APP (PA or NP)- Cardiac Surgery Step Down Unit--NIGHTS ONLY-MGH

Mass General Brigham•Boston, MA

3d•Onsite

About The Position

This position is Nights Only, 6p-7:30a, weekend/holiday rotation. Under general supervision and direction of the Cardiac Surgeons and Heart Center Intensivists, and in accordance with the rules and regulations of Massachusetts governing Nurse Practitioner or Physician Assistant practice, the Advanced Practice Provider (APP) will be responsible for the care of patients on the Cardiac Surgical Service, primarily those patients that are admitted to the Cardiac Surgery Step Down Unit. The APP will participate in daily rounds with nurses, other Advanced Practice staff, residents, and multidisciplinary caregivers; perform bedside diagnostic and therapeutic procedures, participate in the development and implementation of care plans, coordinate tests and consultations, implement treatment plans, communicate with referring physicians, perform patient education, and prepare patients for discharge, all while keeping Surgeons and Intensivists updated as required. The APP maintains open lines of communication between Cardiac Surgeons, Residents, Fellows, PAs, Nursing Staff, Cardiologists, Heart Failure team, Intensivists, and patients/families. Promotes a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources. Serves as a role model for professional APP practice.

Requirements

Master’s Degree in NP or PA practice
Advanced knowledge of reading ECG, Radiology, and Laboratory data
Basic understanding of Cardiac Surgery patient population to include Mechanical Circulatory Support (durable VADs).
Ability to function in a high intensity, complex unit within a multidisciplinary team.
Strong communication skills
Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [State License] - Generic - HR Only required
Thorough knowledge of clinical surgical practices and procedures for cardiothoracic patients.
Skilled in taking medical histories to assess medical condition and interpret findings.
Ability to maintain quality control standards.

Nice To Haves

Experience as a Nurse Practitioner in Cardiac Surgery preferred
Credentialed with Operative First Assist, and/or acts as a responding clinician for patients with ventricular assist devices.

Responsibilities

Participate in daily rounds with nurses, other Advanced Practice staff, residents, and multidisciplinary caregivers.
Perform bedside diagnostic and therapeutic procedures.
Participate in the development and implementation of care plans.
Coordinate tests and consultations.
Implement treatment plans.
Communicate with referring physicians.
Perform patient education.
Prepare patients for discharge.
Maintain open lines of communication between Cardiac Surgeons, Residents, Fellows, PAs, Nursing Staff, Cardiologists, Heart Failure team, Intensivists, and patients/families.
Promote a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources.
Serve as a role model for professional APP practice.
Provides direct care, counseling, and teaching to patient population in the cardiac surgery department.
Assists surgeons in the operating room, performing technical clinical procedures.
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.
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
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.