Beth Israel Deaconess Medical Center

Teaching hospital delivering patient-centered medical care

Advanced Practice Provider – Surg/Critical Care

Advanced Practice ProvidersConfirmed live in the last 24 hours

Part-timeNeedham, MA, USAIn-person

About the Job

Requirements

A bachelor's degree in any field of study and completion of either a two-year physician assistant or surgical nurse practitioner program are required.
A nurse practitioner license or physician assistant license is required.
Advanced Cardiac Life Support certification is required.
At least one year of postgraduate experience as a surgical nurse practitioner or physician assistant is required.
Ability to integrate patient history, physical examination, and diagnostic data to formulate differential diagnoses and treatment plans in elective and emergent situations.
Experience with computer systems, including web-based applications and some Microsoft Office applications such as Outlook, Word, Excel, PowerPoint, or Access, is required.
Ability to make decisions guided by precedents, policies, and objectives, including recommendations affecting a department or functional area.
Ability to solve highly varied, complex, and non-recurring problems using staff input, creative approaches, and Lean diagnostic techniques.
Ability to set goals and determine how to achieve defined results within broad guidance.
Ability to summarize and communicate moderately complex information in varied written formats.
Ability to comprehend and communicate complex verbal information to medical center staff, patients, families, and external customers.
In-depth knowledge of relevant concepts, practices, and policies and the ability to apply them in complex situations.
Ability to lead small projects or work groups, foster collaboration, and improve workflows.
Ability to provide customer service and staff training to meet unit standards and resolve service issues respectfully and promptly.
Competence to provide care to young adult, middle-aged, and elderly patients.
Ability to perform physically demanding work involving extended standing or movement and exertion of up to 100 pounds occasionally or 50 pounds frequently.
Staff must be vaccinated against influenza as a condition of employment.

Responsibilities

Complete pre-admission histories and physical examinations in collaboration with physicians and ensure required testing is completed.
Coordinate treatment plans, assess and document patient progress, review care-management issues with the intensivist or attending surgeon, and consult appropriate resources.
Review laboratory and other diagnostic test results and formulate interpretations.
Perform diagnostic and therapeutic procedures, including wound care and debridement; tube and drain insertion, care, and removal; suturing and suture removal; traction pin insertion or removal; splint, brace, or cast application or removal; central venous line insertion or removal; and nasogastric tube insertion.
Perform diagnostic and therapeutic procedures, including arterial line insertion, bladder catheterization, phlebotomy, intravenous insertion, and electrocardiograms.
Serve as first or second assistant in the operating room.
Prepare and drape patients, close skin incisions, and perform related procedures as directed by the attending surgeon.
Provide postoperative care and management of patients in the inpatient unit.
Enter orders for initial ICU admission and subsequent ICU care; make daily patient rounds alone or with the intensivist or surgical team; and report findings to the attending physician.
Enter orders in the electronic medical record and transcribe preoperative and postoperative orders, including medications, fluids, diets, activity levels, laboratory tests, x-rays, and special procedures.

Desired Qualifications

Previous experience in an ICU setting is preferred.

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

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.

Job Description:

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 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.

Pay Range:

$56.25 - $91.83

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

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. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

About the Company

Beth Israel Deaconess Medical Center

Teaching hospital delivering patient-centered medical care

Beth Israel Deaconess Medical Center (BIDMC) serves as a teaching hospital in Boston affiliated with Harvard Medical School, offering a wide range of medical services across inpatient, emergency, outpatient, and urgent care. Its care model centers on delivering high-quality medical treatment to patients, supported by patient access initiatives like OpenNotes, which lets patients view clinicians’ notes online to improve understanding and engagement in their care. The hospital also supports education and research through its affiliation with Harvard, attracting funding for studies and training programs. BIDMC differentiates itself through its patient-centered approach, active patient engagement tools, and a broad network of urgent care centers and outpatient services that extend access to healthcare. The goal is to provide comprehensive, accessible, evidence-based medical care while advancing medical education and research.

Company size: 10,001+
Company stage: Grant
Total funding: $5.4M
Headquarters: Boston, MA
Founded: 1996

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