Massachusetts General Hospital Chelsea , MA 02150
Posted 2 weeks ago
GENERAL SUMMARY/ OVERVIEW STATEMENT:
The MGH Chelsea HealthCare Center Adult Medicine Practice, a large academic internal medicine practice located at MGH Chelsea servicing a very diverse patient population in the Chelsea Community. Promotes a collaborative relationship and effort under the direction of Senior Leadership. The nurse practitioner, working in partnership with a designated group of physician's partners, primary RNs, and medical assistants will play an integral role in providing timely complete physical exams, chronic disease management, preventive healthcare, and urgent care to a designated group of primary care patients.
PROFESSIONAL CONDUCT
I. Professionalism
Treats patients with courtesy and respect.
Is mindful of cultural beliefs and expectations.
Determines priorities per patient's needs.
Understands all components of position and how job fits into overall mission of the practice.
Contributes to favorable image of Practice.
Dresses to support business/clinical image.
Works collaboratively with peers and staff, fostering an environment of teamwork.
Refrains from engaging in demeaning, discriminating or otherwise threatening behavior.
II. Citizenship
Attends regular scheduled practice meetings.
Is punctual, plans ahead for scheduled time off by 2 months.
Open and receptive to change and feedback.
Assist in orienting new staff in like positions.
Contributes to strengthen the practice community.
Is present and focused at work.
Effectively owns work they do to completion and resolves mistakes when made.
III. Quality
Recognizes patient as ultimate consumer of services.
Places patient concerns before self.
Protects and maintains patient confidentiality.
Consistently produces work that meets practice standards.
Performs job accurately, in a timely fashion.
Maintains proper documentation of information required for position.
Is aware of practice goals and is a proactive participant in helping achieve them.
IV. Communication
Provides and receives feedback in a tactful, positive, respectful manner.
Responds to patients and colleagues in a timely manner.
Uses agreed upon methods of practice communication as decided by individual practice guidelines.
Communicates any unexpected tardiness, changes or adjustments in schedule as dictated by practice policy.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
CLINICAL PRACTICE
Participates in daily huddles and shares information with the team that is necessary to enhance the patient office experience, delivery and coordination of care and incorporates the patient as an active team member.
Provides independent, direct, and indirect nursing care; performing physical examinations, ordering diagnostic studies, evaluating results and prescribing treatment as appropriate. Follows patients appropriately, within Advanced Practice Role as delineated within the state of Massachusetts and MGH.
Patient/Family Care
Establish the diagnosis(es) and determines a plan of care including; order laboratory and radiology test and treatments for
Short term and chronic health problems
Exacerbation of health problems
Chronic disease and health promotion management
Discuss with patients or their delegates: end of life issues, chronic disease management, and educational materials regarding patient's health
Refer patients to appropriate physicians, clinics, or other health care providers, including community providers for management or consultation.
Write prescriptions according to Massachusetts Authority to Prescribe laws and consistent with the NP's and supervising physician's scope of practice.
Use the Electronic Medical Record in timely and competent manner per practice guidelines
Diagnostic studies: Order, interpret and communicate results
For health screening and monitoring purposes
Monitor the effect of current therapy
Needed to investigate a new problem
Perform therapeutic measures but not limited to, the following;
Removal of cerumen impaction
Order and apply skin and wound dressing
Order and apply venous pressure dressing and compression stockings
Suture removal
Immunizations
Team Care
The NP will be an integral member of the team. He/She will:
Within team care work to create and implement a system to manage the complex patients with the PCP
Participate in team huddles and communicate on a regular basis with team members about patients
Assist patients/families in management of their health
Consult with the LICSW regarding psychological-social needs of the patient
Communicate with case managers regarding disease management especially during transitions of care
Answer clinical questions from support staff
Educate support staff and families on health issues and behaviors that can affect patient interactions with staff and families
Transfer to MGH emergency department
Urgent/emergent or complex patient problems - in office or phone
Provide emergency care to stabilize patient's condition as appropriate
Seek input from onsite physician and work with them to diagnosis and treat the patient
Indirect Work Management
Responsible to follow up on labs and imaging ordered by sending letters or calling patients if results are considered critical
Carry a pager to receive results of a critical value
Works with all staff to ensure smooth patient flow through out the day to improve efficiency of provider workflow
Follows guidelines of practice to respond to staff questions via Clinical Messaging in EPIC
Monitors patient outcomes.
Academic Practice
Quality Initiatives
The NP will be involved in practice quality improvement initiates
Recommends changes in practice as needed
Preceptor
Professional Development
Maintains and updates knowledge and skills based on current education, nursing, and health care practices.
Attend bi-weekly staff meeting
Fulfills professional role through involvement in professional organization activities, presentations, (publications, and research).
Responds to changes in clinical practice by planning, designing, implementing, and evaluating scientific based practice.
Develops new techniques, guidelines, protocols, and standards in collaboration with other staff.
Applies problem solving approaches to teaching, guiding, and solving complex clinical problems.
Identifies current trends in healthcare and their implications for nursing practice
FISCAL RESPONSIBILITY (if applicable):
Responsible billing per MGH Billing Compliance, Federal and State billing regulations
SKILLS/ABILITIES/COMPETENCIES REQUIRED:
Integrates theoretical knowledge base and clinical expertise in decision making.
Advocates for patients, their significant others, coworkers, the community, and the nursing profession.
Consistently demonstrates accountability.
Champions collaborative practice with coworkers and other disciplines and departments.
Consistently demonstrates compassion to internal and external customers.
Dynamically represents the program and nursing profession in internal and external forums.
Exemplifies a professional behavior.
Provides clear and direct verbal and written communication.
Effectively facilitates group processes of decision-making for patient, family, and staff.
Is empathic and respectful.
Manages conflict resolution between patient, family, and staff.
Advocates for patient's choices.
Is HIPAA compliant.
Is BLS certified
WORKING CONDITIONS:
LICENSES, CERTIFICATIONS, and/or REGISTRATIONS (if applicable):
Current Registered Nurse licensure in Massachusetts as Nurse Practitioner.
Family/Adult/Pediatric Nurse Practitioner Certification Required
EDUCATION:
EXPERIENCE:
Minimum of 2 years nursing experience required
Minimum of 1-year NP experience required
Preferred Bilingual: Spanish Speaking
Massachusetts General Hospital