ICU APP

Ellison 14 is a 7-bed multispecialty intensive care unit with planned expansion to 10 beds within the year, creating the opportunity for professional growth and team-expansion!

Our primary patient population is complex surgical, primarily burns, and acute medicine overflow. Our multispecialty care model, in-line with other ICUs at MGB, is presently based on responding clinicians (APPs and residents) supervised by attending ICU staff and supported by critical care fellows. We are the primary ICU care providers for our patients, supported by primary admitting surgical teams and consultant. We emphasize and expect responsible, collaborative decision-making from our APPs, within their full scope of practice. We encourage procedural excellence and supervised practice. APPs will be oriented to cross-function across several ICUs run by MGH Anesthesia and MGH Acute Care Surgery. The job requires a regular, equitably distributed quota of day, nights, and weekend shifts.

We encourage new and experienced candidates interested in a full-time position! Our only absolute requirement for consideration is previous acute/critical care RN or APP experience.

Under the administrative direction of the Medical Director and Nursing Director of the Intensive Care Unit, the APP manages a wide spectrum of patients. Management includes, but is not limited to critical care interventions, intensive care monitoring, diagnosing and prescribing treatments, therapeutics, and medications, coordinating referrals and discharging patients from the ICU. In collaboration with a multidisciplinary care team, they would be responsible for establishing, implementing, and evaluating the ICU course of treatment and the coordination and communication of the treatment plan. The APP will have a key role in patient and family teaching, while promoting competent, compassionate nursing care for patients and relatives. They will serve as a role model for professional nursing practice.

Develops, implements, and evaluates a program of specialized health care for a select patient population. Promotes a collaborative relationship and effort between the medical staff and professional nurses toward continuity of patient care and efficient use of resources. Serves as a role model for professional nursing practice.

• Provides direct care to a select patient population in collaboration with the physician.
• Performs and records the patient history and physical exam and discusses findings with the physician.
• Utilizes advanced nursing knowledge to identify, prevent or solve complex and/or recurring patient care problems.
• Follows and manages patients (in collaboration with MD) enhancing continuity of care.
• Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician.
• Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines.
• Collaborates with unit staff and physicians to facilitate a comprehensive plan of care and coordinate resources.
• Writes orders which are in accord with current guidelines.
• Maintains and practices in accord with practitioner guidelines per state and hospital regulation

Provides consultation to both nurses and physicians.

• Serves as a go-to person for staff in area(s) of expertise.
• Serves on appropriate intra and interdepartmental committees.

Participates in the development of formal and informal educational programs for the unit-based nursing staff.

• Develops educational programs within area of expertise.
• Collaborates with unit staff, Clinical Educators, Clinical Nurse Specialists, Staff Specialists, and other health care professionals to meet staff and patient educational needs.

Monitors patient outcomes in accordance with defined standards of patient care.

• Collaborates with nurse managers, clinical nurses, and medical staff to plan, implement and evaluate pertinent change in practice and health care delivery.
• Identifies system-wide factors causing undesirable outcomes, such as complications, increased length of stay and over utilization of services.
• Facilitates patient movement through the system and efficient use of resources through interdepartmental collaboration.

Supports research efforts to advance knowledge and to promote research-based practice

• Evaluates own practice and program effectiveness.
• Identifies pertinent nursing and health delivery problems for investigation.
• Evaluates current research findings for clinical specialty and determines applicability to unit practice.
• Assists nursing and medical colleagues in research efforts.
• Conducts own research.

Responsible for own professional growth and maintenance of required credentials.

• Maintains the standards and educational requirements specific to the position and licensure.
• Identifies own learning needs and goals.

Takes responsibilities for leadership and participation on committees and task forces of the DON and the hospital.

Maintains and updates clinical knowledge and skills based on current health care practice/research

Valid Massachusetts RN in good standing

Master's Degree in Nursing

A minimum of two years RN experience required.

Recent critical care/ICU experience required

Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.