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Beth Israel Deaconess Medical Center Surgical Critical Care Advanced Practice Provider (36hrs, Day/Night) in Needham, Massachusetts

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Surgical Critical Care Advanced Practice Provider (36hrs, Day/Night)

Department Description:Beth Israel Deaconess Hospital−Needham (BID−Needham) is a licensed 58-bed acute care community hospital. BID−Needham has served residents in Needham, Newton, Dedham, Dover, Medfield, Sherborn, Wellesley, Westwood and other surrounding communities for more than 100 years. The hospital has been recognized by several organizations for quality and safety, including the Gold Seal of Approval® from The Joint Commission and a first-place Accountable Care Compass Award from the Massachusetts Health & Hospital Association (MHA).

BID−Needham is part of Beth Israel Lahey Health, a new health care system that brings together academic medical centers and teaching hospitals, community and specialty hospitals, more than 4,000 physicians and 35,000 employees in a shared mission to expand access to great care and advance the science and practice of medicine through groundbreaking research and education.

BID Needham has had a direct affiliation with Beth Israel Deaconess Medical Center since 2000, facilitating the clinical integration of staff and resources in emergency medicine, hospital medicine (hospitalists), cardiology, radiology, orthopedics, pathology, as well as many surgical services and oncology housed in the Beth Israel Deaconess Cancer Center and Surgical Pavilion.

Job Location:Needham, Massachusetts

Req ID:47295BR

Job Summary: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 Basic Life Support required., and Certificate 2 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.

EOE Statement

BIDMC is EOE M/F/VET/DISABILITY/GENDER IDENTITY/SEXUAL ORIENTATION

Vaccines

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. BILH requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.

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