The PICU Nurse Practitioner provides advanced nursing care for critically ill pediatric patients in a 24/7 coverage model, including variable shifts and in-house night calls. Responsibilities include managing 6-8 patients, performing specialized procedures such as arterial line and central venous line placement, chest tube and PICC placement, endotracheal intubation, and lumbar puncture. The role requires proficiency with the Epic electronic medical record system and collaboration within a multidisciplinary team for continuous care delivery.