Nurse Practitioner/Physician Assistant-Cardiac ICU

Job Profile Summary

CCU is a 10-bed unit, but the space is flexible. CCU patients almost always overflow to other units (typically to CSICU). The average census is about 12-14 with significant variability ranges from (6-20)

A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. These roles focus on providing high-quality patient care and promoting wellness. APCs work collaboratively with physicians and other healthcare professionals to diagnose and treat a variety of acute and chronic conditions. In addition, this role focuses on care under the supervision of licensed physicians including conducting comprehensive patient assessments, ordering and interpreting diagnostic tests, diagnosing and treating acute and chronic conditions, injuries, and illnesses, developing and implementing treatment plans in collaboration with supervising physicians, prescribing medications and performing procedures, educating patients and families on treatment options, health maintenance, and preventive care and adjusting treatment plans as necessary

Job Overview

This Physician Assistant/Nurse Practitioner - Pulmonary Critical Care position is responsible, within the legal limitations, for assisting the physician staff of the Department in the provision of medical services to patients. The position performs complete, detailed and accurate initial evaluations including medical histories, reviews patient records to develop comprehensive medical status reports, and order laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender, and physical condition of the patient. Assumes responsibility to coordinate treatment plans, monitors progress, refers patient as necessary to appropriate sources for care under the direction of the supervising physician. The position understands the philosophy, objectives, policies and procedures of Nursing Service and provides for their implementation. Works cooperatively within department and other services to create a system of quality health care.

Job Description

Minimum Qualifications:

1. Masters degree.

2. Successful completion of a Physician's Assistant/Nurse Practitioner program.

3. Physician's Assistance/Nurse Practitioner Licensure within the first three months following the receipt of a complete application for medical staff membership and privilege.

4. Physician's Assistant/Nurse Practitioner Certification.

5. Basic Life Support (BLS) certification.

Preferred Qualifications:

1. State and federal controlled substances registration.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Manages a broad spectrum of patients and performs a wide range of clinical, diagnostic and therapeutic procedures.

2. In collaboration with the healthcare team, assesses the health status of patients by obtaining complete and thorough medical histories and performing physical examinations, laboratory and diagnostic studies. Diagnose health and developmental problems and care for patients suffering from acute and chronic diseases.

3. Assesses patient/family psychosocial needs, educational needs, learning readiness, and barriers to learning during admission process.

4. Examines patients, records, and discriminates between normal and abnormal findings to recognize early stages of a serious physical or emotional problem. Consult with physician concerning patient evaluation and condition.

5. Develops an effective, comprehensive plan of care individualized to the age and needs of each patient using established standards of care, knowledge of disease entities, and human growth and development and emotional, social and spiritual needs and following hospital standards.

6. Communicates professionally with patient/family, other practitioners, physicians, and co-workers.

7. Sets priorities and modifies patient care in response to changing situations. Demonstrates judgment in consulting MD regarding all patient encounters. May triage and refer to appropriate source when primary care patients present with new symptoms.

8. Orders appropriate labs and radiological testing based on assessment of needs.

9. Maintains required records, reports and statistics. Maintains accurate patient records, charts and documentation for administrative purposes.

10. Demonstrates appropriateness of prescribing habits (i.e. agents, volume, and refill).

11. Encourages preventative medicine through patient education and counseling. Recognizes that patient and family teaching are an integral part of the role and follows through on teaching that has been initiated with appropriate documentation.

12. Interpret patient needs to other clinical personnel participating in the care through direct communication and input into care plans.

13. Works collaboratively with physician to manage care of patients in a cost-effective manner. Utilize appropriate resources across the system including nursing interventions. Utilize organizational skills to complete assigned work effectively and on time.

14. May orient and train new Physician Assistants, coordinate staff schedules, assist with performance evaluations, and provide guidance on effective team building.

15. May participate in rounds with residents, completes daily patient management assignments and assists with patient care and disposition. Handles medical emergencies during regular working hours on the inpatient service.

Physical Requirements:

1. Lifting and turning patients of 30-35 lbs.

2. Prolonged standing and walking.

3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.

4. Exposure to infectious disease and possible carcinogenic chemicals and blood-borne pathogens.

5. Requires manual dexterity using fine hand manipulations for performing procedures and computer keyboard.

6. Requires ability to see computer screen, reports, and perform assistance in procedures with accuracy. 7. Requires ability to hear instructions from physician.

Skills & Abilities:

1.Ability to assess the needs of patients of all different age groups and to provide care appropriately.

2. Effective Interpersonal skills needed for interacting with physicians, staff, patients and their families, and so forth.

3. Excellent analytical skills needed for evaluating patients and coordinating treatment plans.

4. Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.