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Plastic Surgery PA or NP

2 months ago

Boston, United States Massachusetts General Hospital Full time

Under the supervision and direction of the Division Chief and Sr. Administrative Manager, in collaboration with the Advanced Practitioner (APP) will support the Division of Plastic and Reconstructive Surgery at the Massachusetts General Hospital in Waltham. The APP will provide patient care within the operating rooms as first assist, outpatient office setting of the surgical practices.

In addition, the APP will coordinate and perform patient assessments, treatment, patient education, and assist in the follow-up. The APP will obtain patient histories, perform comprehensive physical examinations to evaluate plastic surgery patients, arrange diagnostic procedures, coordinate consultations, implement treatment plans, communicate with referring physicians, and provide patient and family education.

The APP will promote a collaborative relationship and effort between the patient and surgical teams, including other clinicians, medical assistants, and support staff. The APP is responsible to maintaining state licensure in good standing.

PRINCIPAL DUTIES AND RESPONSIBILITIES

For patients within the Plastic Surgery practices, provides sound nursing practice using advanced knowledge of clinical patient care. Provides and coordinates care of plastic surgery patients at the surgical practices in Boston, Newton, Danvers, and Waltham. Effectively communicates with patients, families, providers, and staff. Participates in projects, programs, and other activities to support clinical practice and practice operations. Maintains necessary licensure and completes continuing education to ensure performance of all responsibilities. Working independently under the broad direction of the supervising surgeon, the Lead Nurse Practitioner and the Senior Administrative Manager and in collaboration with other clinicians as needed, the work of the APP will include:

CLINICAL PRACTICE
  • Evaluates follow-up patients, and pre- and post-operative patients.
  • Obtains health and medical history, performs physical examination, and constructs problem list.
  • Collects, records, and interprets patient data.
  • Reviews and interprets diagnostic data.
  • May order necessary diagnostic tests, consultations and procedures as requested by the attending surgeon.
  • Conducts examination, preoperative teaching, post-operative evaluation and management, and follow-up.
  • Consults with Lead NP, surgeon and others on complex clinical matters.
  • Performs simple skin biopsies, cyst aspirations, incisions, and drains.
  • Removes drains.
  • Removes sutures/staples.
  • Completes disability paperwork for patients.
  • Fills out visiting nursing paperwork for patients.
  • Triages urgent referrals.
  • Prescribes medications/medication refills while adhering to hospital policies for medication administration as necessary.
  • Completes and submits billing for services in a timely and accurate manner.
  • Provides timely, complete, and coordinated communication, including:
  • Returns patient phone calls.
  • Communicates care plan to all referring providers, MD of record, and patients/patient families.
  • Implements effective communication and coordination with residents, fellows, nurses, and other physicians involved with the care of hospitalized patients.
  • Serves as an information resource for patients.
  • Coordinates interface between inpatient and outpatient care.
PLASTIC SURGERY FIRST ASSISTANT DUTIES
  • Serves (directly or once trained) as first assistant to surgeons during plastic surgery operations/procedures performed in the operating rooms at the afore mentioned hospitals and surgical centers.
  • Preoperative patient management in collaboration with the surgeon, including:

Performing focused preoperative nursing assessments,

o Participating in the patient plan of care,

o Intraoperative performance of surgical first assistant techniques such as

using instruments and medical devices,

providing surgical site exposure,

handling and/or cutting tissue,

providing hemostasis,

suturing, and

wound management

  • Postoperative patient management in collaboration with other health care providers in the immediate postoperative period and beyond, such as participating in postoperative rounds and assisting with patient discharge planning and identifying appropriate community resources as needed.
PRACTICE SUPPORT
  • Participates as requested in MGH and MGB quality initiatives.
  • Meets routinely with supervisors to review statistics, progress, and provide feedback for use in the overall performance of advanced practice service of the practice.
  • Works with Lead NP for clinical information, practice standards, feedback, training needs and other support.
  • Provides timely and accurate documentation in Epic; monitors and responds to in-basket messages. Uses Patient Gateway in a proper and effective manner.
  • Participates in patient outreach as well as research initiatives as needed.
  • Serves as subject matter expert, providing information, in-service education and other assistance to staff.
  • Works safely and properly uses equipment across all clinical settings.
EDUCATIONAL
  • Participates in educational meetings.
  • Pursues independent learning opportunities.
  • Completes continuing education in relevant fields to maintain professional licensure.
  • Completes the 100 hours of continuing medical education necessary during each 2-year period of employment. Attends internal and external education meetings and reads appropriate professional journals to maintain and enhance skills and clinical competence.
  • Advances medical and technical skills as appropriate to deliver optimum patient care.
  • Current Physician Assistant or Nurse Practitioner licensure in Massachusetts
  • 3-5 years' experience (preferred) in the Advanced Practice role, particularly in either breast oncology, plastic and reconstructive surgery or general surgery arena
  • CRNFA certified (Certified Registered Nurse First Assist)
  • Current Massachusetts Controlled Substance Certificate and DEA license
  • Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association