Advanced Practice Provider - ICU - Lead (Per Diem)

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 Chief Nursing Officer for administrative duties and to the Chair of Surgery and the Chief Hospitalist for clinical issues, the Lead APP will be responsible to provide coordination and clinical oversight of the other APPs (PAs and NPs) to serve the needs of the department of surgery and surgical sub-specialties. The Lead APP is adjunct to the clinical services provided by the Hospitalist program. The Lead will work with the CMO, Chair of Surgery and Chief of Hospitalist to develop an APP Model of Practice. The Lead will be responsible for identifying staffing needs, scheduling staff, participating in the recruitment and training of staff, and for providing input into staff evaluations. The Lead will attend meetings as required and communicate information to staff as appropriate.

Job Description:

Essential Responsibilities:

In collaboration with the physician completes pre-admission history and physical examination. Ensures that all requisite testing is completed

Presents and discusses the findings of the initial evaluation with the Attending Surgeon to determine the treatment plan. Document the treatment plan and writes appropriate orders

Coordinates elements of the treatment plan and assesses, evaluates and documents patient progress. Reviews patient care management issues with the 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.

Performs diagnostic and therapeutic procedures including but not limited to: medication administration including IV push drugs and the injection of steroid or anesthetic agents, insertion or removal of central venous lines, insertion of nasogastric tubes, 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 Units

Is responsible for making daily rounds on patients alone and/or with surgical team; report findings to attending surgeons.

Required Qualifications:

Bachelor's degree in Nurse Practitioner required.

License Nurse Practitioner License required., and Certificate 1 Basic Life Support required., and Certificate 2 Advanced Cardiac Life Support required.

3-5 years related work experience required in Postgraduate experience as a surgical nurse practitioner and two years in a supervisory capacity.

Must be approved by the Board of Directors BID-Needham.

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 orthopedic 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:

RNFA certified.

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 operat