NP or PA- Cardiac Surgery Step Down Unit- MGH

Mass General Brigham•Boston, MA

5d•$143,874 - $173,867•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. The position works under the general supervision and direction of Cardiac Surgeons and Heart Center Intensivists and follows Massachusetts rules and regulations governing Nurse Practitioner or Physician Assistant practice. The NP may work in cardiac surgery with Operative First Assist credentials and/or respond as a clinician for patients with ventricular assist devices. The APP provides direct patient care, counseling, and teaching; participates in daily multidisciplinary rounds; performs bedside diagnostic, therapeutic, and other appropriate procedures; and assists surgeons in the operating room. The APP conducts histories and physical examinations, orders and evaluates diagnostic tests, develops care and follow-up plans, prescribes medications within applicable policies, and prepares accurate and timely clinical documentation. The role coordinates tests and consultations, implements treatment plans, communicates with referring physicians, educates patients, and prepares them for discharge while keeping surgeons and intensivists updated. The APP maintains communication among surgeons, residents, fellows, PAs, nurses, cardiologists, the Heart Failure team, intensivists, and patients and families. The role promotes collaboration and continuity of care, efficient resource use, and professional APP practice. This is a full-time, onsite position at 90 Blossom Street, scheduled for 40 hours per week across three 13-hour shifts, with day/night rotation and weekend and holiday work.

Requirements

Master's degree in Nursing or Physician Assistant studies.
Registered Nurse (RN) license in Massachusetts.
Advanced Practice Registered Nurse (APRN) license in Massachusetts or Physician Assistant license in Massachusetts.
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, Advanced Practice staff, residents, and multidisciplinary caregivers.
Assist surgeons in the operating room and perform technical clinical procedures.
Perform complete patient histories and physical examinations.
Perform appropriate bedside diagnostic, therapeutic, and other procedures.
Order, interpret, and evaluate laboratory and diagnostic tests.
Develop plans of care and follow-up based on diagnostic, laboratory, and examination findings.
Order medications and write prescriptions according to organizational and regulatory policies and procedures.
Provide high-quality, timely documentation, including admission and progress notes, procedure notes, operative notes, and discharge summaries.
Coordinate tests and consultations, implement treatment plans, communicate with referring physicians, educate patients, and prepare patients for discharge.
Keep Cardiac Surgeons and Intensivists updated as required.
Maintain communication among the cardiac care team, patients, and families, and promote collaboration, continuity of care, and efficient resource use.
Serve as a role model for professional APP practice.