Nurse Practitioner or Physician Assistant - CSICU - MGH
Mass General Brigham
Summary
This position is 40hrs, 3-13hr shifts, D/N rotation, weekend/holiday requirement. Under general supervision and direction of the Cardiac Surgeons and Heart Center Intensivists, and in accordance with the rules and regulations of Massachusetts governing Nurse Practitioner or Physician Assistant practice, the Advanced Practice Provider (APP) will be responsible for the care of patients on the Cardiac Surgical Service, primarily those patients that are admitted to the Cardiac Surgery/Heart Center Intensive Care Unit.
Job description
- Participate in daily rounds with nurses, other Advanced Practice staff, Intensivists, residents, and multidisciplinary caregivers
- Perform bedside diagnostic and therapeutic procedures
- Participate in the development and implementation of care plans
- Coordinate tests and consultations
- Implement treatment plans
- Communicate with referring physicians
- Perform patient education
- Prepare patients for discharge
- Keep Surgeons and Intensivists updated as required
- Maintain open lines of communication between Cardiac Surgeons, Residents, Fellows, PAs, Nursing Staff, Cardiologists, Heart Failure team, Intensivists, and patients/families
- Promote a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources
- Serve as a role model for professional APP practice
Essential Functions
- Provides direct care, counseling, and teaching to patient population in the cardiac surgery department
- Assists surgeons in the operating room, performing technical clinical procedures
- Performs complete histories and physical examinations
- Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
- Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
- Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
- Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
- Performs bedside procedures as are appropriate to the patient population
Requirements
- Master's Degree in Nursing or Physician Assistant required
- Registered Nurse [RN - MA License]
- Advanced Practice Registered Nurse [APRN] [MA License] or Physician Assistant [MA License]
- Minimum 2 years of ICU experience, preferably Cardiac ICU
- Acute Care Nurse Practitioner, strongly preferred
- Advanced knowledge of reading ECG, Radiology, and Laboratory data
- Basic understanding of ventilators, PA catheters, Mechanical Circulatory Support devices, and vasoactive medications
- Ability to function in a high intensity, complex unit within a multidisciplinary team
- Strong communication skills
- Thorough knowledge of clinical surgical practices and procedures for cardiothoracic patients
- Skilled in taking medical histories to assess medical condition and interpret findings
- Ability to maintain quality control standards
- Ability to react calmly and effectively in emergency situations
- Ability to interpret, adapt and apply guidelines and procedures
- Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public
Benefits
- Health Insurance
- Career advancement opportunities
- Differentials
- Premiums
- Bonuses
- Recognition programs
Company overview
Mass General Brigham is one of the largest integrated healthcare delivery systems in the United States, formed through the merger of Massachusetts General Hospital and Brigham and Women's Hospital. Based in Boston, Massachusetts, this academic medical center system operates multiple hospitals, specialty facilities, and community health centers throughout New England. The organization is renowned for its world-class patient care, cutting-edge medical research, and comprehensive medical education programs. As a teaching affiliate of Harvard Medical School, Mass General Brigham trains the next generation of healthcare professionals while advancing medical science through groundbreaking research initiatives. The system provides a full continuum of healthcare services, from primary care and preventive medicine to complex specialty treatments and emergency services. With a focus on innovation and patient-centered care, Mass General Brigham consistently ranks among the top hospital systems in the nation for clinical excellence and research output.