NP or PA- Ellison 14 ICU- MGH

Massachusetts General Hospital; Boston (MA); Presencial; USD 120.000 - 180.000; Jornada completa

Descripción de la vacante

Mass General Hospital in Boston seeks Advanced Practice Providers to join Ellison 14 ICU (Burn ICU). The role involves critical care interventions, admission coordination, family teaching, and close collaboration with surgeons, nurses, and attending physicians.

Full-time, 40 hours per week with 3-13 hour shifts, day/night rotation, weekends and holidays. New hires undergo comprehensive onboarding at MGH ICUs and will participate in a multidisciplinary team focused on high-quality care for adult

Descripción del empleo

Site: The General Hospital Corporation

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.

Job Summary

This position is 40hr, 3-13hr shifts, D/N rotation, weekends/holiday rotation

Ellison 14 is a 10-bed multispecialty intensive care unit at Massachusetts General Hospital. We are expanding our care team and looking for motivated Advanced Practice Providers [APPs] to join us in providing exceptional care to our patients and their families.

Our usual patient populations are adult complex surgical patients including burns along with acutely ill medical patients (i.e. both SICU and MICU-type patients). While Ellison 14 is the official 'Burn ICU' at MGH and has a storied history of caring for critically ill burn patients, currently, thermal burns constitute a minority of our patients (<10%).

Ellison 14 ICU has a 'closed ICU' model. All patients on the unit are cared for by the same team. Our APPs are the primary ICU care providers, supported by admitting surgical teams and consultants. Our multispecialty care team model, in-line with other ICUs at MGB, is based on responding clinicians (APPs and residents) supervised by 24/7 in-house attending ICU staff physicians and supported by critical care fellows.

The job requires a regular, equitably distributed quota of day, nights, and weekend shifts. Currently, a full-time assignment is three 13-hour shifts plus one hour of education every week. Shifts are 6am-7pm and 6pm-7am with one hour overlap for sign out and to sort out pending patient care issues.

You will be administratively working with the Department of Surgery APP Clinical Practice Director, the Ellison 14 Nursing Director, and the Ellison 14 Medical Director(s).

In addition to offering a video or in-person interview, we encourage prospective candidates to come shadow our team in-person for a half or full day to get a feel of the ICU. Our group is collegial and supportive and you will have ample opportunity to ask questions and get a candid, up-close view of our work.

All new hires go through a detailed on-boarding experience and several weeks-long orientation at MGH ICUs, tailored to their background and prior experience.

The job includes, but is not limited to critical care interventions, intensive care monitoring, diagnosing and prescribing treatments, therapeutics, and medications, coordinating referrals and discharging patients from the ICU. We emphasize and expect responsible, collaborative decision-making from our APPs, within their full scope of supervised practice. We encourage procedural excellence.

In collaboration with a multidisciplinary care team, they would be responsible for establishing, implementing, and evaluating the ICU course of treatment and the coordination and communication of the treatment plan. The APP will have a key role in patient and family teaching, while promoting competent, compassionate nursing care for patients and relatives. They will serve as a role model for professional nursing practice.

In this role, the APP

• Develops, implements, and evaluates a program of specialized health care for a select patient population.
• Promotes a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources.
• Serves as a role model for professional nursing practice.
• Provides direct care to a select patient population in collaboration with the physician. - Performs and records the patient history and physical exam and discusses findings with the physician.
• Utilizes advanced nursing knowledge to identify, prevent or solve complex and/or recurring patient care problems.
• Follows and manages patients (in collaboration with MD) enhancing continuity of care. - Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician.
• Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines.
• Collaborates with unit staff and physicians to facilitate a comprehensive plan of care and coordinate resources. - Writes orders which are in accord with current guidelines.
• Maintains and practices in accord with practitioner guidelines per state and hospital regulation Provides consultation to both nurses and physicians.
• Serves as a go-to person for staff in area(s) of expertise.
• Serves on appropriate intra and interdepartmental committees. Participates in the development of formal and informal educational programs for the unit-based nursing staff.
• Develops educational programs within area of expertise.
• Collaborates with unit staff, Clinical Educators, Clinical Nurse Specialists, Staff Specialists, and other health care professionals to meet staff and patient educational needs.