Urology Inpatient Advanced Practice Provider (NP or PA)3095195
Under direct supervision of Director for the Urology Resident Program and the Medical Director, and in accordance with the rules and regulations of Massachusetts governing Nurse Practitioner or Physician Assistant practice, the Urology Inpatient Advanced Practice Provider (APP) will be responsible for the evaluation and management of inpatients on the MGH Urology Surgery service. The APP will coordinate and perform patient assessments, treatment and support patient education efforts. The APP’s efforts may include patient histories, physical examinations, arrange diagnostic procedures, coordinate consultations, implement treatment plans, communicate with referring physicians, support of discharge planning, emergency room response as needed and supporting patient and family education.
The primary function of the APP role is to provide direct patient care for inpatient Urology surgery patients in a timely and high quality manner in collaboration with physicians, nurses and the other members of the multidisciplinary team.
Works with surgeons and residents to provide direct inpatient care for patients admitted to Urology Surgery. Promotes collaboration between the medical staff, professional nurses and case managers toward continuity of patient care and efficient use of resources.
Performs and records the patient history and physical exam and discusses findings with the physician.
Utilizes advanced clinical knowledge to identify, prevent or solve complex and/or recurring patient care problems.
Follows and manages patients (in collaboration with the MD) enhancing continuity of care. This includes preparation for discharge.
Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician.
Performs medically delegated aspects of patient care per scope of practice.
Collaborates with unit staff and physicians to facilitate a comprehensive plan of care and coordinate resources.
Writes orders that are in accord with current guidelines.
Maintains and practices in accord with practitioner guidelines per state and hospital regulations.
Provides consultation to both nurses and physicians.
Communicates patients’ progress and discharge plans to referring physician and community resources as necessary.
- Serves as a resource to staff in area(s) of expertise.
Develops educational programs with area of expertise in collaboration with the unit-based CNS.
Collaborates with the Urology Clinical Manager, unit staff, Clinical Educators, Clinical Nurse Specialists, Staff Specialists and other health care professionals to meet staff and patient educational needs.
- Collaborates with the Urology Clinical Manager, Clinical Nurse Specialist, clinical nurses and medical staff to plan, implement and evaluate pertinent changes in practice and health care delivery.
Monitors patient outcomes in accordance with defined standards of patient care.
Works with the multidisciplinary team to identify system-wide factors contributing to undesirable outcomes, such as complications, increased length of stay and overutilization of services.
Facilitates patient movement through the system and efficient use of resources through interdepartmental collaboration.
Evaluates own practice and program effectiveness.
Identifies pertinent nursing and health delivery problems for investigation.
Continuing Education/Professional Growth:
Responsible for own professional growth and maintenance of required credentials
Maintains the standards and education requirements specific to the position and licensure.
Identifies own learning needs and goals.
Maintains and updates clinical knowledge and skills based on current health care practice/research.
Maintains membership in relevant professional associations.
Completes the 100 hours of continuing medical education necessary during each 2-year period of employment. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence. Is encouraged to advance his/her medical and technical skills as appropriate to deliver optimum patient care.
Nurse Practitioner or Physician Assistant license
At least two years of clinical experience required
Clinical work experience in surgical practice(s) preferred.
Professional knowledge: Clinical knowledge to enable effective triage, care, and communications with range of patients and caregivers.
Time Management: Exceptional organizational skills and ability to prioritize effectively and complete tasks; Flexibility to handle multiple tasks and deadline pressures.
Leadership: Highly motivated, independent and capable of performing in a complex environment; Strong sense of initiative and perseverance to carry through to completion of tasks; Demonstrates forthrightness and integrity. Ability to identify issues/projects and initiate plans to address asking for direction when appropriate; Ability to develop a common vision for diverse constituents, communicate effectively, sell ideas, and take ownership and responsibility for activities.
Interpersonal/communication: Excellent interpersonal, written and oral communication skills; Good command of English language, including medical and scientific terminology.
Information Systems/Technology Skills: Exceptional computer skills (including operating systems, word processing, database, electronic mail, Internet, spreadsheets, and other office management systems); Ability to develop and maintain databases and associated analysis and reporting.
Quality Assurance: Skills to work efficiently and effectively and strive to do so in all aspects of position; Effective project management skills and attention to detail.
Critical Thinking/Decision Making: Ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions.
Discretion and Confidentiality: Ability to handle sensitive and confidential matters discreetly and to ensure confidentiality guidelines are maintained by staff.
Safety/Compliance: Knowledge in aspects of safety applicable to position; Knowledge of and compliance with institutional, JCAHO, HIPAA, and other regulatory bodies’ standards.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.MGH Main Campus02114Advanced Practice Nurse