Nurse Practitioner- Nutritional Support Unit Leader (32 hours per week)

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POST DATE 9/13/2016
END DATE 11/8/2016

Massachusetts General Hospital(MGH) Boston, MA

Boston, MA
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Mid-Career (2 - 15 years)
Masters Degree



Utilize background as an advanced practice registered nurse to apply specialized knowledge and skills in the care of hospitalized and home care patients. The Nurse Practitioner has the credentials to function in an expanded role and is responsible for the daily management of adult patients requiring parenteral nutrition as well as patients discharged home on TPN. The Nurse Practitioner has the responsibility for assessment and management of patients including diagnostic and nutrition support interventions, as well as continuous implementation and evaluation of an appropriate plan of care.

Under the supervision and guidance of the supervising surgeon and senior administrative manager, the Lead Nurse Practitioner coordinates the general day-to-day operations of the Nutrition Support Unit clinical staff, including scheduling and communications, organization and prioritization of work and team assignments.Coordinates content and meetings between the NSU, medical staff, dieticians, case workers, and home infusion agencies. Serves as a liaison between the NSU and various entities and committees including Pharmacy, Dietary, Case Management, Patient Care Services, and home infusion agencies. Contributes feedback to annual performance evaluation processes and CME requests, completes competency assessments, identifying areas where additional training and development may be needed and coordinates continuing education activities. Helps to identify clinical research and quality projects for the NSU. Ensures that the physical office environment as well as appropriate supply inventory are maintained.

1.0 Clinical Practice

1.1 Has a sound knowledge of nursing, medical and scientific principles and appropriately applies those principles to practice.

1.2 Provides direct care, counseling and teaching to adult patients requiring parenteral support.

* Adult in-hospital patients who require parenteral nutrition.

* Adult out-patients requiring parenteral nutrition.

1.3 The nurse practitioner functions in direct collaboration with the physicians assigned to the unit. Initiates, facilitates and develops interdisciplinary collaboration.

1.4 Provides assessments and preventative health measures appropriate to patient needs.

1.5 Performs nutritional assessment and calculates parenteral nutrition formula to meet patients nutritional needs.

1.6 Reviews TPN recommendations made by NSU RNs and makes appropriate adjustments based on clinical judgment.

1.7 Orders, interprets and evaluates appropriate lab and diagnostic tests.

1.8 Orders TPN with additives according to organizational and regulatory policies and procedures.

1.9 Document patients plan of care in medical record in Epic with TPN consult, and document changes in patients medical record.
2.0 Documents plan of care notes in NSU Epic notes.

2.1 Maintains patient's right to privacy, assuring patient dignity in the provision of care.

2.2 Identifies current trends in nutrition support and their implication for nursing practice.

2.3 Develops guidelines, protocols and standards in collaboration with NSU staff in response to changes in parenteral clinical practice.

2.4 For patients being discharged home on TPN: Confirm that patient is on an appropriate TPN formula.

2.5 Prescribe Home TPN and order labs for TPN renewal according to patients needs.

2.6 Collaborate with patients physician if any abnormal lab results or other pertinent information.

3.0 Lead and Administrative:

3.1 Manages and coordinates NSU work schedules using electronic sheduling application and ensuring that staff are properly allocated to provide appropriate subspecialty program coverage based on inpatient and home patient census.

3.2 Provides quarterly staffing schedules to administrative leadership for review.

3.4 Coordinates and monitors the preceptor training and education of advanced nursing students during practicum training needed to obtain certification as a nurse practitioner.

3.5 Conducts ongoing periodic clinical observations and assessments of the NSU team identifying

areas for development and additional instruction.

3.6 Working under the direction of and in collaboration with administrative leadership and the supervising surgeon contributes feedback to the annual performance evaluations and completes clinical competencies for all unit clinical staff.

3.7 Coordinates continuing medical education activities for NSU staff. Reviews all CME meeting/conference requests and forwards to administrative leadership with recommendation.

3.8 Helps to develop instructional in-service programs for the NSU staff with case management, dieticians pharmacy, patient care services and home infusion companies, works with appropriate parties to schedule these sessions.

3.8 Prepares agendas and presentations for standing monthly meetings between the NSU, supervising surgeon and administrative leadership. Prepares materials for ad hoc and/or scheduled meetings between the NSU and Case Management, Patient Care Services, Dietary, Pharmacy and home infusion agencies.

3.9 Meets regularly with the supervising surgeon and administrative leadership to discuss ongoing operating issues as well as any other current concerns including implementation of new policies and procedures.

3.10 Coordinates the implementation of new clinical policies and procedures and provides periodic progress reports to the supervising surgeon and administrative leadership.

3.11 Trains, orients and mentors new and current staff including Epic TPN-specific ordering modules.

3.12 Participates in Unit research, quality and other projects in collaboration with administrative and physician leadership of the Unit.

3.13 Ensures office environment and supplies are maintained.


4.1 Maintains and updates knowledge and skills based on current education/nursing and nutrition support practices.

4.2 Maintains own CEUs and necessary educational hours for licensure/certification.

4.3 Participates on hospital committees and assumes responsibility for disseminating and communicating information to colleagues.

4.4 Participates in professional staff and student teaching both formal and informal.

4.5 Fulfills professional role through involvement in professional organization activities,