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Nurse Practitioner/ Physician Assistant, Palliative Care Per Diem
4 months ago
Schedule: Per Diem- Weekdays Only- 2 days per week initially and then 1 shift per month
The Palliative Care Advanced Practice Provider (APP) is a core member of the BWFH Department of Medicine and key constituent of the palliative care division. The APP is primarily responsible for serving as a palliative care consultant for inpatient hospital services- mainly medicine, critical care, and emergency department.
Candidates for the position should have a strong interest in palliative care, and ideally, experience and training in palliative care. The palliative care APP will report to the BWHF division chief or palliative care to develop all necessary clinical skills in a highly collaborative and supportive environment.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
The APP works closely with the palliative care physicians, inpatient physicians and advanced practice professionals, residents and nursing staff to develop and coordinate a plan of care designed to meet the physical, psychological and social needs of patients and their families. Strong interpersonal, organizational and communication skills are required. Knowledge of current literature and a commitment to continued learning are also required. The mission, vision and core values of the Brigham and Women's Faulkner Hospital are incorporated into all areas of practice. The BWFH palliative APP will also be an integral partner with the other BWFH advanced practice professionals.
As a member of the BWFH Palliative Care Division, the PA/NP shall be responsible for the following duties:
* Collaborate with the palliative care attending physician to evaluate new and follow-up consults at BWFH
* Participate in daily patient rounds to monitor patient care and formulate treatment plans in collaboration with the palliative care attending
* Write initial consult and follow-up progress notes
* Follow through on team recommendations for patient management in partnership with nursing staff
* Conduct and participate in family meetings and multidisciplinary treatment team meetings
* Order and interpret appropriate laboratory testing and other special examinations as requested
* Serve as a resource to the BWFH care teams for patient care issuesand for BWFH nursing in the development and teaching of palliative nursing practice
* Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care
General Duties
Work collaboratively and function as an efficient member of the BWFH palliative care division
* Assist in the coordination of care for patients with the primary care teams and other sub-specialists involved in the care of patients
* Lead serious illness and end of life discussions
* Lead conversations around goals of care decision making
* Provide education to patients and families
* Document in the medical record as appropriate and communicate observations/findings with attending physicians
* Monitor environment of care and comply with regulatory agency standards
* Ensure that his or her clinical practice is consistent with physician assistant and or APRN policies, procedures and standards
* Participate in QA/QI projects as appropriate
EDUCATION:
* For PA's
* Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
* Must have 4 years of college level education and baccalaureate degree or equivalent. (BS/MS joint programs are also acceptable; BS with PA certificates are acceptable for graduates before 1995).
* For APRN's
* Completion of a master's or post master's degree in acute care, adult or family NP program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC)
LICENSES, CERTIFICATIONS, and/or REGISTRATIONS:
* Board Certification by the National Commission on Certification of PAs is required.
* Current certification by the American Nurses Credentialing Center or an equivalent body.
* Hold successful license as a Physician Assistant or Nurse Practitioner in Massachusetts
* Obtain & maintain current DEA and Massachusetts Controlled Substance Licenses
* Basic Life Support for Healthcare Providers required for all APPs
* Must maintain updated continuing education requirement for certification and licensure
* Complete BWFH Professionalism Program within 3 months of date of hire.
* Complete BWFH Procedural Sedation Training, if determined necessary.
EXPERIENCE:
* One year of relevant full time experience as an APP in this specialty, preferred
* Other previous Hands on patient care experience may be considered at the discretion of the Medical Director.
WORKING CONDITIONS:
* The APP position on the team can be quite challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking. The APP schedule may require long workdays while maintaining a goal of 40 hours/week on average. APPs may be required to cover weekends, holidays and sick call on a rotational basis
