Section Editors: Holly Lieder RN, MSN, Acute Care CPNP (email: holly.lieder@duke.edu) Assistant Clinical Professor, Duke University School of Nursing, Duke University Medical Center, Durham NC, and Judy Verger, MSN CRNP (email: jtv@nursing.upenn.edu) Research Project Manager, Feeding and Energy Balance of Infants with CHD, School of Nursing, University of Pennsylvania; Pediatric Nurse Practitioner, PICU/Respiratory Rehabilitation Unit Children's Hospital of Philadelphia
Advanced Practice Nursing in Pediatric Critical Care
M.J. Grant, P. Moloney-Harmon, S. Irving, T. Andrade, J. Verger
Advanced Practice Nurses (APN) are functioning as Nurse Practitioners (NP) and Clinical Nurse Specialists (CNS) in Pediatric Intensive Care Units (PICU) throughout the country. These individuals are expert nurses with a strong foundation and dedication to pediatric critical care. They are comfortable with the PICU environment and skilled at coordination of services.
The responsibilities of many pediatric critical care APN's represent a continuum, inclusive of the responsibilities of the traditional CNS and the emerging role of the PICU NP. The classic role of PICU CNS influences practice through staff education, practice, consultation, research, research dissemination and administration. . In the ICU, NP's with attending physician collaboration perform history and physical examinations, evaluate clinical data, provide standardization of care by reducing fragmented care and perform invasive procedures. Pediatric critical care APN's are employed in practice groups with other APN's or as the only APN member of the management team. APN's work in teaching and community hospitals and provide coverage in the PICU, as well as, other areas of the hospital and community.
Examples illustrating the educational preparation, scope of practice and the environment of several pediatric critical care APN's will be posted at this site in the upcoming days and weeks.
Developed by a national panel of expert AC PNP educators, clinicians and policymakers
The CPNP Acute Care role is designed to meet the specialized physiologic and psychological needs of children with complex acute and chronic health conditions. AC-PNPs respond to rapidly changing clinical conditions, including the recognition and management of emerging health crises, organ dysfunction and failure. In accordance with this practice focus, CPNP-AC role activities encompass a wide range of NP practice strategies including contributions to the management of childrens' illness/health states, the client-nurses relationship, the teaching-coaching function, the professional role, managing and negotiating healthcare delivery systems, monitoring and ensuring the quality of health care practice, providing family-centered care, and demonstrating cultural competency. The short-term goal of care is stabilization of the child, minimizing complications, and providing physical and psychological care measures. The long-term goal of care is to resotre maximal health potential through implementation of NP strategies to reduce health risks. The continuum of care spans the geographic settings of the home, emergency departments, hospitals, sub-specialty clinics, and intensive care units. (referenced on: http://www.pncb.org/ptistore/control/exams/ac/index )
Pediatric Nurse Practitioner – Acute Care Certification Examination
The Pediatric National Certification Board (PNCB) is currently offering certification as a pediatric nurse practitioner in acute care. For more information please see the website: http://www.pncb.org/ptistore/control/product?prodId=EXAM-CPNP-2-AC&catalog=31&path=%7C
CCNS - Certification for Adult, Neonatal and Pediatric Acute and Critical Care CNSs. See the website for more details.
o A committee of the Pediatric Section of SCCM exists to discuss APN's in Pediatric Critical Care. Read more about this group and participate!..
o The Pediatric Section Advanced Practice Nurse Meeting met Sunday January 16th, 7:00AM-8:30 AM at the Hyatt Regency Phoenix Hotel.
o Mike Ushay, MD(hmushay@med.cornell.edu )and Maureen Madden, PCCNP (maddenma@umdnj.edu) are the co-chairs of the committee.
o
The committee is setting out to develop a core curriculum for
advanced practice nursing in pediatric critical care. This work group is being
led by Lauren Sorce and Shari Simone. Updates
to come soon.
