Clinical Nurse Practitioner / Physician Assistant

Summary:

St. Elizabeths Medical Center, a community-based academic teaching hospital, is seeking Advanced Practice Providers (PAs and NPs) with Critical Care experience for full time and per diem positions to staff a 28 bed ICU nightly from 7pm 7am. The position can also include a smaller number of daytime shifts at Carney Hospital, also in Boston. Advanced Practice Providers will provide coverage of medical and surgical ICU patients with immediate supervision from eICU physicians. Duties will include assisting with admissions from the ER, floors, PACU and referring hospitals, assessing and managing decompensating patients, and performing needed procedures, specifically placement of central lines and arterial lines. St. Elizabeths serves as the tertiary care hospital for Stewards Massachusetts hospitals and possesses all the clinical services compatible with that role.

Requirements:

• Licensed or license eligible nurse practitioner or physician assistant with at least one year of in-patient critical care experience.
• Have both Massachusetts MCR and Federal DEA or eligible for same.
• BLS and ACLS certification
• FCCS recommended but not required

Responsibilities and Duties

1. Co-management of MICU and SICU patients with eICU attending back-up. Shifts will be overnight from 7 pm 7am.
2. Will round on patients and develop over-night care plan, follow-up on lab and imaging studies and order/adjust medication regimens including paralytic agents, vasoactive medications, and anti-arrhythmic agents. Also work with respiratory therapy on ventilator management.
3. Will admit patients to the ICU from the emergency department, in-patient floor or in transfer.
4. Will perform critical care consults and respond to rapid response and cardiac arrests in the in-patient setting.
5. Independently perform procedures including central line and arterial line placement.
6. Interpret EKGs and manage arrhythmias or ischemic events.
7. When applicable will provide documentation including admission, progress, procedure, discharge, and transfer notes.
8. Provide verbal and written morning sign-out to attendings and residents.

General Responsibilities/Essential Functions

1. Provide superior customer service to internal and external clients, customers, and patients as referenced in the Service Excellence Standards.
2. Build and maintain a detailed referring physician database.
3. Ensure follow-up and update communication with referring physicians and patients via telephone and/or fax, email, or written correspondence.
4. Ensure proper communication between the pulmonary medicine service and all other applicable staff including RNs, NPs, PAs, house staff, fellows and attending physicians.
5. Prepare and submit documentation in consultation with attending physicians and fellows to ensure financial reimbursement for NP/PA/MD encounters. This involves making sure that all applicable information is coordinated, available, and contains initial NP/PA documentation which is then made available to the attending MDs to maintain high quality patient care and reimbursement practices.
6. Provide patient education. Participate in the educational training of medical residents, pulmonary medicine fellows, NPs, PAs, nurses, and students.
7. Participate in clinical research in the form of patient recruitment and data collection and management.
8. Participate in journal club, divisional rounds, and mid-day educational conferences.

Qualifications and Skills

1. Should have prior experience and/or credentialing in the following:
2. Orogastric and Dobhoff tube placement.
3. Ultrasound guided central line placement
4. Arterial line placement
5. ACLS

Steward Health Care is an Equal Employment Opportunity (EEO) employer, Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

Additional Information

Steward Medical Group is taking additional necessary preparations to ensure patients can receive compassionate care in safe, carefully managed environment with confidence and without fear.

Our Safe and Ready program consists of a rigorous [three-point] standard ensuring patient safety, confidence and convenience.

1. Any COVID-19 related care takes place in designated areas away from other patients and their families.
2. A stringent cleaning policy has been implemented throughout our facilities.
3. A strictly controlled visitor and mask policy is required for patient and colleague safety.

Steward Health Care is the largest private, for-profit health care network in the United States. The company is owned and led by a management team of Steward physicians. Headquartered in Dallas, Texas, Steward employs more than 40,000 health care professionals and operates 35 hospitals across the United States and in the countries of Malta and Colombia which regularly receive top awards for quality and safety. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, more than 7,000 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.

The Steward Health Care Network includes more than 5,000 physicians across 800 communities who help to provide more than 12 million patient encounters annually. Steward Medical Group, the company's employed physician group, provides more than six million patient encounters per year. The Steward Hospital Group operates hospitals in Malta, Colombia and nine states across the U.S., including Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, Texas, and Utah. For more information, visit www.steward.org.