NURSE PRACTITIONER or PHYSICIAN ASSISTANT
NURSE PRACTITIONER or PHYSICIAN ASSISTANT
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Job Description
QUALIFICATIONS:
For an NP
Graduate of a Masterslevel Nurse Practitioners program and licensed as a Nurse Practitioner
Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association.
For a PA
Graduate of an accredited American Medical Associationapproved Physician Assistant training program. Must possess a license to practice as a Physician Assistant. A Masters degree is required.
Must be certified by the National Commission on Certification of Physician Assistants within one year of hire; must maintain this certification by completing required 100 hours of Continuing Medical Education credits every two years addition PA must demonstrate continued competence by passing a recertification exam every six years.
Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills perspectives and ideas we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouraged.
GENERAL SUMMARY/ OVERVIEW STATEMENT:
Under the supervision and direction of Lars Richardson of the Orthopaedic Sports MedicineService and in accordance with the rules and regulations of Massachusetts governing NP practices the Nurse Practitioner (NP) or Physician Assistant (PA) will be responsible for the care of patients in this practice. The NP orPAwill coordinate and perform preoperative assessments coordinate treatment and assist in the management of postoperative care and perform discharge planning coordination. The NPorPAwill obtain patient histories perform comprehensive physical examinations to evaluate patients for surgery and for postsurgical readmission coordinate tests and consultations implement treatment plans communicate with referring physicians perform patient education and prepare patients for discharge.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Preoperative:
Performs initial interview and assessment of patient.
Assists in preoperative evaluation and education. Obtains a detailed accurate medical history and performs a comprehensive physical examination on patients to assess readiness for surgery.
Reviews diagnostic data and verifies laterality.
Obtains preoperative surgical consents.
Performs preoperative preparation of patients and reinforces information presented by the attending physician to the patient and/or family as necessary. Orders necessary diagnostic tests consultations and procedures as indicated or requested by the attending physician. Prescribes medications as necessary.
Presents preoperative patients at team meetings.
Identifies patients requiring preoperative nutritional assessments.
Communicates/coordinates with PreAdmission Testing Area surgical scheduling areas and nursing units.
Communicates any abnormal findings to chief resident or attending surgeons for inpatients and to attending surgeon for outpatients.
Tracks and obtains radiographic studies required preoperatively for patients.
Postoperative Hospitalization and Discharge:
Assists with postoperative management of patients. Under the direction of the attending surgeons and in conjunction with the resident staff executes a wide range of management plans for patients.
Discusses the care of each patient with the attending surgeon and other consult service(s) involved with the care of that patient. Maintains communications with referring physicians.
Assists with and coordinates patient diagnostic procedures.
Obtains consultations from other services at the request of the attending physician or senior surgical resident.
Coordinates patient discharge along with nursing staff to include special needs at home medications proper referrals (VNA PT etc) and coordinates proper followup appointments as deemed appropriate by chief resident and team.
Coordinates followup at outside facilities and assist in communication with other facilities in questions of patient care.
Arranges for admissions to the floor (H&P orders).
Renews medications transfer orders and general orders under supervision of physician.
Educational:
Participates in Department of Orthopaedic educational meetings with students and residents assigned to the Orthopaedic Shoulder Service.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Possess the maturity selfconfidence and ability to follow complex patient management plans as directed by the attending surgeon.
Eligible for state and federally controlled substances registration.
Diagnose and treat health problems; obtain patient histories perform comprehensive physical exams do simple diagnostic tests prepare a diagnosis and implement treatment procedures for illnesses; and prescribe medications.
Experience in managing orthopaedic patients preferred.
WORKING CONDITIONS:
The work may require the lifting of heavy objects and patients as well as exposure to potentially infective material. Work requires contact with needles and other sharp instruments. Prolonged standing can be expected. Walking to and from the patient care units can be expected.
Employment Type
Full-Time
