Advanced Practice Provider-Emergency Room
ED AP providers are responsible for obtaining a pertinent history and physical examination that is guided by the presenting complaint of the child. Based on chief complaint, history and examination, the APP is responsible for developing a plan of care which can include laboratory studies, diagnostic studies, medication therapies or appropriate specialty consultations. Once a medical diagnosis is made, the APP is responsible for the ongoing evaluation of the patient’s response in the ED until the child is discharged or admitted. For discharged patients, prescriptions, follow up appointments and home management are directed by the APP.
During the orientation phase, the APP will staff all patients with an Advanced Practice Colleague or Attending Physician. After this time, the APP can practice independently within the established scope of clinical practice guidelines. Attending physician staff is available to all AP providers at all times to partner in the management of the complex or unusual patient presentations.
AP providers perform a large number of procedures in the ED, such as suturing, I &D’s, burn care, digital blocks, G-tube replacement, foreign body removal and lumbar punctures.
This is a demanding role requiring strong clinical skills, time management skills and the ability to function under stress. In addition, good communication skills are essential.
All documentation is electronic and expected to be completed within 72 hours of the patient visit.
All patient encounters and procedures will be tracked in EPIC. However, it is advised that providers keep track or log performed procedures independently.
The APP is scheduled for administrative time for the purpose of working on special projects or research and engaging in educational and professional developmental opportunities. However, at times it may be necessary to convert administration time to cover clinical needs.
Patient volume is variable and has seasonal influences. It is the expectation that all members of the team are present on time ready to see patients at the start of each shift and engaged during their shift to promote patient access and throughput in the ED. Productivity reports are reviewed by the APS manager and distributed to each member of the team monthly.
New team members complete at least a six month orientation period in which they rotate with all ED AP providers, and experience all of the various shift hours. During this time, they will present all patient cases to their APP preceptor and be observed by the preceptor while performing procedures.
Days & Hours of Work:
Coverage is 24 hours, seven days a week. (Weekends & Holidays)
Hours are flexed based on seasonal variability and number of independently practicing providers. In general, the hours are:
• Day shift: 6 am – 6 pm (or 7a – 7p)
• Mid-shift 11am – 11pm and 3p – 3a
• Night shift: 6 pm – 6 am (or 7p – 7a)
• 8 hours of administrative time per 8 week period as scheduling permits.
Experience & Education:
1 or more years of experience as an Advanced Practice Nurse Practitioner or Physician Assistant in the Emergency Room or Acute Care practice
•Texas RN license
•Texas APN license
•PNCB certification in Acute Care Pediatrics required (If FNP or PNP, must receive acute care certification within 2 years of hire)
•License by the Texas Medical Board
•National certification by the NCCPA
Individual DEA registration required
Main Campus located at 1935 Medical District Drive, Dallas, TX 75235
that I wanted to be a nurse, and to me, pediatrics was the only option. When we moved to Dallas, Children’s Health was the only place I wanted to work. In fact, it’s the only hospital I applied to. Making life better for children was exactly what I had always wanted to do. I truly can’t imagine working anywhere else.
Amy, RN, BSN, AE-C
Clinical Research Coordinator