Nurse Practitioner (MSN)
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POST DATE 11/5/2019
END DATE 1/3/2020
Massachusetts General Hospital(MGH)
JOB DESCRIPTIONGENERAL SUMMARY/ OVERVIEW STATEMENT:
Under the supervision and direction of staff of the Orthopaedic Pediatric and Spine Service, and in accordance with the rules and regulations of Massachusetts governing NP practices, the Nurse Practitioner (NP) will be responsible for the care of patients in this practice. The NP will coordinate and perform preoperative assessments, coordinate treatment and assist in the management of postoperative care. The NP will obtain patient histories, perform comprehensive physical examinations to evaluate patients for surgery and for post-surgical readmission, coordinate tests and consultations, implement treatment plans, communicate with referring physicians and perform patient education.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
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 Pre-Admission 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 follow-up 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.
Participates in Department of Orthopaedic educational meetings with students and residents assigned to the Orthopaedic Pediatric and Spine Service.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Possess the maturity, self-confidence, 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.
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.
Graduate of a Masters-level 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.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.