NP or PA- Ellison 14 ICU- MGH

Job Summary

Required Qualifications

• •Master's Degree Nursing or Physician Assistant
• •Registered Nurse [RN - MA License]
• •Advanced Practice Registered Nurse [APRN] [MA License]
• •Physician Assistant [MA License]
• •Experience as a nurse practitioner or physician assistant
• •2 or more years of full-time critical care RN experience
• •graduation from an Acute Care NP program
• •1 or more years of full-time ICU APP experience
• •Skilled in taking medical histories to assess medical condition and interpret findings
• •Ability to maintain quality control standards
• •Ability to react calmly and effectively in emergency situations
• •Ability to interpret, adapt and apply guidelines and procedures
• •Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public
• •3-13hr shifts
• •D/N rotation
• •weekends/holiday rotation
• •day, nights, and weekend shifts
• •full-time assignment is three 13-hour shifts plus one hour of education every week
• •Shifts are 6am-7pm and 6pm-7am with one hour overlap for sign out and to sort out pending patient care issues
• •Administratively working with the Department of Surgery APP Clinical Practice Director, the Ellison 14 Nursing Director, and the Ellison 14 Medical Director(s)
• •critical care interventions
• •intensive care monitoring
• •diagnosing and prescribing treatments
• •therapeutics, and medications
• •coordinating referrals and discharging patients from the ICU
• •responsible, collaborative decision-making
• •procedural excellence
• •establishing, implementing, and evaluating the ICU course of treatment
• •coordination and communication of the treatment plan
• •patient and family teaching
• •competent, compassionate nursing care
• •role model for professional nursing practice
• •Develops, implements, and evaluates a program of specialized health care for a select patient population
• •Promotes a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources
• •Provides direct care to a select patient population in collaboration with the physician
• •Performs and records the patient history and physical exam and discusses findings with the physician
• •Utilizes advanced nursing knowledge to identify, prevent or solve complex and/or recurring patient care problems
• •Follows and manages patients (in collaboration with MD) enhancing continuity of care
• •Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician
• •Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines
• •Collaborates with unit staff and physicians to facilitate a comprehensive plan of care and coordinate resources
• •Writes orders which are in accord with current guidelines
• •Maintains and practices in accord with practitioner guidelines per state and hospital regulation
• •Provides consultation to both nurses and physicians
• •Serves as a go-to person for staff in area(s) of expertise
• •Serves on appropriate intra and interdepartmental committees
• •Participates in the development of formal and informal educational programs for the unit-based nursing staff
• •Develops educational programs within area of expertise
• •Collaborates with unit staff, Clinical Educators, Clinical Nurse Specialists, Staff Specialists, and other health care professionals to meet staff and patient educational needs
• •Monitors patient outcomes in accordance with defined standards of patient care
• •Collaborates with nurse managers, clinical nurses, and medical staff to plan, implement and evaluate pertinent change in practice and health care delivery
• •Identifies system-wide factors causing undesirable outcomes, such as complications, increased length of stay and over utilization of services
• •Facilitates patient movement through the system and efficient use of resources through interdepartmental collaboration
• •Supports research efforts to advance knowledge and to promote research-based practice
• •Evaluates own practice and program effectiveness
• •Identifies pertinent nursing and health delivery problems for investigation
• •Evaluates current research findings for clinical specialty and determines applicability to unit practice
• •Assists nursing and medical colleagues in research efforts
• •Conducts own research
• •Responsible for own professional growth and maintenance of required credentials
• •Maintains the standards and educational requirements specific to the position and licensure
• •Identifies own learning needs and goals
• •Takes responsibilities for leadership and participation on committees and task forces of the DON and the hospital
• •Maintains and updates clinical knowledge and skills based on current health care practice/research
• •Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
• •Performs complete histories and physical examinations
• •Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
• •Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
• •Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
• •Performs bedside procedures as are appropriate to the patient population
• •Orders medications and writes prescriptions according to organizational and regulatory policies and procedures

Desired Qualifications

• •Experience as a nurse practitioner or physician assistant 0-1 year preferred