To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.
The Pediatric Clinical Nurse Practitioner provides comprehensive care to patients and their families within a specific
pediatric specialty (examples include: Diabetes, Endocrinology,Genetics, Neurology, Orthopedics) under the
supervision of the Attending Physician of the assigned specialty, and as directed by established standards of care .
As a member of the health care team, the Nurse Practitioner provides direct care, and focuses on education to
patients and families regarding prevention and/or management of their health status within YNHCH Pediatric
Specialty. The Pediatric Nurse Practitioner works collaboratively with all members of the specialty service and
multidisciplinary healthcare team to provide safe,high-quality, evidenced-based care. Some specialtiies many
require coordination and/or support in clinical research trials.
1. Patient Care:
Assumes primary patient care responsibilities for patients in the YNHCH Pediatric Specialty
Service,specifically relating to their specialty and patient populations.
Identifies health care needs and assesses health status of patient/family during outpatient clinic visits.
Includes performing a history (medical, family, and social) and physical examination for specific patient
population, including new or return visits.
Identifies medical and psychologicial patient problems and develops and implements a healthcare plan
in collaboration with Attending Physician and multidicsiplinary team as needed .
Ensures complete documentation, includes all elements of regulatory and third party carrier
requirements as evidenced in the medical record. Includes but not limited to: History and Physical
exam, Problem list, Allergies, Medication reconciliation, Plan of care. Documentation includes patient
education and interval contact with patients through telephone.
Discusses patient care needs with Attending Physician and members of the multidisciplinary
healthcare team (as needed) during regular scheduled specialty, interim care needs, or during
1 .6 If appiclable to specialty, provides on-call service as apropriate to meet the needs of the specialty.
1 .7 Utilizes age-specific developmental competencies in the development of patient care plans
Develps the plan of care (seeks validations with the attending physician or other appropriate specialists)
utilizing pertinent health issues based on physical status , laboratory results, radiology results, patient
responses to treatment an/or medication management.
Independently performs (or assists) with procedures as appropriate for specialty. Develops competency
and is credentialed for procedures as per regulatory requirments and YNHH standards of practice .
Independently, or in collaboration with healthcare team members, orders, schedules, interprets, and
dcouments laboratory or diagnostic tests and procedures,
Ensures follow up with patient/family regarding laboratory or diagnostic test results, including
communication, and documentation of source for delivering results. In addition, counsels patient/family
on plan of care/next steps.
1 .13 Initiates, coordinates, and manages home care needs for patients and families.
Research/ Co-investigator/coordinator for specialty Clinical Trials.
ONLY WHERE APPLICABLE: Research activities, in conjunction with Clinical care must be reviewied and
approved by Specialty Section Chief, Dept of Pediatric and Surgery Administratiive leadership, and the
Director of the Pediatric Specialty Centers to detrmine appropriate allocation of Clinical Research
responsibilite. The extent of involvement and timeframe will be determined collaboratively with the APRN and
the leadership for each Research project
2 .1 Prepares and submits protocol, consents, and re-approvals as needed to HIC
2 .2 Schedules and performs all patient visits in collaboration with studgy site staff.
2 .3 Maintains all research records in accordance with HR and sponsor guidelines.
2 .4 Assures responsibility for processing and shipping of biological samples (if applicable)
2 .5 Communicates study results to patients and their health care providers.
2 .6 Transmits data to study/sponsor.
Facilitates obtaining of consents for patient participation in studies, including administering of any
intake questionaires, recording data
The practitioner may participate, collaborate or initiate research activities with the Yale Medical Group
Specialties and Yale New Haven Hospital
Applies evidence and research -based data to clinical practice in the care of patients and families in the specialty area.
3. Patient/Family Centered Care
Collaborates with other health care team members, referring physician, and coordinates appropriate
patient/family education and follow-up care.
Embraces and supports family centered care with the patient and family as the center of all care
management processes. Includes and engages the family in care plans and decision making process
In collaboration with the health care team, provides continuity of care to patients needs coordinating
care in the inpatient and outpatient setting, accross disciplines, to meet patient and family needs.
Includes but not limited to:
a. Collaborating wtih other services involved in the child's care i.e. primary and/or specialty providers,
school nurses, nursing/DME agencies, insurance companies, inpatient and outpatient nurse
b. Completes necessary forms for schools, insurance companies, letters, as needed to support
patient care needs
c. Initiates scheduling of referrals to other specialty services, ancillary support or testing needs
and follow up appointments.
4 .1 Identifies learning needs of team members and families.
Provides education/support to patients, families, clinical staff on the inpatient or outpatient setting,
homecare, and community (school nurses)
Participates in continuing education/preceptorship of health care team and affiliated medical and nursing
Identifies appropriate patient education materials for patient/family, including written, electronic,
resosurce support groups, and development of educational materials as neeeded.
Monitors patient outcomes across the health continuum, tracking patient/family responses to
prevention, management and treatment .
5. Professional Development:
5 .1 Participates in at least one (1) professional organization.
5 .2 Attends national and local conferences, and internal in-house conferences each year.
5 .3 Maintains current nationally recognized certificates.
Maintains competent in YNHH and YMG competencies, standard policies, including compliance with
regulatory requirements relating to patient care and environment,
5 .5 Ensures compliance with provider credentialing and ongoing renewals
BSN, (MSN Preferred). Graduate of NAACOG approved Neonatal Nurse Practitioner program. Current Connecticut APRN license (or eligible). Certification as a NNP by the NAACOG Certification Corporation (or NAACOG certification eligible).
Two (2) years as a staff nurse in a neonatal intensive care unit.
Excellent basic medical knowledge with clinical skills and judgement. Possess analytical skills to evaluate care needs, ability to gather relevant clinical data, perform thorough physical examinations, and possess excellent interpersonal skills, communication, and leadership abilities and exhibit good judgement and tact dealing with parents, families, and allied health professionals. Computer skills preferred.