NP or PA- Cardiac Surgery Stepdown- NIGHTS -MGH

Position: NP or PA- Cardiac Surgery Stepdown- NIGHTS ONLY-MGH
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This position is Nights only- 6p-7:30a, weekend/holiday rotation    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 Step Down Unit.

• The APP will participate in daily rounds with nurses, other Advanced Practice staff, 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, and prepare patients for discharge, all while keeping Surgeons and Intensivists updated as required.

• The APP maintains open lines of communication between Cardiac Surgeons, Residents, Fellows, PAs, Nursing Staff, Cardiologists, Heart Failure team, Intensivists, and patients/families. 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 APP practice.

Qualifications:

Skills/

Experience:

Required Skills:

• Advanced knowledge of reading ECG, Radiology, and Laboratory data   
• Basic understanding of Cardiac Surgery patient population to include Mechanical Circulatory Support (durable VADs).

• Ability to function in a high intensity, complex unit within a multidisciplinary team.  
• Strong communication skills

Education:

• Master’s Degree in NP or PA practice  Licensure/certifications:  
• Required for both NP & PA
** Job Summary
** Summary  The Nurse Practitioner (NP) is a licensed provider. This NP specifically works as an NP in cardiac surgery, credentialed with Operative First Assist, and/or acts as a responding clinician for patients with ventricular assist devices.
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.
** Qualifications
* * Education  Master's Degree Nursing required      No    Licenses and Credentials  Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [State License] - Generic - HR Only required    Experience  Experience as a Nurse Practitioner in Cardiac Surgery preferred    Knowledge,

Skills and Abilities

- Thorough knowledge of clinical surgical practices and procedures for cardiothoracic patients.  - Skilled in taking medical histories to assess medical condition…