via patient-controlled analgesia 7. Initiate recommendations for referrals to other health care providers and/or consulting physicians for further definitive therapy 8. Conduct appropriate follow-up of patients as needed 9. Provide education to pediatric pain patients and their families regarding pain treatment 10. Participate in staff education regarding all aspects of pediatric pain management for nursing staff 11. Assist pediatric pain attending physician in education and training of house staff
Preoperative Assessment and Planning: 1. In collaboration with Pediatric Anesthesia faculty, perform assessment and risk stratification of pediatric patients for anesthesia care 2. Review available medical records and request additional clinical information, including medical record, consultation notes, and laboratory data, as needed 3. Contact primary surgical/medical service to make appropriate planning and preparation for intra-operative anesthesia care and post-operative care 4. Perform post-operative rounds following procedure and anesthesia
Quality Assurance (QA) and Continuous Quality Improvement: 1. Perform essential activities related to QA in Divisional electronic anesthesia QA database 2. Makes twice daily PACU rounds with fellows and faculty to collect and review QA events in PACU 3. Assist in the preparation of quarterly divisional QA report 4. Enter PACU QA data into anesthesia QA database 5. Perform random check of database data entry to ensure accuracy and reliability 6. Meet at regular intervals with PACU nursing personnel to discuss QA/QI issues and compliance with PACU QA data collection 7. Participate in monthly divisional M&M presentation 8. Participate in Divisional QA/QI Committee meetings
The PPMPCNP will work Monday through Friday, 12pm–8pm or 1pm–9pm.
Columbia University is an equal opportunity/affirmative action employer—race/gender/disability/veteran.
Internal Number: 504-12012
About Columbia University
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.