Advanced Practice Provider PD Emergency Medicine

Brown Medicine•BHMGMA Brown Health Medical Group Massachusetts, MA

3d•$61 - $78•Onsite

About The Position

The Advanced Practice Provider (APP) practices emergency medicine in an Emergency Department under the general direction of the APP Medical Director or Associate Medical Director and under the supervision of an Attending Physician. The APP obtains medical histories, performs physical examinations, orders and interprets diagnostic tests, establishes diagnoses, develops and implements treatment plans, and performs diagnostic and therapeutic emergency medicine procedures. Practice must follow written policies and protocols approved by the Emergency Department, Medical Executive Committee, and the Board of Rhode Island Hospital, The Miriam Hospital, or Newport Hospital. The APP assesses emergency department patients for emergency medical conditions under EMTALA criteria, uses published triage guidelines to determine acuity and appropriate care areas, and evaluates patients according to attending-physician supervision requirements. Lower-acuity patients (ESI 4 or 5) may be evaluated, treated, and dispositioned by an APP without an attending evaluation. Patients designated ESI 2 or 3 must also be evaluated by an attending before discharge, and critical-care patients require direct bedside attending supervision. The APP documents histories and examinations, orders and interprets laboratory and radiology studies, requests consultations and other clinical evaluations, orders emergency therapeutics, and prescribes outpatient medications. The role includes procedures such as blood draws (excluding femoral sticks), arterial blood gas, IV access, catheter and tube insertion or reinsertion, epistaxis management, foreign-body removal, paracentesis, arthrocentesis, lumbar puncture, orthopedic injury management, wound care, incision and drainage, eye evaluation and corneal foreign-body removal, and certain nerve blocks. Advanced procedures such as intubation and central-line placement may be performed under direct attending supervision, subject to training and privileging. The APP maintains professional standards and communication, stays current with professional correspondence and practice requirements, and attends relevant meetings, conferences, or training when necessary. Other non-routine tasks or projects may be assigned at the discretion of the APP Medical Director or Associate Medical Director. The position involves access to confidential medical, personal, social, and psychological patient information and requires compliance with HIPAA. It requires moderate physical effort, prolonged standing, and considerable walking during shifts. Full-time APP schedules typically involve 36–40 clinical hours per week, with variable days, evenings, weekends, and holidays; this posting also identifies the schedule as per diem, as required.

Requirements

Physician Assistants must have a master’s degree in Physician Assistant Studies.
Nurse Practitioners must have a graduate degree (Master of Science in Nursing or Doctor of Nursing Practice) from an accredited Nurse Practitioner program.
At least 1 year of experience as an Advanced Practice Provider; emergency department experience is preferred.
NCCPA certification for Physician Assistants, or equivalent Nurse Practitioner national board certification.
Current Rhode Island Physician Assistant or Nurse Practitioner state licensure.
Current DEA and Rhode Island Controlled Substance Registration (CSR), or ability to obtain them before the start date.
Ability to meet credentialing requirements as a Brown University Health Medical Staff member, including submission of a background release form demonstrating proof of no disqualifying information.
Ability to handle confidential information discreetly and professionally in accordance with HIPAA privacy rules.
Ability to prioritize and perform multiple tasks efficiently and in a timely manner in a fast-paced clinical environment.
Ability to work independently and collaboratively within a multidisciplinary team.
Excellent oral and written communication skills; very good writing and analytical skills.
Exemplary professionalism and interpersonal skills.
Proficiency with EMR platforms for clinical documentation and workflow.
Ability to meet the position’s moderate physical demands, including prolonged standing and considerable walking.

Nice To Haves

At least 1 year of experience in an emergency department setting.

Responsibilities

Assess patients presenting to designated emergency departments for emergency medical conditions under EMTALA criteria.
Use published triage guidelines to determine patient acuity and the appropriate care area.
Evaluate patients according to attending-physician supervision requirements, including direct bedside attending supervision for critical-care patients.
Obtain patient histories, perform physical examinations, and document findings in the patient record.
Order and interpret laboratory testing and radiology studies.
Request respiratory therapy, psychiatric, medical, and surgical consultations; interventional radiology procedures; and social work, case management, and PT/OT evaluations.
Order emergency department medications and IV fluids and prescribe outpatient medications.
Perform authorized diagnostic and therapeutic emergency medicine procedures, including those listed in the position description.
Attend relevant internal or external meetings, conferences, and training opportunities when necessary.
Meet with the APP Medical Director or Associate Medical Director as needed.
Maintain professional standards and behavior in clinical and administrative settings and when interacting with patients, employees, staff, and community representatives.
Keep current with professional email correspondence and practice requirements.
Complete other non-routine tasks or projects as needed at the discretion of the APP Medical Director or Associate Medical Director.
Maintain confidentiality of patient information and comply with HIPAA requirements.