Nurse Practitioner (NP)-Neurosurgery-MGH

Site: The General Hospital Corporation

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our missionfrom doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds to apply.

This position is FT 39hrs/week, 3-13 hr shifts 6a-7:30p

The Department of Neurosurgery, in collaboration with Patient Care Services, provides comprehensive, compassionate, and technologically advanced patient and family centered neurosurgical care, including the most advanced diagnostics and treatments, education of future leaders in the field, quality improvement initiatives, and clinical research to develop new therapies.

Under the supervision and direction of the Neurosurgeon-in-chief and Chair the Advanced Practice Provider will support inpatient responsibilities for the Neurosurgery service. The Advanced Practice Provider is expected to take a collaborative approach to team-based care, working closely with clinical faculty, residents, and the interdisciplinary team to provide high-quality patient care, medical, and surgical services to patients across the life span.

The Advanced Practice Provider will support the comprehensive management of brain, spinal cord, and peripheral nerve diseases and must demonstrate flexibility in adapting to census and acuity needs while maintaining the highest standards of consistent, high-quality patient care. Responsibilities of the inpatient Neurosurgery APP include (but are not limited to):

Order Writing
Orders for all situations covered by protocols are written and signed by the APP within the scope of the role.
Orders for situations not covered by protocols are first discussed with an appropriate physician involved in the patient's care and written by the APP and including the physician's name.

Preoperative Patient Care (Inpatient)
Obtain a detailed and accurate history, perform an appropriate physical examination, record and present pertinent data in a manner meaningful to the physician.
Perform and prescribe routine laboratory and related studies, medications, and consultations standard for the Neurosurgical Service. Admission and preoperative orders will be entered into Order Entry and signed by the APP. The admission orders will include routine laboratory tests, consultations and continuing medications, which the patient had been taking prior to admission.

Postoperative Patient Care

In coordination and collaboration with neurosurgical residents, the APP will provide clinical management of neurosurgical patients across the lifespan. Under advisement of a resident or an attending physician, they will prescribe/order prn medications, treatments, routine labs, and consults.
Perform suture removals and wound checks on as needed basis.
Will perform and maintain qualifications to perform minor procedures:
- discontinue ventriculostomies or ICP bolts
- discontinue drains or lines

Neurosurgical Care

Assist in implementation of the treatment plan as formulated by the attending neurosurgeon. Contribute to the assessment of the patient, respond appropriately to the clinical situation with good clinical judgment, and, with the attending and resident staff, develop and implement the clinical care plan, within the scope of the practice.
Participate in daily rounding on the inpatient neurosurgical units through multidisciplinary collaboration.
Assist in facilitating patient movement through the system, particularly as it relates to the admission and discharge process.
Responsible for communication and coordination with residents, fellows, nurses, and other physicians involved with the care of hospitalized patients.
Perform minor bedside procedures or assisting physician with procedures, including shunt reservoir aspiration and shunt programming.
Independent performance of evaluative and treatment procedures essential to provide an appropriate response to life threatening emergency situations per the Neurosurgical Service guidelines.

Education

Provide education to the patient regarding the illness, surgical procedure, and care.
Provide education to staff (e.g., other nursing staff and caregivers) regarding the surgical procedure and post-operative care, according to the standards of good clinical practice, the requests of the attending surgeon, and the needs of the individual patient.

Other responsibilities:

Participate in meetings, committees, and other initiatives to support the program, process improvement and implementation of clinical and administrative efforts.
Complete documentation as required, ensuring completeness, accuracy and confidentiality.
Perform other responsibilities, programmatic participation and other
assignments as needed.

Prior experience in Neuroscience, preferred
APP licensure across the life span, preferred

Job Summary

Summary

The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation.

Does this position require Patient Care? Yes
Essential Functions
-Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
-Performs complete histories and physical examinations
-Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
-Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
-Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
-Performs bedside procedures as are appropriate to the patient population
-Orders medications and writes prescriptions according to organizational and regulatory policies and procedures

Qualifications

Education
Master's Degree Nursing required

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials
Registered Nurse [RN - State License] - Generic - HR Only preferred Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [MA]

Only preferred Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [MA]

Experience
- Experience as a nurse practitioner 0-1 year preferred

Knowledge, Skills and Abilities
- Skilled in taking medical histories to assess medical condition and interpret findings.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.

Additional Job Details (if applicable)

Physical Requirements

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)
• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
• Carrying Frequently (34-66%) 20lbs - 35lbs
• Pushing Occasionally (3-33%)
• Pulling Occasionally (3-33%)
• Climbing Rarely (Less than 2%)
• Balancing Frequently (34-66%)
• Stooping Occasionally (3-33%)
• Kneeling Occasionally (3-33%)
• Crouching Occasionally (3-33%)
• Crawling Rarely (Less than 2%)
• Reaching Frequently (34-66%)
• Gross Manipulation (Handling) Frequently (34-66%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

Remote Type

Onsite

Work Location

55 Fruit Street

Scheduled Weekly Hours

39

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

The General Hospital Corporation is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.