Advanced Practice Provider PD Emergency Medicine

BHMGMA Brown Health Medical Group Massachusetts; Massachusetts; On-site; USD 84,000 - 107,000; Full time

Benefits offered by this job

Brown University Health

Job summary

Brown University Health's Brown Health Medical Group Massachusetts seeks an ED Advanced Practice Provider to deliver urgent care in the Emergency Department. Under the supervision of the Medical Director, you will take histories, perform exams, order tests, and implement treatment plans for ED patients.

You will perform ED procedures, coordinate with specialists, document in EMR, and uphold HIPAA while working a dynamic schedule including days, evenings, weekends.

Qualifications

• Master’s degree for PA or graduate degree for NP from accredited program.
• Minimum 1 year of experience as an Advanced Practice Provider, preferably in an emergency department setting.
• NCCPA certification, or equivalent NP national board certification.
• Current Rhode Island State Licensure.
• Current DEA and Rhode Island CSR or ability to obtain before start date.
• Must meet credentialing requirements including background release form.

Responsibilities

• Obtain medical histories and perform exams in the ED.
• Order and interpret labs and imaging; develop and implement treatment plans.
• Perform ED procedures under supervision as needed.
• Document thoroughly in EMR and coordinate with consulting teams.
• Prescribe medications and manage IV therapies.

Skills

HIPAA privacy

Prioritization

Independent work

Communication skills

EMR proficiency

Education

Master's Degree in Physician Assistant Studies

MS in Nursing or Doctor of Nursing Practice

Job description

General Responsibilities

Under the general direction of the APP (Advanced Practice Provider) Medical Director or Associate Medical Director, this Advanced Practice Provider (APP) position is responsible for practicing emergency medicine in the Emergency Department. The Emergency Department Advanced Practice Provider will obtain medical histories, perform physical examinations, and order and interpret diagnostic tests to establish diagnoses and develop and implement treatment plans for emergency department patients. Additionally, the APP will perform diagnostic and therapeutic emergency medicine procedures. All practice is performed under the supervision of the Attending Physician and in accordance with written policies and protocols developed and approved by the Emergency Department, the Medical Executive Committee, and the Board of Rhode Island Hospital/Miriam Hospital/Newport Hospital.

Minimum Qualifications

Physician Assistants: Master’s Degree in Physician Assistant Studies Nurse Practitioners: graduate degree (Master of Science in Nursing or Doctor of Nursing Practice) from an accredited Nurse Practitioner Program Minimum of 1 year of experience as an Advanced Practice Provider, preferably in an emergency department setting. National Certifying Commission of Physician Assistants (NCCPA) certification, or equivalent Nurse Practitioner national board certification Current Physician Assistant or Nurse Practitioner Rhode Island State Licensure Current DEA and Rhode Island Controlled Substance Registration (CSR) or ability to obtain prior to start date. Must be able to meet credentialing requirements as a Medical Staff member of Brown University Health Medical Staff, including submission of a background release form demonstrating proof of no disqualifying information.

Skills Required

Ability to handle confidential information in a discrete and professional manner consistent with HIPAA privacy rules Ability to prioritize and perform multiple tasks in an efficient, timely manner within a fast-paced clinical environment Ability to work both independently and collaboratively within a multidisciplinary team Excellent oral and written communication skills. Exemplary professionalism and interpersonal skills Proficiency with EMR platforms for efficient clinical documentation and workflow

Primary Contacts

The Advanced Practice Provider is supervised by the APP Medical Director and Chief APP, with collaborative relationships across Brown EM, Hospital Administration, and Clinical Teams.

Physical Effort / Environment

This position required moderate physical effort to perform clinical duties. Prolonged standing on your feet and a considerable amount of walking in the emergency department per shift is required.

Work Schedule Demands

Full-time Advanced Practice Providers typically work 36-40 clinical hours per week, with variable scheduling that includes days, evenings, weekends, and holidays.

Communication Skills

Very good communication, writing, and analytical skills are required, as APP often interacts with physicians, other APP members, community resources, providers, other employees, and the public.

Confidentiality of Information

This position requires full access, review, preparation, and use of confidential information of medical, personal, social, and psychological nature, based on data and histories obtained from emergency room patients. HIPAA Compliance is essential both in and out of the work setting. Incumbent must maintain confidentiality of all patient information in accordance with HIPAA regulations.

Significant Job Functions

Clinical DutiesAssess all patients presenting for care at the Andrew F. Anderson Emergency Center (AEC),The Miriam Emergency Department, Newport Hospital Emergency Department, or Hasbro Emergency Department for an emergency medical condition under the criteria embodied in EMTALA.Use published triage guidelines to establish patient acuity and determine the appropriate care area patient should be triaged to.Evaluate patients in accordance with Attending Physician supervision requirements, as follows: Patients deemed to have a lower acuity complaint by nursing triage (i.e. ESI4 or 5) can be evaluated, treated and dispositioned from the Emergency Department by an Advanced Practice Provider without requiring an evaluation by the Attending Physician. Higher acuity patients designated ESI3 or ESI2 by triage nursing, require that an Attending Physician also evaluate the patient in the emergency department before discharge. Critical Care patients require direct bedside supervision by the attending physician.Conduct a history and physical examination on all patients in the emergency department seen by the APP and appropriately document in the patients’ record. Order and interpret laboratory testing and radiology studies. Request respiratory therapy, psychiatric, medical, and surgical consultations as well as interventional radiology procedures, and social work, case management, and PT/OT evaluations. Order emergency department therapeutics including medications and IV fluids Prescribe outpatient medications Perform the following procedures: Blood draws excluding femoral sticks Arterial BloodGas Establish IV access including USGuided peripheral IV and External Jugular IV access Insertion of Foley catheters, nasogastric tubes, and reinsertion of gastric feeding tubes or suprapubic catheters Epistaxis management including chemical cautery and packing insertion Foreign Body Removal Paracentesis, Arthrocentesis, Lumbar Puncture Orthopedic injury management including splinting and reduction of certain fractures and dislocations Wound management, including suturing and suture/staple removal Incision and Drainage Eye evaluation including fluorescein and slit lamp examination and removal or corneal foreign bodies Certain nerve blocks (e.g. infraorbital, supraorbital, digital, and dental nerve blocks) Advanced procedures (e.g. intubation, central line placement) may be performed under direct attending supervision, based on training and privileging General Attends internal/external meetings/conferences/training opportunities related to areas of responsibility, when necessary. Meets with APP Medical Director or Associate Medical Director as needed. Maintains professional standards in clinical and administrative settings. The Advanced Practice Provider must maintain professional behavior when interacting with hospital employees, patients, staff members, and other community agency representatives. Keeps current with all professional email correspondence and practice requirements

Other

To make Brown EM operate more efficiently, at the discretion of the APP Medical Director or Associate Medical Director, the Physician Assistant or Nurse Practitioner Advanced Practice Provider will be expected to do other non-routine tasks or projects as needed.

Pay Range

$61.30-$77.78

EEO Statement

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location

BHMGMA Brown Health Medical Group Massachusetts - 167 Point Street Providence, Rhode Island 02903

Work Type

S-S

Work Shift

Variable

Daily Hours

Per Diem - As required

Driving Required

Yes

Company Overview

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island. Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself.

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