Bristol-Myers Squibb Children's Hospital at Robert Wood Johnson University
Hospital
New Brunswick, New Jersey
Contact: Thomas Bojko, MD, MS
bojkoth@umdnj.edu
732-235-7887
Children's Hospital of Sinai Baltimore, MD
http://www.lifebridgehealth.org/sinaihospital/sinaibody.cfm?id=1599
Contact: Cathy Haut, MS, CPNP, CCRN
phone: 410-601-6444 or
email: chaut@lifebridgehealth.org
Children's Hospital - Medical Center of Akron
Akron, Ohio www.akronchildrens.org.
Contact: Ann-Marie Brown, RN, BSN, CCRN
Critical Care Resource Nurse
email: abrown@chmca.org
(330) 543-3535
Children's Hospital of Austin
Austin Texas
Contact: Kendall Sharp RN, MSN, CPNP
ksharp@seton.org
Children's Hospital of Los Angeles, Cardiothoracic Intensive Care Unit
Los Angeles, CA http://www.childrenshospitalla.org/heart.cfm
Contact: Carol Okuhara, NP cokuhara@chla.usc.edu
Children's Hospital of Philadelphia
Philadelphia, PA www.chop.edu
Contact: Mark Helfaer
Children's Medical Center of Dallas
Dallas, Texas
Contact: Stephen Thompson, RN, MSN, CPNP
stthom@childrens.com
(214) 456-2360 (Administrative Assistant #)
Children's Memorial Hospital
Chicago, IL
Contacts for PICU NPs: Lauren R. Sorce RN, MSN, CCRN, CPNP (Lsorce@childrensmemorial.org)
Andrea Kline RN, MS, CCRN, PCCNP (akline@childrensmemorial.org
)
Contact for CV NPs: Lorri Nielsen RN, MSN, PCCNP, PNP (LNielsen@childrensmemorial.org)
Cook Children's Medical Center
Fort Worth, Texas
Contact: Melanie Jacobson Schuster, CCRN, MSN, PCCNP
melaniej@cookchildrens.org
Duke University Medical Center
Durham, NC
Contact: Remi Hueckel RN, MSN, FNP, Team Leader for Pediatric Critical Care
Hueck001@mc.duke.edu
Primary Children's Medical Center
Salt Lake City, Utah
Providence Memorial Hospital
El Paso, Texas
Contact: Belen Terrazas-Ponce btp0108@aol.com
Rush Children's Hospital
Rush-Presbyerian-St. Luke's Medical Center
Chicago, IL
For more information contact:
Beth_N_Bolick@rush.edu
Sarah_A_Martin@rush.edu
St. Vincent Children's Hospital
Indianapolis, IN www.stvincent.org
Contact: Pamela A. Bedsole, RNC, PCCNP
Pabedsole@aol.com
PICU St. Vincent Children's Hospital
2001 W. 86th St.
Indianapolis, IN 46264
317/338-5334
Texas Children's Hospital & Baylor College of Medicine
Houston, Texas
For more information see: http://www.bcm.tmc.edu/pedi/ccare/
Contact: Fernando Stein MD fstein@bcm.tmc.edu
Office: 832-826-6231
The University of Pennsylvania, Philadelphia, PA
http://www.nursing.upenn.edu/academic_programs/grad/masters/program_detail.asp?prid=17
The University of Pennsylvania, School of Nursing, prepares Nurse Practitioners in Pediatric Critical Care (PCCNP). Students who complete the Graduate program receive a Master of Science in Nursing and are certified by the Pennsylvania Boards of Nursing and Medicine as Certified Registered Nurse Practitioners in Pediatric Critical Care. The PCCNP program is a four-semester, 12-month program which can be completed in one year of full-time or two to three years of part-time study. Students complete twelve courses, 456 theoretical hours and 756 clinical hours. Students are prepared in physical assessment, physiology, advanced pathophysiology, pharmacology, clinical decision making, diagnostic reasoning and advanced therapeutics. The practitioner role is balanced with preparation in functional role components integrating research, teaching, consultation and leadership. The School of Nursing uses a variety of clinical facilities and currently has contracts with over 600 health-care agencies. Clinical fieldwork experiences include supervised preceptorships with Masters-prepared nurses and physicians specially trained in Pediatric Critical Care.
Graduates become Pediatric Critical Care Nurse Practitioners caring for children and their families during critical illness. The PCCNP provides leadership skills including formal and informal education, consultation and research dissemination. In collaboration with physicians, Pediatric Critical Care Nurse Practitioners identify, evaluate and manage critically ill children.
