Nurse Practitioner- Palliative BWH 30 hrs

Site: The Brigham and Womens Hospital Inc.

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Palliative Care Consult Service NP/MSN/ PART TIME/ 30 HOURS/ ROTATING SHIFT/ BWH MAIN CAMPUS

POSITION SUMMARY
The Adult Palliative Care Nurse Practitioner is an expert practitioner who provides patient care provider education and program leadership in partnership with an interdisciplinary palliative care team.

Palliative Care Principal Responsibilities:
Patient Care
Demonstrates advanced clinical judgement and skill in the assessment physical examination diagnosis planning and treatment of complex responses to serious illness.
Provides symptom management during illness exacerbations and at the end-of-life.
Provides patient and family teaching staff education and consults with other health care team members that include explanation of the role of palliative care.
Demonstrates and promotes culturally and spiritually competent care by respecting diversity in ethnicity culture spirituality religion gender socioeconomic status sexual orientation education level literacy and location.
Communicates effectively with patients families and healthcare professionals by applying knowledge of communication theory and principles.
Initiates compassionate communication with patients and families around goals of care advanced care planning and end-of-life issues. Completes pertinent documentation e.g. electronic medical record MOLST forms
Leadership & Collaboration
Establishes effective interpersonal relationships with providers from all clinical departments and interdisciplinary colleagues including bedside nursing and hospital chaplaincy.
Promotes the interdisciplinary team approach in the provision of palliative care to the patient and family with serious or life-threatening illness. Develops implements and evaluates strategies to effectively collaborate with members of the specialty palliative care team through team building and recognizes each members unique role area of expertise skills and contributions.
Promotes palliative care concepts to the BWH staff regarding potential or actual physical psychological emotional social and spiritual components of living with a serious or life-threatening illness.
Pursues own learning needs and promotes dissemination of palliative care practice by scholarship.
Maintains membership in professional organizations and seeks advanced palliative nurse certification.
Education
Demonstrates knowledge skills confidence and the application of adult learning principles when providing palliative care education to patients/families healthcare professionals and the community.
Promotes palliative care education by mentoring and precepting graduate students fellows and other learners from nursing and other disciplines.
Quality Monitoring
Utilizes clinical process improvement and/or research to evaluate current theories and palliative care practice with the goal of improving outcomes for patients families and the community.
Voluntarily participates in process for evaluation of areas of strength and areas for further development in collaboration with Nurse Director and team members.


QUALIFICATIONS
Education & Licensure
Masters in Nursing (MSN) (or) Doctor of Nursing Practice (DNP) (or) PhD Degree in Nursing required. Can this role accept experience in lieu of a degree No.
Completion of a Masters or post Masters degree in Adult program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC).
Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioner.
Current Adult/Gerontology (AGNP) or Family Nurse Practitioner (FNP) Certification by an accredited APRN certifying body required.
DEA registration required and current APRN License to practice in Massachusetts required.

Job Summary

Summary
The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for the assessment and management of patients including diagnostic and therapeutic interventions and the continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines members of the care team and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing.

Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners.

APRN national certification required.

ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

Working Conditions - Works in a variety of patient care environments where there may be exposure to communicable disease and hazardous materials. Does this position require Patient Care Yes
Essential Functions
-Patient Care Organization
direct care counseling and teaching to a select patient population.
physical examinations and provides preventive health measures appropriate to patient needs.
interprets and evaluates appropriate lab and diagnostic tests to assess patients clinical problems and health care needs.
for appropriate plan of care and follow-up based on outcome of diagnostic lab and physical assessment findings.
laboratory tests appropriate for specific patient population.
medications and writes prescriptions according to organizational and regulatory policies and procedures.
pertinent patient care findings in the medical record.
priorities for appropriate and efficient management of patient care that reflects cost effective management of time available human resources supplies and equipment.
interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
the concepts of health maintenance prevention and promotion into daily practice through patient education and counseling.
awareness of community resources and assists staff patients and families to effectively utilize them.
-Quality of Care
in the development implementation and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.
outcomes of own patients care and makes necessary revisions in care plans.
and provides consultative services as required.
in departmental and organization quality improvement program.
quality improvement data and research findings to enhance patient care.
-Coordination
appropriate collaborative and consultative relationships with other providers within the institution and community.
on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.
-Budget
in setting productivity metrics and in cost-effective management of personnel time supplies and equipment in their area.
with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.
-Personnel Management
in selection process of new employees in group or team practice as requested.
input into evaluation of other staff as appropriate.
-Education
as preceptor for nursing students and staff as requested.
in orientation of new staff.
in Departmental and organization continuing education programs.
own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.
lay and/or professional groups through lectures papers publications and educational materials.
-Planning
annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.
in determining evaluating and/or implementing clinical area goals and objectives.
interdisciplinary approach for planning and communicating information for patient care and operation of practice.
current knowledge of legislation that may affect the health care delivery system.
and integrates patient population and/or disease state in programmatic goals and objectives.
-Research
in nursing research at a level consistent with educational background and experience.
understanding of current research of others in related clinical areas through review of relevant publications.
in grant writing as appropriate.
-Supervisory Responsibilities
assume responsibility for providing direction to designated personnel.

Education & Licensure

• Masters in Nursing (MSN) (or) Doctor of Nursing Practice (DNP) (or) PhD Degree in Nursing this role accept experience in lieu of a degree No.

• Completion of a Masters or post Masters degree in Adult program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC).

• Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioner.

• Current Adult/Gerontology (AGNP) or Family Nurse Practitioner (FNP) Certification by an accredited APRN certifying body required.

• DEA registration required and current APRN License to practice in Massachusetts required.

Experience

• 1. Minimum 3 years current clinical nurse practitioner experience caring for a Palliative Care patient population required.

• 2. Clinical nurse practitioner experience in an acute care consultative capacity required.

• 3. Hospice or Palliative Care Specialty Certification strongly preferred.

• 4. Advanced practice Palliative Care residency or fellowship completion preferred.

Knowledge Skills and Abilities
- Expert clinical judgment skills to function in the independent role.
- Excellent interpersonal relationship and communication skills in order to collaborate with patients families staff and community health workers.
- Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.
- Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.
- Ability to utilize appropriate problem solving and conflict resolution skills.

Onsite

75 Francis Street

30

Regular

Rotating (United States of America)

Pay Range

$50.70 - $134.78/Hourly

Grade

MNA2221Z

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

2200 The Brigham and Womens Hospital Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework