APP (Surg/Critical Care) Per Diem

About the role

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.

Responsibilities

• In collaboration with the physician completes pre-admission history and physical examination.
• Covers all requisite testing is completed.
• Collaborates with the physician to develop and implement the treatment plan.
• 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.
• Provides 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.
• Responsible for transcribing preoperative and postoperative orders including medications controlled and non-controlled), fluid orders, diets, activity levels, laboratory tests, x-rays, special procedures.

Qualifications

• Bachelor's degree in any field of study and completion of either a 2-year PA or surgical NP program required.
• 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.
• 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