Nurse Practitioner/Physician Assistant, Internal Medicine Primary Care

Conducts comprehensive health assessments, demonstrating a high level of autonomy and expert skill in the diagnosis and treatment of complex responses of individual, families, and communities to actual or potential health problems.  Formulates clinical decisions to manage acute and chronic illnesses and promote wellness. 

Integrates education, research and management, leadership and consultation into clinical role and functions in collegial relationships with nursing peers, physicians, professionals and others who influence the health care environment.  Provides health care in accordance with standards of practice as delineated by state practice guidelines and national board certification organizations.

Major Responsibilities:

• Provides diagnostic and assessment services. Secures a health history from patient and/or family, records findings, and evaluates them.  Performs a complete in-depth physical examination.  Orders/performs pertinent diagnostic tests based on age and history.
• Analyzes data collected to determine health status and identify differential diagnoses based on history, physical exam, and clinical findings.
• Partners with physicians regarding proposed plan of care. Formulates this plan of care with the patient.
• Manages therapeutic regime as outlined by established protocols for patients with acute illnesses. (Protocols are guidelines concerning patient care that are established between the physician and nurse practitioner.  The guidelines outline subjective and objective findings, treatment plan and follow-up).  Reassesses and modifies plan as necessary to achieve medical and health goals.  Confers with physician for clinical direction as outlined by protocols.
• Documents patient care outcomes to determine effectiveness of plan of care. Communicates outcomes with physician.
• Signed delineation of privileges at hire between NP and collaborating physician. Must renew delineation of privileges each credentialing cycle including:
  • scope of departmental practice
  • treatment of emergencies
  • physician consultation
  • writing orders/prescriptions
• Prescribes medications from Schedules II-VI. The form of prescription may be written or verbal via telephone order.  Written prescriptions may be initiated by the nurse practitioner after obtaining proper registration numbers from the Massachusetts Department of Public Health and Drug Enforcement Agency.
• Provides patient education. Acts as coordinator for admitting and discharging assigned patients.  Works collaboratively with other health agencies and families of patients in the transition from admission to discharge.  Confers with other health care providers including consultations and referrals to prepare a comprehensive patient care plan.
• Within established protocols, under the supervision of the physician, nurse practitioners will assist with procedures in the operating room and with endoscopic procedures.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meeting and workshops.
• Participates in department driven practices including on call scheduling, rotating weekends, etc.

Ambulatory Care Nurse Practitioners:

Completion of accredited program pertinent to the departmental needs (OB/GYN, Pediatrics, etc) and has passed the appropriate certification exam.

Partners with collaborating physician or designee as necessary with complexity of problems or plan of care

Formulates plan of care with patient and multidisciplinary/interdisciplinary healthcare team

Maintains department specific competencies that are degree specific, age specific to the discipline and license specific per certifying authority. 

Participates in department driven practices including on call scheduling, rotating weekends, etc.

Acute Care Nurse Practitioners:

Graduate of an approved Acute Care Nurse Practitioner program (ACNP) and has passed the ACNP board certification.

Under the supervision of designated collaborating physicians, conduct comprehensive health assessments, analyze date and formulate clinical decisions to manage acute and chronic illnesses. 

Responds to sick calls of patients and treats them according to the acuity of illness. 

Participates in department driven practices including on call scheduling, rotating weekends, etc.

Critical Care Nurse Practitioners: 

Graduate of an approved Acute Care Nurse Practitioner program (ACNP) and has passed the ACNP board certification.

Under the supervision of designated collaborating physicians, conduct comprehensive health assessments, analyze date and formulate clinical decisions to manage acute and chronic illnesses. 

Perform procedures such as central line placement, insertion of arterial catheters, lumbar punctures, paracentesis and thoracentesis.

Provide patient education and therapeutic management of the family in crisis related to critical illness. 

Maintains competencies as directed by the division.

Rotation in the telemedicine intensive care unit (EICU-Hahnemann Campus)

The duties and responsibilities stated are a general summary and not all inclusive.

Position Qualifications:

License/Certification/Education:

Required:

• Masters or doctoral degree.
• Graduate of approved Nurse Practitioner program with certification.
• Current Massachusetts license.

Experience/Skills:

Preferred:

• 3-5 years of experience.

 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.