For information contact:
Madeline Perkel RN, MSN, CRNP mperkel@nursing.upenn.edu
Judy Verger, MSN CRNP (jtv@nursing.upenn.edu)
University of Pennsylvania
School of Nursing
420 Guardian Dr.
Philadelphia, PA 19104-6096
(215) 898-8281
Rush University, Chicago, Illinois
This AC PNP program, formally known as the Pediatric Critical Care Nurse Practitioner (PCCNP) program, is designed to prepare experienced pediatric nurses for roles as advanced practice nurses in the subspecialty care of infants and children with complex acute/chronic conditions. Graduates receive a Master of Science in Nursing (MSN) degree. Post-masters certificate study is also available and is individualized for each student based on previous graduate education.
Graduates in the Acute/Chronic Care PNP program work with patients and families to meet the demands of their disease, illness, or injury in a variety of settings that include, but are not limited to: intensive care, emergency care, specialty services, inpatient unit, and transport team.
Please refer to the Rush University website for more information at www.rushu.rush.edu.
Or contact the program coordinator:Duke University School of Nursing, Durham, North Carolina
Pediatric Acute/Chronic Care Nurse Practitioner (PA/CNP) Program
http://www.nursing.duke.edu/academics/peds/ped.html
The PA/CNP program at Duke is a 16-month (4 semesters, fall, spring, summer, fall), program leading to a master's degree in nursing. Part time study is also available. Students who graduate from this program will be eligible to take the Pediatric Acute Care Nurse Practitioner National Certification Exam which will be offered by the NCBPNPs for the first time in early 2004. All of the core MSN coursework can be taken online, with the pediatric coursework taken on campus. All of the campus coursework is offered on Tuesday, Wednesday and Thursday allowing for more flexibility in work schedules. Graduates from this program are employed in a variety of settings both inpatient and outpatient (PICU, ER, Bone Marrow Transplant, Hem/Onc, Neurology, GI, Cardiology, Pulmonary, to name a few). We offer this program as a single degree or it can be combined with other programs for dual degrees (eg., PA/CNP program and Primary Care PNP program, Neonatal Nurse Practitioner program). The dual degree options give greater flexibility in the job market now and for the future.
Contact: Sharron Docherty, CPNP, PhD
Director, Pediatric Acute/Chronic Care Nurse Practitioner Program
Duke School of Nursing
DUMC 3322
Durham, NC, 27710
(919) 668-3836
doche002@mc.duke.edu
University of Pennslyvania, Philadelphia, PA
Pediatric Acute/Chronic Care Nurse Practitioner Program
http://www.nursing.upenn.edu/admissions
Beginning in 1992, the curriculum of the School of Nursing's long-standing program for pediatric clinical specialties was revised to address changes in pediatric advanced practice nursing. The curriculum of the Pediatric Acute/Chronic Care Nurse Practitioner Program now includes courses and clinical experiences related to physical assessment and clinical decision making, continuity of care, family interventions, health care policy, collaboration and transitional care.
The Pediatric Acute/Chronic Care Nurse Practitioner Program prepares its students to serve in advanced practice leadership roles with infants, children and adolescents who have serious acute and chronic health care needs, and for their families. It is the first program in the country to consolidate the roles of the nurse practitioner and clinical nurse specialist in order to prepare pediatric nurses to care for children complex, specialized health care needs. The program's internationally recognized faculty and its affiliated practicum clinical centers facilitate students' professional growth.
