APP (Surg/Critical Care) Per Diem

Beth Israel Deaconess Hospital Needham, Inc.; Needham (MA); On-site; USD 77,000 - 127,000; Full time

Job summary

Beth Israel Deaconess Hospital Needham, Inc. is seeking an Advanced Practice Provider to join the ICU team and support patients across the ICU, ED and surgical floors.

You will collaborate with intensivists, surgeons and hospitalists to assess, admit, stabilize and manage complex cases, perform procedures and provide postoperative care as directed. Reporting to the ICU Medical Director and the Surgical Chair, the APP uses clinical judgment in line with MA Board and hospital policy to deliver

Qualifications

• Requires Bachelor's degree and completion of a PA or surgical NP program.
• License Nurse Practitioner or Physician Assistant license required.
• ACLS certification required.
• 1 year of postgraduate experience in surgical NP/PA preferred.

Responsibilities

• Complete pre-admission history and physical examinations with physician collaboration.
• Coordinate treatment plans and document patient progress.
• Perform wound care, tube/drain insertions, central lines, arterial lines and other procedures.
• Serve as first/second assistant in the operating room and provide postoperative care.
• Place orders and transcribe perioperative orders in EMR.

Skills

Analytical abilities

Clinical decision making

Teamwork

English communication

Education

Bachelor's degree

PA or Surgical NP program

Tools

EMR systems

Microsoft Office

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Reporting to the Medical Director of the Intensive Care Unit (ICU) and the Chair of Surgery for clinical issues, the APP serves as a key clinical provider and team member in the treatment and management of Intensive Care Unit patients and patients in the operative, emergency department and medical‑surgical floors. They practice under the direction of the Medical Director of the ICU and other Intensivists in a manner consistent with both the Massachusetts Board and hospital policy. The APP will also work collaboratively with surgeons and/or Hospitalists on the medical‑surgical floor by assisting the physicians with the ongoing management of patients under the care of the surgical attendings. The APP is responsible for the assessment, admission, stabilization, and ongoing management of patients in the ICU under the direction of the Intensivist.

Essential Responsibilities:

In collaboration with the physician completes pre‑admission history and physical examination. Ensures that all requisite testing is completed. Coordinates elements of the treatment plan and assesses, evaluates and documents patient progress. Reviews patient care management issues with the Intensivist or Attending Surgeon. Consults with appropriate resources as needed. Reviews results of laboratory and other diagnostic tests and formulates an interpretation. Performs diagnostic and therapeutic procedures including but not limited to: wound care/debridement, tube/drain insertion, care and removal, suturing/suture removal, insertion or removal of traction pins, splint, brace or cast application or removal, insertion or removal of central venous lines, insertion of nasogastric tubes, Performs diagnostic and therapeutic procedures including but not limited to: insertion of arterial lines, bladder catheterization, phlebotomy and IV insertion, electrocardiograms. Serves as first or second assistant in the operating room. Prepares and drapes patient; closes skin incisions performs related procedures as directed by attending surgeon. Provide postoperative care and management of patients in Inpatient Unit. Enters orders for the initial ICU admission and subsequent ICU care. Is responsible for making daily rounds on patients alone and/or with intensivist or surgical team; report findings to attending physician. Places orders in the EMR. Is responsible for transcribing preoperative and postoperative orders including medications controlled and non‑controlled), fluid orders, diets, activity levels, laboratory tests, x-rays, special procedures.

Required Qualifications:

Bachelor's degree in any field of study and completion of either a 2‑year PA or surgical NP program required. License Nurse Practitioner License required., or Registration Physician Assistant License required., and Certificate 1 Advanced Cardiac Life Support required. 0-1 years related work experience required in Minimum of one year of postgraduate experience as a surgical nurse practitioner or physician assistant.. Demonstrated analytical abilities and strong interpretative skills for integrating information from the patient history, physical exam and diagnostic data to be able to formulate a differential diagnosis and subsequent treatment plan for patients in both elective and emergent situations. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Preferred Qualifications:

Previous experience in ICU setting.

Competencies:

• Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
• Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
• Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
• Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
• Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
• Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
• Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
• Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.

Age based Competencies:

Employees in this job must be competent to provide patient care to the following age groups: Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 - .

Physical Nature of the Job:

Heavy work: Exerting up to 100 pounds of force occasionally and/or 50 pounds of force frequently. Work is physically demanding and requires extended periods of standing and/or moving.

Pay Range:

$56.25 - $91.83 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled:

At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging.

Benefits:

We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life.

While you're busy caring for and supporting our patients, we take care of you.