NP or PA- Ellison 14 ICU- MGH

1200 The General Hospital Corporation; Boston (MA); On-site; USD 120,000 - 160,000; Full time

Job summary

Mass General Brigham in Boston is seeking Advanced Practice Providers to join Ellison 14 Burn ICU at Massachusetts General Hospital, delivering critical care to adult patients.

APPs are the primary ICU care providers, supervised by attending physicians, with cross-disciplinary support; the role includes evaluating, diagnosing, prescribing, coordinating referrals, and participating in education.

The unit operates with a closed ICU model and requires a regular mix of day, night, and weekend shifts.

Responsibilities

• Develops, coordinates, and delivers critical care management for ICU patients under supervision.
• Performs comprehensive assessments, diagnoses, and prescribed treatments as part of the ICU team.
• Coordinates patient referrals and discharges from the ICU, ensuring continuity of care.
• Participates in on-boarding and ongoing education for ICU staff and team members.

Job description

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).

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.

• 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