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Advanced Practice Provider-Surgery (Per Diem)


Department Description: Beth Israel Deaconess Hospital−Needham (BID−Needham) is a licensed 58-bed acute care community hospital. BID−Needham has served residents in Needham, Newton, Dedham, Dover, Medfield, Sherborn, Wellesley, Westwood and other surrounding communities for more than 100 years. The hospital has been recognized by several organizations for quality and safety, including the Gold Seal of Approval® from The Joint Commission and a first-place Accountable Care Compass Award from the Massachusetts Health & Hospital Association (MHA).
BID−Needham is part of Beth Israel Lahey Health, a new health care system that brings together academic medical centers and teaching hospitals, community and specialty hospitals, more than 4,000 physicians and 35,000 employees in a shared mission to expand access to great care and advance the science and practice of medicine through groundbreaking research and education.
BID Needham has had a direct affiliation with Beth Israel Deaconess Medical Center since 2000, facilitating the clinical integration of staff and resources in emergency medicine, hospital medicine (hospitalists), cardiology, radiology, orthopaedics, pathology, as well as many surgical services and oncology housed in the Beth Israel Deaconess Cancer Center and Surgical Pavilion.

Job Location: Needham, MA

Req ID: 40761BR


Job Summary: The Advanced Practice Provider (APP) serves as a key clinical provider and team member in the treatment and management of the surgical patient in the pre, peri and post-operative setting. This role practices under the direction of the Chief of Surgery and other attending surgeons in a manner consistent with both the Board(s) regulations and hospital policy. Primarily, the APP will cover patients of BID-Needham physicians credentialed in the Department of Surgery. The APP is responsible for the initial assessment and admission of patients; assisting in the evaluation and preparation of patients for surgery; acting as first and second assistant in the operating room; and caring for patients following surgery and helping prepare patients for discharge.

Essential Responsibilities:
  1. Performs comprehensive focused history & physical exams on surgical patients admitted through the ED & those held for Observation, initiates appropriate lab, radiology & other tests required for evaluation of illness, and scrutinizes data on patients and hospital admissions to establish a record of the patient's health status & to develop a diagnosis & treatment plan, with direct review by an MD.
  2. Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes, as privileged.
  3. Interprets and correlates subjective and objective data to formulate a differential diagnosis and establishes a working diagnosis
  4. Formulates a treatment plan for medical problems within scope of practice. Writes initial orders in coordination with the attending physician. Implements therapeutic intervention for specific conditions, when appropriate. Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards
  5. Exercises judgment on problems requiring consultation, referral, or evaluation by the supervising surgeon or other health care professionals
  6. Performs routine procedures, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged
  7. Performs specialized procedures, including suturing/stapling of major lacerations, wound debridement, blood draws, designated IV starts, central venous line placement, arterial line placement, venous cut downs, foley catheter insertion +/- bladder irrigation, as well as other specific procedures in the Emergency Department and on the inpatient units, with the approved delineation of privileges.
  8. Handles a broad variety of surgical specialty and subspecialty procedures
  9. Participates in on all in-house surgical patients as required, upon arrival for duty and responds to all Codes
  10. Assists Emergency Department physicians in cases of surgical consultation in the Emergency Department within the APP's scope of practice.
Required Qualifications:
  1. Bachelor's degree in Nurse Practitioner required.
  2. Registration Nurse Practitioner License required., and Certificate 1 Basic Life Support required., and Certificate 2 Advanced Cardiac Life Support required., or a Physician Assistant licensed by the MA Board of Physician Assistants which requires candidates to have passed the National Commission on Certification of PA examination.
  3. 0-1 years related work experience required in post graduate experience as a surgical APP (min 1 year required).
  4. Nurse Practitioner candidates must also have RNFA certification.
  5. Demonstrated analytical abilities and strong interpretative skills for integrating information from the patient history, physical exam and diagnostic data to be able to formulate a differential diagnosis and subsequent treatment plan for patients in both elective and emergent situations.
  6. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Competencies:
  1. Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
  2. Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
  3. Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
  4. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
  5. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
  6. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
  7. Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
  8. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Age based Competencies:
Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -.
Physical Nature of the Job:
Heavy work: Exerting up to 100 pounds of force occasionally and/or 50 pounds of force frequently. Work is physically demanding and requires extended periods of standing and/or moving.
EOE Statement

BIDMC is EOE M/F/VET/DISABILITY/GENDER IDENTITY/SEXUAL ORIENTATION

Vaccines

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. BILH requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement

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