Cardiology Physician Assistant

Pediatric Cardiology NP/PA

Children's Medical Center in Dallas, TX is seeking temporary Pediatric Cardiology NP/PA coverage over the next several months. This facility is a part of the UT Southwestern Medical Center and features a 496 pediatric bed capacity, serving as a Level 1 Trauma Center with a Level IV NICU.

Job Description

• Coverage needed starting July 14th ongoing
• Shift times are still being determined by the facility
• Support staff includes Critical Care/Cardiology Fellows and Advanced Practice Providers (APPs), with no resident coverage
• Weekdays: 6 front-line providers (FLPs) plus 1 APP resource; 1:6 provider-to-patient ratio; APPs write daily progress notes
• Weekends: 3 FLPs cover both units; 1:10 (main) and 1:12 (IMU) provider-to-patient ratios; notes required for admissions, discharges, and procedures only
• Nights: 3 FLPs with similar ratios; documentation limited to admissions, procedures, and significant events
• Patients per day: 20-bed main CICU and a 12-bed Intermediate Care Unit (IMU)

Patient Population/Clinical Scope

• Wide range of congenital and acquired cardiac conditions specializing in:
  • Pre- and post-operative surgical care
  • Pediatric heart failure and transplant management
  • Advanced mechanical circulatory support (PediMag, CentriMag, HeartMate 3, Impella)
  • ECMO and renal replacement therapies (including Aquadex)
  • Pulmonary hypertension management
  • Electrophysiology: temporary and permanent pacemaker management

Department Description

• Main CICU (20 beds): Reserved for the highest acuity patients requiring intensive monitoring, complex post-operative care, and advanced support therapies such as ECMO, CRRT, and ventricular assist devices
• IMU (12 beds): Traditionally for lower acuity patients, evolving into a higher-acuity step-down setting; patients may be intubated or managed with tracheostomy and ventilator support, ventricular assist devices, and continuous infusions (milrinone, PGE, low dose epi, etc.)
• The unit is staffed by critical care-trained nurses held to the same clinical care standards as the main CICU

Procedural Competencies

• APPs are required to independently perform essential bedside procedures including removal of chest tubes, cardiac lines, pacing wires, and surgical drains
• Additional procedural capabilities requested but not required: insertion of chest tubes, arterial and central lines, and endotracheal intubation

Requirements

• Candidates must have an active Texas license
• Candidates must be Board Certified

Compensation

• $185 per hour

EMR

• EPIC

Privileging

• 60-90 days to privilege (Emergency privileging available)