Locums - Dallas, Texas Physician Assistant - Pediatric Cardiology Critical Care Opening
Clinical Role Highlights:
Start Date: July 14, 2025
Contract Length: 3-month ongoing assignment
Schedule: 5x8-hour shifts, no call required
Practice Setting: Hospital
Board Certification: BC/BE required - must have Acute Care certification (Primary Care not accepted)
License: Active Texas license required
Team Structure & Coverage:
Support Staff: The CICU is staffed by Critical Care/Cardiology Fellows and Advanced Practice Providers (APPs). No resident coverage. All front-line providers (FLPs) report directly to attending physicians.
Weekday Staffing: 6 FLPs + 1 APP resource 1:6 provider-to-patient ratio APPs write daily notes
Weekend Staffing: 3 FLPs cover both units 1:10 (CICU) & 1:12 (IMU) ratios Documentation required for admissions, discharges, and procedures only
Night Coverage: 3 FLPs with similar ratios Notes limited to admissions, procedures, and significant events
Facility Overview:
Hospital Bed Size: 32 beds (20-bed CICU + 12-bed IMU)
Patient Load: Approx. 32 patients/day between CICU and IMU
Patient Demographics: Pediatric patients with a range of congenital and acquired cardiac conditions
Clinical Focus Areas Include:
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 (Aquadex)
Pulmonary hypertension management
Electrophysiology: temporary and permanent pacemaker management
Unit Details:
Main CICU (20 beds):Designed for the highest acuity patients requiring intensive monitoring, ECMO, CRRT, VADs, and complex post-op care
IMU (12 beds):Evolving into a high-acuity step-down unit. Patients may require ventilator/trach support, continuous infusions (milrinone, PGE, low-dose epi), or VAD management. Staffed with critical care-trained nurses and held to the same care standards as the CICU.
Procedural Competencies Required:
Independent removal of:
Chest tubes
Cardiac lines
Pacing wires
Surgical drains
Preferred but not required:
Insertion of chest tubes
Arterial/central lines
Endotracheal intubation
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