NP or PA- Cardiac Surgery Step Down Unit- MGH

Mass General Brigham•Boston, MA

4d•Onsite

About The Position

The Advanced Practice Provider (APP) provides care to patients on the Cardiac Surgical Service, primarily those admitted to the Cardiac Surgery Step Down Unit, under the general supervision and direction of Cardiac Surgeons and Heart Center Intensivists and in accordance with Massachusetts regulations governing NP or PA practice. The role is full-time, 40 hours per week, with three 13-hour shifts, a day/night rotation, and weekend and holiday work. The APP participates in daily multidisciplinary rounds; performs bedside diagnostic and therapeutic procedures; contributes to care planning and implementation; coordinates tests and consultations; implements treatment plans; communicates with referring physicians; educates patients; and prepares patients for discharge. The APP keeps Surgeons and Intensivists updated as required and maintains communication among the cardiac care team, patients, and families. The position promotes collaboration between medical staff and nurses, supports continuity of care and efficient resource use, and serves as a role model for professional APP practice. The NP is a licensed provider working in cardiac surgery, credentialed with Operative First Assist, and/or serving as a responding clinician for patients with ventricular assist devices. The role provides direct patient care, counseling, and teaching; assists surgeons in the operating room; performs histories and physical examinations; orders, interprets, and evaluates diagnostic and laboratory tests; develops care and follow-up plans; prescribes medications in accordance with applicable policies; documents care; and performs appropriate bedside procedures.

Requirements

Master's degree in Nursing or Physician Assistant studies.
Current Massachusetts Registered Nurse (RN) license and Massachusetts Advanced Practice Registered Nurse (APRN) license, or a Massachusetts Physician Assistant license.
Thorough knowledge of clinical surgical practices and procedures for cardiothoracic patients.
Skill in taking medical histories, assessing medical conditions, and interpreting findings.
Ability to maintain quality control standards.
Ability to function in a high-intensity, complex unit within a multidisciplinary team.
Strong communication skills.

Nice To Haves

Experience as a Nurse Practitioner or Physician Assistant in Cardiac Surgery.
Advanced knowledge of ECG, radiology, and laboratory data.
Basic understanding of the cardiac surgery patient population, including durable ventricular assist devices (VADs).

Responsibilities

Provide direct care, counseling, and teaching to patients in the cardiac surgery department.
Participate in daily rounds with nurses, other Advanced Practice staff, residents, and multidisciplinary caregivers.
Assist surgeons in the operating room and perform technical clinical procedures.
Perform complete histories and physical examinations.
Order, interpret, and evaluate appropriate laboratory and diagnostic tests.
Develop care and follow-up plans based on diagnostic, laboratory, and physical examination findings.
Order medications and write prescriptions according to organizational and regulatory policies and procedures.
Perform appropriate bedside diagnostic, therapeutic, and other patient-population-specific procedures.
Coordinate tests and consultations and implement treatment plans.
Communicate with referring physicians and keep Cardiac Surgeons and Intensivists updated as required.
Educate patients and prepare them for discharge.
Provide timely, high-quality documentation, including admission and progress notes, procedure notes, operative notes, and discharge summaries.
Maintain communication among Cardiac Surgeons, Residents, Fellows, PAs, Nursing Staff, Cardiologists, the Heart Failure team, Intensivists, and patients and families.
Promote collaboration between medical staff and professional nurses to support continuity of care and efficient use of resources.
Serve as a role model for professional APP practice.