NP-Hospitalist Medicine - PER DIEM

Requisition Number:

R-2198

Facility:

LOC0001 - 55 Fogg Road55 Fogg Road
Weymouth, MA 02190


Department Name:

Hospitalists APC PB

Status:

Part time

Budgeted Hours:

0

Shift:

Varied Shifts (United States of America)

Under the general guidance of the clinical director and in accordance with 244CMR 4.00 of the Massachusetts Board of Registration in Nursing, the Nurse Practitioner will evaluate, diagnose and treat patients following written guidelines approved by the Department of Medicine.

BASIC PURPOSE OF THE JOB

Under the general guidance of the Hospitalist Director and in accordance with 244CMR 4.00 of the Massachusetts Board of Registration in Nursing, the Nurse Practitioner will evaluate, diagnose and treat patients following written guidelines approved by the Department of Medicine.

JOB REQUIREMENTS

Minimum Education - Preferred

Master of Science in Nursing from a NLN accredited graduate program required.

Minimum Work Experience

Two years of clincial practice as a Nurse Practioner

Required Licenses / Registrations

ACNP - Adult Nurse Practioner

Required Classes/Skills -

ACLS - Advanced Cardiac Life Support

This position is a licensed independent practitioner credentialed through the Medical Staff Services Office

Required additional Knowledge, and Abilities

Requires DEAx number for the ability to prescribe Buprenorphine/Suboxone

Demonstrated history of proficiency in the delivery of medical care to adult patients.
Demonstrated successful completion of the SSH Credentialing process.

ESSENTIAL FUNCTIONS

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objectives.  Essential functions are critical or fundamental to the performance of the job.  They are the major functions that the person in the job is held accountable for.  Following are the essential functions of the job.

1 - Performs evaluations, including: pertinent history and physical exam on patients assigned to the Hospitalist Team.  Institutes a plan of care based on the findings. Informs the responsible physician of pertinent subjective and objective data and routine diagnostic and therapeutic measures initiatied.

   a - Documents clinical findings according to the SSH documentation policies and procedures

   b - Consults physician when necessary, prior to proceeding with care.

   c - Orders diagnostic tests and follow up on results.

   d - Prescribes required medications and treatments.

   e - Coordinates subspecialty referrals in consultation with the responsible physician.

   f - Provides education and follow up instructions for the patient and family.

2 - Performs daily rounds on cardiac patients assigned to the hospitalist team.

   a - Performs history and physical exam, formulates a plan of care and documents findings after a discussion with the hospitalist

   b - Works with the hospitalist to expedite the interpretation of diagnostic tests to facilitate medical managment and decision making.

   c - Serves as a liaison between the cardiologist and hospitalist services to ehance communication and patient flow.

   d - Collaborates with Nursing, Case Management and other members of the multidisciplinary team on a daily basis.

   e - Actively participates in daily multidiscipliary rounds on the cardiovascular unit.

3 - Facilitates the Discharge of Cardiac Patients

   a - Performs discharge history and exam, completes discharge documentation and dictates the discharge summary after communication with the hospitalist.

   b - Facilitates and coordinates adjunctive services upon discharge in collaboration with Nursing and Case Management. (Home care, cardiac rehab, etc)

   c - Facilitates transfers of patients on and off of the cardiac unit.

   d - Facilitates transfers of patients to tertiary hospitals as needed.

   e - Provides education for the patient and the family related to post discharge care,  medications and follow up.

4 - Serves as a clinical resource to the multidisciplinary team

   a - In collaboration with the Nurse Manager and Clinical Nurse Specialist, assists in the formal education of the nursing staff.

   b - Participates in the quality monitoring and improvement activities.

   c - Assists in the development of treatment procedures and protocols.

5 - Works with Case Management, Nursing Leadership and the Hospitalists to improve the flow of patients.

   a - Collaborates with the team to predict discharges, coordinate testing and complete the discharge process in a timely manner

   b - Identifies areas for system improvement to help faciliate discharge.

ESSENTIAL FUNCTIONS (Cont.)

1 - Technology and Learning

   a - Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.

   b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

Shift requirements:

  • One shift per month and/or four shifts per quarter
  • Quarters are defined as Jan-March, April-June, July-September, and October-December.
  • Shifts must be requested via Amion per the deadlines defined for the entire team.
  • At least two shifts per quarter must occur during evening/overnight or weekend hours.
  • Shifts will be scheduled based on the needs of the department at the discretion of the leadership team. This need is subject to change in order to best meet the needs of the hospital medicine service. No per diem employee will be guaranteed requested shifts.
  • All shifts that count toward the per diem requirement require an on-site presence

Responsibilities if Required:

Education if Required:

License/Registration/Certification Requirements: