Neuro-Critical Care ICU Nurse Practitioner BWH

Mass General Brigham•Boston, MA

12d•$51 - $135•Onsite

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. CRITICAL CARE NURSE PRACTITIONER / 36 HOURS / VARIABLE ROTATING / BWH - NEUROSCIENCE ICU, NEUROCRITICAL CARE/ BOSTON JOB SUMMARY Working in collaboration with Neuro-intensivists, critical care Fellows, and Residents, the Neurocritical Care Nurse Practitioner provides high quality patient care to for neurology and neurosurgery patients in the in the Brigham and Women’s Neuroscience Intensive Care Unit. The Neurocritical Care NP is a member of the multidisciplinary provider team with patient care and management responsibilities similar to those of the interns and junior residents who have month-long rotations in the Neuroscience ICU. Job Summary The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for the assessment and management of patients, including diagnostic and therapeutic interventions, and the continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines, members of the care team, and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing. Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners.

Requirements

Master's in Nursing (MSN) (or) Doctor of Nursing Practice (DNP) (or) PhD Degree in Nursing required.
Completion of a Master’s or post Masters’ degree in Adult program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC).
Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioner.
Current Adult/Gerontology (AGNP) or Family Nurse Practitioner (FNP) Certification by an accredited APRN certifying body required.
DEA registration required and current APRN License to practice in Massachusetts required.
Minimum 5-7 years current nursing or nurse practitioner experience in a Neuro-Critical Care setting required.
Nursing or nurse practitioner experience caring for a Neurology focused patient population required.
Valid ACLS certification required.
Expert clinical judgment skills to function in the independent role.
Excellent interpersonal relationship and communication skills in order to collaborate with patients’ families, staff and community health workers.
Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.
Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.
Ability to utilize appropriate problem solving and conflict resolution skills.

Nice To Haves

CNRN Certification strongly preferred.

Responsibilities

Elicits a detailed and accurate history, performs an appropriate physical examination, records and presents the pertinent data to the neurocritical care team.
Attends, presents and actively participates in daily ICU rounds.
Assists with procedures and pre- and postoperative care.
Performs and/or prescribes routine laboratory and related studies, medications, and consultations as appropriate and standard for the Neuroscience ICU Service.
Enters and signs admission, transfer, discharge, and preoperative orders into Order Entry.
Assists in facilitating patient movement/flow through the hospital, particularly as it relates to the admission and discharge process.
Serves as a mentor to APP staff in training, residents in training, students, and house staff, educating others while continuing to learn and expand one’s own knowledge base.
Continues to provide the highest standard of patient care, while incorporating measures that improving efficiency and cost-effectiveness within the department and hospital.
Participates in quality improvement initiatives.
Participates with research projects (generation by others and self-initiated projects).
Participates in ongoing education sessions made available to them in order to stay up to date on most evidence based practices.
Provides direct care, counseling, and teaching to a select patient population.
Performs physical examinations and provides preventive health measures appropriate to patient needs.
Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients’ clinical problems and health care needs.
Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.
Performs laboratory tests appropriate for specific patient population.
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
Records pertinent patient care findings in the medical record.
Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.
Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.
Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.
Assists in the development, implementation and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.
Evaluates outcomes of own patients’ care and makes necessary revisions in care plans.
Seeks and provides consultative services as required.
Participates in departmental and organization quality improvement program.
Utilizes quality improvement data and research findings to enhance patient care.
Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.
Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.
Participates in setting productivity metrics and in cost-effective management of personnel, time, supplies, and equipment in their area.
Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.
Participates in selection process of new employees in group or team practice as requested.
Provides input into evaluation of other staff as appropriate.
Acts as preceptor for nursing students and staff as requested.
Participates in orientation of new staff.
Participates in Departmental and organization continuing education programs.
Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
Educates lay and/or professional groups through lectures, papers, publications, and educational materials.
Develops annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.
Assists in determining, evaluating, and/or implementing clinical area goals and objectives.
Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.
Maintains current knowledge of legislation that may affect the health care delivery system.
Identifies and integrates patient population and/or disease state in programmatic goals and objectives.
Participates in nursing research at a level consistent with educational background and experience.
Maintains understanding of current research of others in related clinical areas through review of relevant publications.
Participates in grant writing as appropriate.
May assume responsibility for providing direction to designated personnel.