MGH Heart Center Surgical ICU - Nurse Practitioner or Physician Assistant at Careerbuilder in Boston, Massachusetts

Posted in Other 14 days ago.





Job Description:

Under general supervision and direction of the Cardiac Surgeons,and in accordance with the rules and regulations of Massachusetts governingNurse Practitioner's practice, the Nurse Practitioner (NP) will be responsiblefor the care of patients on the Cardiac Surgical Service, primarily thosepatients that are admitted to the Cardiac Surgery Service. The NP willparticipate in daily rounds with nurses, other Advanced Practice staff,residents and multidisciplinary caregivers; perform bedside diagnostic and therapeuticprocedures, participate in the development and implementation of care plans, coordinatetests and consultations, implement treatment plans, communicate with referringphysicians, perform patient education, and prepare patients for discharge, allwhile keeping Surgeons updated asrequired. Maintains open lines of communication between Cardiac Surgeons,Residents, Fellows, PAs, Nursing Staff, Cardiologists, VAD NP Coordinator, andpatients/families. Promotes a collaborative relationship and effort between themedical staff and professional nurses toward continuity of patient care andefficient use of resources. Serves as arole model for professional nursing practice.



UNIVERSAL DUTIES AND RESPONSIBILITIES:



1.0 Provides direct care to a select patient population incollaboration with the physician.


1.1 Performs and records the patient history and physicalexam and discusses findings with the physician.


1.2 Utilizes advanced nursing knowledge to identify,prevent or solve complex and/or recurring patient care problems.


1.3 Follows and manages patients (in collaboration with MD)enhancing continuity of care.


1.4 Performs (oversees/assures completion of) specializedprocedures particular to the select population mutually agreed upon withcollaborating physician.


1.5 Performs medically delegated aspects of patient care asagreed upon by nursing and medical administrators according to practiceguidelines.


1.6 Collaborates with unit staff and physicians tofacilitate a comprehensive plan of care and coordinate resources.


1.7 Writes orders which are in accordance with currentguidelines.


1.8 Maintains and practices in accordance with practitionerguidelines per state and hospital regulations


2.0 Provides consultation to Nurses, Advanced Practicestaff and Physicians.


2.1 Serves as a resource to staff in area(s) of expertise.


2.2 Serves on appropriate intra and interdepartmentalcommittees.


3.0 Participates in the development of formal and informaleducational programs for the unit-based nursing staff.


3.1 Develops educational programs within area of expertise.


3.2 Collaborates with unit staff, Clinical Educators,Clinical Nurse Specialists, Staff Specialists and other health careprofessionals to meet staff and patient educational needs.


4.0 Monitors patient outcomes in accordance with definedstandards of patient care.


4.1 Collaborates with nurse managers, clinical nurses andmedical staff to plan, implement and evaluate pertinent change in practice andhealth care delivery.


4.2 Identifies system-wide factors contributing to undesirableoutcomes, such as complications, increased length of stay and overutilizationof services.


4.3 Facilitates patient movement through the system andefficient use of resources through interdepartmental collaboration.


5.0 Supports research efforts to advance knowledge and topromote research-based practice.


5.1 Evaluates own practice and program effectiveness.


5.2 Identifies pertinent nursing and health deliveryproblems for investigation.


5.3 Evaluates current research findings for clinicalspecialty and determines applicability to unit practice.


5.4 Assists nursing and medical colleagues in researchefforts.


5.5 Conducts own research.


6.0 Responsible for own professional growth and maintenanceof required credentials.


6.1 Maintains the standards and educational requirementsspecific to the position and licensure.


6.2 Identifies own learning needs and goals.


6.3 Takes responsibilities for leadership and participationon committees and task forces of the DON and the hospital.


6.4 Maintains and updates clinical knowledge and skillsbased on current health care practice/research.


7.0 Participates in MGH and Partners quality initiativesand/or hospital committees as assigned



ROLE-SPECIFIC DUTIES AND RESPONSIBILITIES:




Cardiac SurgeryIntensive Care Unit:



1.0 Assistswith postoperative management of Cardiac Surgery patients. Under the directionof the surgeons, executes a wide range of management plans for patients.


2.0 Writesdaily notes on all patients and discusses the care of each patient with theCSICU attending or surgeon and other consult service(s) involved with the careof that patient.


3.0 Performsbasic and advanced cardiac life support procedures as necessary and directsthese efforts.


4.0 Attendsdaily rounds. Also rounds independently.


5.0 Obtainsconsultations from other services.


6.0 Receivespatient admissions from the Operating Room, Cath Lab, ED, or other hospitalunits.


7.0 Arrangesfor transfers to the step down unit or other units to include hospital coursesummaries, transfer orders, and transfer notes.


8.0 Renewsmedications, transfer orders and general orders.


9.0 Performsappropriate evaluation of all patients on a daily basis. Medications,treatments, labs and consults will be ordered as needed. Discussion of the careof the individual patient will be made directly with the intensivist, AttendingSurgeon, resident, Cardiologist or other consult service that is involved withthe care of that patient.


10.0 Cardiac Care of the postoperative patientsin the CSICU includes:


10.1 Initiating pacing with external pacemakersystems, atrial and/or ventricular, in patients with existing pacing wires fortreatment of bradycardia, hypotension or arrhythmia suppression


10.2 Skin wire insertion in patients whorequire pacing but in whom the existing bipolar wires do not function properly


10.3 Changing milliamp output, sensitivities,and/or polarities of the pacing system


10.4 Placing central lines, pulmonary arterycatheters, chest tubes, or arterial lines


10.5 Removal of chest tubes, drains, epicardialpacing wires, central lines


10.6 Applying and/or changing wound VAC


10.7 Management of ECMO, VAD, heart transplant,and lung transplant patients.


10.8 Familiarity with CVVH, MechanicalCirculatory Support (intraaortic balloon pumps, ventricular assist devices,& ECMO), pulmonaryarterial catheters, arterial catheters, and mechanical ventilation.


