NP or PA - Neuro ICU

Job Details Neuro ICU Advanced Practice Provider (APP) Good Samaritan University Hospital – West Islip, NY (Nurse Practitioner or Physician Assistant) FT – Night Shift Position Summary The Neuro ICU Advanced Practice Provider (APP) delivers comprehensive, high-acuity care to patients with complex neurological and neurosurgical conditions at Good Samaritan University Hospital, an academic tertiary-care center within Catholic Health. The APP works collaboratively with intensivists, neurosurgeons, neurologists, and critical care RNs to manage critically ill patients, perform advanced procedures, and optimize outcomes in a fast-paced Neuro ICU. Key Responsibilities Clinical Care & Patient Management Perform comprehensive neurologic and critical care assessments on Neuro ICU patients, including acute stroke, traumatic brain injury, subarachnoid hemorrhage, status epilepticus, brain tumors, spinal cord injury, and complex post-operative neurosurgical patients.Formulate and implement evidence-based medical management plans in collaboration with attending physicians.Interpret diagnostic studies including CT, MRI, EEG, continuous neuromonitoring, and lab results.Manage advanced neuromonitoring devices such as:Intracranial pressure (ICP) monitorsExternal ventricular drains (EVDs)Licox and cerebral perfusion monitoring systemsInitiate and titrate critical care infusions (vasoactive, sedation, hyperosmolar therapies, anticonvulsants).Respond to emergencies including code strokes, rapid response activations, seizures, airway compromise, and acute neurologic deterioration. Procedures (Depending on training & privileges) Central venous catheter placementArterial line insertionLumbar punctureVentilator management and airway stabilizationBedside ultrasound for procedural guidanceRemoval of EVDs or drains per neurosurgical protocols (if credentialed) Communication & Collaboration Participate in daily multidisciplinary rounds with neurosurgery, neurology, neurointensivists, nursing, respiratory therapy, rehab services, pharmacy, and case management.Communicate clinical plans clearly to patients and families; provide education and support regarding neurological diagnoses.Serve as a clinical resource to nursing staff and contribute to ongoing improvement of Neuro ICU protocols. Quality, Safety & Documentation Maintain accurate, timely documentation in the electronic medical record.Follow all hospital guidelines for patient safety, infection prevention, and critical care standards.Participate in Neuro ICU quality initiatives including stroke metrics, morbidity/mortality reviews, CLABSI and CAUTI reduction, and evidence-based neurocritical care pathways. Professional Development Participate in continuing education specific to neurocritical care.Maintain required certifications and hospital competencies.Engage in research, performance improvement projects, or academic collaboration as appropriate. Qualifications Required Current NYS license as Nurse Practitioner (FNP/AGACNP preferred) or Physician AssistantMaster’s or Doctorate degree from an accredited NP or PA programNational board certification (AANP/ANCC for NP; NCCPA for PA)BLS and ACLS certificationAt least 1–2 years of critical care, neurology, neurosurgery, or ICU-related experience (new graduates with strong ICU RN background may be considered) Preferred ACNP or AGACNP certification for NPsNeuro ICU or neurosurgical APP experienceExperience with EVD/ICP monitoring and neurocritical care protocolsCCRN, CNRN, or NCCPA specialty certificationsNIH Stroke Scale certification Core Competencies Advanced neurological assessment skillsStrong critical thinking and autonomous decision-makingAbility to manage multiple high-acuity patients in a dynamic ICU settingExcellent communication and interdisciplinary collaborationCompassionate, patient-centered care philosophyWillingness to work in a 24/7 service with rotating shifts Work Environment High-acuity Neuro ICU with 24/7 coverageShifts may include days, nights, weekends, and holidaysExposure to emergency situations requiring rapid interventionFast-paced, team-based clinical setting with opportunities for growth and specialization Salary Range USD $77.11 - USD $100.00 /Hr.