Contact: Janet A. Deatrick, PhD, FAAN, Program Director;
deatrick@nursing.upenn.edu
215-898-1799
The University of Alabama School of Nursing
The University of Alabama at Birmingham
Child/Adolescent Acute and Continuing Care Pediatric Nurse Practitioner, Clinical Nurse Specialist and CNS/Nurse Educator Options
http://www.uab.edu/son/grad_acc_pnp.htm
The Child/Adolescent Acute and Continuing Care Pediatric Nurse Practitioner option focuses on preparing the advanced practice nurse for the management of complex health issues for children with complex acute, critical & chronic illnesses. It can be completed in a minimum of 16 months (4 semesters) of full time study beginning in the fall semester. Students may also choose to attend part-time and complete the program in 20-32 months (5-7 semesters). Required coursework for the MSN core courses is offered online. The clinical major courses are offered on campus one day per week over 3 semesters, followed by a residency semester. Students may complete clinical practicum requirements in their home state, provided preceptors are available. Clinical facilities in Birmingham boast a ChildrenŐs Hospital System that is the tertiary referral center for the state and located in the major medical center of UAB. Our graduates are prepared for roles in the emergency department, intensive care units, and both inpatient and outpatient pediatric specialties. Graduates of the program are eligible to sit for certification by the Pediatric Nursing Certification Board (PNCB). Federal Nurse Traineeships and three Maternal Child Bureau Traineeships are available to students.
Contact: Jean Ivey, DSN, CRNP
Associate Professor and Coordinator,
Pediatric Advanced Practice Options
1530 3rd Avenue South
Birmingham, AL 35294-1210
(205)934-0448
University of Texas at Arlington, Arlington, Texas
Acute Care Pediatric Nurse Practitioner Formal Post-Masters Program
http://www.uta.edu/nursing/acpnp.htm
The University of Texas at Arlington (UTA) currently offers a post-masters certificate program as a Pediatric Nurse Practitioner in Acute Care (PNP AC). The PNP AC Program prepares graduates to manage the care of a wide range of pediatric patients and families. The spectrum of clinical experiences vary from chronic, stable patients in long term care facilities through the acute and critical phase of illnesses/trauma requiring hospitalization in intensive care. The classroom experiences focus heavily on physiology, pathophysiology, diagnostic reasoning, and disease management with advanced therapeutics.
Applicants must be certified PNPs with a background in advanced pathophysiology, physical assessment and pharmacology. The PNP AC Program requires completion of 14 graduate credit hours with 540 preceptored clinical hours. The program can be completed in 3 semesters or one academic year. The Dallas/Ft. Worth metroplex offers a variety of clinical facilities and preceptors, including masters-prepared nurses and physicians specially trained in Pediatric Acute/Critical Care. The preceptorship can be individualized for the PNP AC in PICU, ER, or Hospitalist role.
Complete information is here ...
Contact: Susan Grove
Asst. Dean for Graduate Studies
grove@uta.edu
Box 19407
411 S. Nedderman Drive
Arlington, Texas 76019-0407
817 272 7088
Vanderbilt University School of Nursing, Nashville, TN
Pediatric Acute Care Nurse Practitioner (ACPNP) http://www.mc.vanderbilt.edu/nursing/msn/pednp.html
The Pediatric Acute Care Nurse Practitioner (ACPNP) track is designed to prepare nurse practitioners to provide care for acutely ill, critically ill, and chronically ill children and their families. Clinical experiences are arranged across a variety of settings and include hospitals, pediatric intensive care units, emergency departments, and sub-specialty clinics. Primary care Pediatric Nurse Practitioners who want to move to the acute care setting are encouraged to apply for the Post-masters curriculum in this specialty which can be completed in 2 semesters of part-time study. Post-masters students are being accepted to start January, 2005.
Contact
Renee P. McLeod, DNSc, RN, CS, CPNP
Director, Pediatric Nurse Practitioner Programs
Email: renee.mcleod@vanderbilt.edu
California State University - Los Angeles, CA
Pediatric Acute Care Nurse Practitioner
http://www.allnursingschools.com/schools/ID86/
Contact: Lorie Judson R.N., PhD
Coordinator of the Pediatric Acute Care Nurse Practitioner Program
California State University - Los Angeles
School of Nursing
5151 State University Drive
Los Angeles, CA 90032-8171
323-343-4719
ljudson@calstatela.edu
Pediatric Critical Care Advanced Practice Nursing has their own email discussion list: PICUAPN. Information about this resource and how to join are here...
A nursing group interested in discussing any matters related to pediatric intensive care. This egroup serves as a principal meeting place for the International Pediatric Intensive Care Nurses Network. Therefore, in addition to addressing specific clinical topics, this nursing group is also interested in discussing issues from an international perspective,