11.0 Liaisonwith VAD Coordinator, Transplant Coordinator, CSICU Nursing Director, and HeartFailure team


12.0 Developsand implements routine instructions for patient discharge.


13.0 Participatesin Cardiac Surgery Service and Department of Surgery educational meetings withstudents and residents assigned to the surgical services.


14.0 Assistswith ongoing clinical research through follow-up of patients currently involvedin clinical trials.


15.0 Assistsin current clinical research and pursues independent clinical research.



QUALIFICATIONS:



1.0 Current licensure in the Commonwealth of Massachusettsas a registered nurse in the expanded role.


2.0 Master's Degree in Nursing.


3.0 National certification in acute care advanced practicenursing.



SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:



1.0 Professional knowledge: Clinical, healthcare managementwith knowledge to enable effective interactions and communication withclinicians, administrators and other professionals.


2.0 Time Management: Exceptional organizational skills andability to prioritize effectively and complete tasks; Flexibility to handlemultiple tasks and deadline pressures.


3.0 Clinical leadership: Highly motivated, independent andcapable of performing in a complex environment; Strong sense of initiative andperseverance to carry through to completion of tasks; Demonstratesforthrightness and integrity.


4.0 Interpersonal/communication: Excellent interpersonal, written and oralcommunication, and public speaking skills; Good command of English language,including medical and scientific terminology.


5.0 Information Systems/Technology Skills: Exceptional computer skills (includingWindows operating systems, word processing, database, electronic mail,Internet, spreadsheets, and other office management systems).


6.0 Quality Assurance: Skills to work efficiently andeffectively and strive to do so in all aspects of position; Effective projectmanagement skills and attention to detail.


7.0 Critical Thinking/Decision Making: Ability to appropriately evaluate all aspectsof a situation and to independently make appropriate and timely decisions.


8.0 Collaboration: Ability to coordinate among diverseconstituents, both inside MGH and in the community.


9.0 Discretion and Confidentiality: Ability to handle sensitive and confidentialmatters discreetly and to ensure confidentiality guidelines are maintained bystaff.


10.0 Safety/Compliance: Knowledge in aspects of safety applicable to position; Knowledge of andcompliance with institutional, Joint Commision, HIPAA, and other regulatorybodies' standards.



TRAINING & ORIENTATION



1.0 Training will be tailored to theindividuals experience level but will include a minimum of two monthsorientation.


2.0 Orientation will be provided primarily bythe Advanced Practice staff and will include all necessary aspects of patientcare specific to area of practice.



WORKING CONDITIONS:



Normal clinical conditions in avariety of hospital settings to include inpatient, clinic, and operating room.


May require attendance at meetingsoutside of regularly scheduled hours.


Rotating work schedule assigned bywork location. Position may includesnight, weekend, & holiday coverage for inpatient responsibilities.



SUPERVISORY RESPONSIBILITY:



No direct supervisoryresponsibilities



Qualifications

QUALIFICATIONS:



1.0 Current licensure in the Commonwealth of Massachusetts as a registered nurse in the expanded role.


2.0 Master's Degree in Nursing.


3.0 National certification in acute care advanced practice nursing.



SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:



1.0 Professional knowledge: Clinical, healthcare management with knowledge to enable effective interactions and communication with clinicians, administrators and other professionals.


2.0 Time Management: Exceptional organizational skills and ability to prioritize effectively and complete tasks; Flexibility to handle multiple tasks and deadline pressures.


3.0 Clinical leadership: Highly motivated, independent and capable of performing in a complex environment; Strong sense of initiative and perseverance to carry through to completion of tasks; Demonstrates forthrightness and integrity.


4.0 Interpersonal/communication: Excellent interpersonal, written and oral communication, and public speaking skills; Good command of English language, including medical and scientific terminology.


5.0 Information Systems/Technology Skills: Exceptional computer skills (including Windows operating systems, word processing, database, electronic mail, Internet, spreadsheets, and other office management systems).


6.0 Quality Assurance: Skills to work efficiently and effectively and strive to do so in all aspects of position; Effective project management skills and attention to detail.


7.0 Critical Thinking/Decision Making: Ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions.


8.0 Collaboration: Ability to coordinate among diverse constituents, both inside MGH and in the community.


9.0 Discretion and Confidentiality: Ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff.


10.0 Safety/Compliance: Knowledge in aspects of safety applicable to position; Knowledge of and compliance with institutional, Joint Commision, HIPAA, and other regulatory bodies' standards.



TRAINING & ORIENTATION



1.0 Training will be tailored to the individuals experience level but will include a minimum of two months orientation.


2.0 Orientation will be provided primarily by the Advanced Practice staff and will include all necessary aspects of patient care specific to area of practice.



WORKING CONDITIONS:



Normal clinical conditions in a variety of hospital settings to include inpatient, clinic, and operating room.


May require attendance at meetings outside of regularly scheduled hours.


Rotating work schedule assigned by work location. Position may includes night, weekend, & holiday coverage for inpatient responsibilities.



SUPERVISORY RESPONSIBILITY:



No direct supervisory responsibilities



EEO Statement

Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.