NP ICU Full-time
Good Samaritan University Hospital

NP or PA - Neuro ICU

Good Samaritan University Hospital West Islip, NY, US
$77.11 - $100 / hour

Job Details

Neuro ICU Advanced Practice Provider (APP)

Good Samaritan University Hospital – West Islip, NY
(Nurse Practitioner or Physician Assistant)

FT – varied shifts (am and pm combined shifts)

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) monitors
    • External ventricular drains (EVDs)
    • Licox and cerebral perfusion monitoring systems
  • Initiate 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 placement
  • Arterial line insertion
  • Lumbar puncture
  • Ventilator management and airway stabilization
  • Bedside ultrasound for procedural guidance
  • Removal 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 Assistant
  • Master’s or Doctorate degree from an accredited NP or PA program
  • National board certification (AANP/ANCC for NP; NCCPA for PA)
  • BLS and ACLS certification
  • At 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 NPs
  • Neuro ICU or neurosurgical APP experience
  • Experience with EVD/ICP monitoring and neurocritical care protocols
  • CCRN, CNRN, or NCCPA specialty certifications
  • NIH Stroke Scale certification

Core Competencies

  • Advanced neurological assessment skills
  • Strong critical thinking and autonomous decision-making
  • Ability to manage multiple high-acuity patients in a dynamic ICU setting
  • Excellent communication and interdisciplinary collaboration
  • Compassionate, patient-centered care philosophy
  • Willingness to work in a 24/7 service with rotating shifts

Work Environment

  • High-acuity Neuro ICU with 24/7 coverage
  • Shifts may include days, nights, weekends, and holidays
  • Exposure to emergency situations requiring rapid intervention
  • Fast-paced, team-based clinical setting with opportunities for growth and specialization


Salary Range

USD $77.11 - USD $100.00 /Hr.

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