Per Diem Ambulatory Nurse Practitioner (Chelsea Urgent Care) at Massachusetts General Hospital(MGH) in Chelsea, Massachusetts

Job Description:

Chelsea Urgent Care Unit Chief and with oversight of the Director of Primary Care Advanced Practice Providers (APP), the Nurse Practitioner (NP) is responsible for the care of pediatric and adult patients seeking same day care to diagnosis and treat a variety of conditions, including infectious illnesses, orthopedic issues, lacerations, issues surrounding pregnancy, and other medical emergencies. The NP works in collaboration with a team of physicians (MDs), physician assistants (PAs)registered nurses (RNs), licensed practical nurses (LPNs), medical assistants (MAs,), as well as a variety of administrative staff. The NP is expected to facilitate a medical emergency response if indicated.



PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.


Clinical responsibilities:


Obtains a detailed, accurate health history and performs a comprehensive evaluation.


Orders necessary diagnostic tests, consultations, and performs procedures for which competency has been demonstrated and scope of practice has been authorized. Diagnostic tests would include but are not limited to imaging and laboratory tests within their scope of practice as indicated


Prescribes medications within their scope of practice as necessary.


Performs or assists in routine and complex procedures as necessary, including but not limited to phlebotomy, splinting, relocation of joint dislocations, laceration repairs, abscess incision and drainage, nail trephination, insertion of urethral catheters, removal of nasal, ear and wound foreign bodies, and anterior nasal packing as credentialed to perform.


Writes complete and comprehensive notes on all patients using the EHR system by end of shift and discusses the care of each patient with the attending clinician as indicated.


Identifies system-wide factors contributing to undesirable outcomes in clinical care and/or clinical


operations.


Departmental responsibilities:


Regularly participates in staff meetings and trainings.


Supports research efforts in the Urgent Care unit to advance knowledge and to promote research-based practice.


Acts as a role model for nursing personnel.


Professional responsibilities:


Independently seeks physician consultation for clinical issues and/or supervisor for management consultation as needed.


Responsible for own professional growth and maintenance of required credentials. Applies evidence-based research and guidelines to practice.


Maintains the standards and educational requirements specific to the position and licensure.


Identifies own learning needs and goals.


Maintains and updates clinical knowledge and skills based on current health care practice/research.


Assumes other duties as assigned.



SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, measurable, objective, and related to the essential functions of the job.)

• ACLS and PALS certification


• Ability to care for patients with a broad range of medical problems.

LICENSES, CERTIFICATIONS, and/or REGISTRATIONS (if applicable): Specify minimum credentials and clearly indicate if preferred or required

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


• Current professional certification in advanced practice nursing.


• Holds MSRC and DEA prescribing licenses

EDUCATION: Specify minimum education and clearly indicate if preferred or required

• Master's Degree in Nursing


• Family Practice advanced practice certification preferred

EXPERIENCE: Specify minimum creditable years of experience and clearly indicate if preferred or required

• Prior experience as a NP in urgent care or emergency settings preferred

SUPERVISORY RESPONSIBILITY: List the number of FTEs supervised.

• None

FISCAL RESPONSIBILITY: Indicate financial "scope" information, i.e.: size of budget, volume, revenue, etc.

• None

WORKING CONDITIONS: Describe the conditions in which the work is performed.

• May require the lifting of heavy objects and patients, as well as exposure to potentially infective material.


• Requires contact with needles and other sharp instruments, monitoring devices, and other state-of-the-art equipment.


• Prolonged standing can be expected. Walking to and from other patient care areas can be expected.


• May require variable shift work, including evenings, weekends and holidays.

APPROVAL:



The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.



Qualifications

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


• Current professional certification in advanced practice nursing.


• Holds MSRC and DEA prescribing licenses

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. Apply Now