Advanced Practice Provider (ICU - Nights)

Beth Israel Lahey HealthNeedham, MA
Onsite

About The Position

The Advanced Practice Provider (APP) in the Intensive Care Unit (ICU) serves as a key clinical provider and team member, reporting to the Medical Director of the ICU. The APP practices under the direction of the Medical Director and other Intensivists, adhering to Massachusetts Board and hospital policies. This role involves collaborative work with surgeons and/or Hospitalists on the medical-surgical floor. The APP is primarily responsible for the assessment, admission, stabilization, and ongoing management of patients in the ICU under the Intensivist's direction, encompassing a wide range of diagnostic and therapeutic procedures, patient care coordination, and communication with patients, families, and other medical staff.

Requirements

  • Bachelor's degree in any field of study and completion of either a 2-year PA or NP Program required.
  • Nurse Practitioner License required, or Physician Assistant License required.
  • Advanced Cardiac Life Support certification required.
  • 0-1 years related work experience required.
  • Demonstrated analytical abilities and strong interpretative skills for integrating information from the patient history, physical exam and diagnostic data to be able to formulate a differential diagnosis and subsequent treatment plan for patients in both elective and emergent situations.
  • Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Nice To Haves

  • Prior experience in ICU setting.

Responsibilities

  • In collaboration with the physician completes pre-admission history and physical examination.
  • Ensures that all requisite testing is completed.
  • Coordinates elements of the treatment plan and assesses, evaluates and documents patient progress.
  • Reviews patient care management issues with the Intensivist.
  • Consults with appropriate resources as needed.
  • Reviews results of laboratory and other diagnostic tests and formulates an interpretation.
  • Performs diagnostic and therapeutic procedures including but not limited to: Insertion or removal of central venous lines, insertion of nasogastric tubes or other enteral feeding tubes, insertion of arterial lines, bladder catheterization, phlebotomy and IV insertion, and electrocardiograms.
  • Enters orders for the initial ICU admission and subsequent ICU care.
  • Is responsible for making daily rounds on patients alone and/or with intensivist or surgical team; report findings to attending physician.
  • Places orders in the EMR.
  • Is responsible for preparing patients for discharge and completing documentation for same.
  • Participates in discharge conferences as appropriate/necessary.
  • Completes patient care referrals and coordination of care as necessary.
  • Participates in the quality improvement/quality assurance program.
  • May be responsible for communicating patient hospital summary directly to referring physician.
  • Educates, instructs and counsels patients and families.
  • Provides psychological, emotional and informational support to patients and families.
  • Communicates patients' needs to appropriate team members.
  • Collaborates and communicates effectively and establishes good rapport with all levels of personnel.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Number of Employees

5,001-10,000 employees

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