Nurse Practitioner Colorectal Surgery

Site: The Brigham and Womens Hospital Inc.

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NURSE PRACTITIONER MS: Outpatient Colorectal Surgery/ Full Time/ 40 Hours/ Foxboro/ Jamaica Plain/ Boston

ADDENDUM for Colorectal Surgery

Working in collaboration with the Colorectal Section Chief GGI Surgery Administrative Director the Colorectal Surgery NP is a valued member of the colorectal practice team. NP responsibilities include clinical practice on an interdisciplinary care team for patients receiving ambulatory care through the Department of Surgery Division of Colorectal Surgery.

The NPs primary role will be focused on the larger colorectal surgery patient population as an advanced practice nurse. The NP will have a supportive role in treating patients who have or are about to undergo the formation of a stoma. The role requires significant interdisciplinary teamwork in acute and community settings.

Clinical:
- Works in collaboration with the attending physicians.
- Clinic schedule will include sessions primarily located at but not limited to: Surgical Clinic at 21 Patriot Place Foxboro MA Clinic sited at BWFH / Faulkner Hospital at 1153 Centre St Jamaica Plain MA and Boston Main campus as needed.
- These sessions may be held alongside our colorectal surgeons but also may be independent in their absence. Clinics will consist of a mix of benign anorectal disease and pre- & post-op surgical care.
- Administrative time blocked for symptom calls note completion coordination of care prescription ordering and other patient care activities.
- Perform clinical assessment of patients colorectal needs in clinic and pre and post evaluation follow up review of patient record and history patient/caregiver education regarding appliance management and symptoms telephone triage patient education around the management of anorectal disease dysfunctional elimination issues and other related conditions.
- Ensure a seamless patient flow and positive patient experience through the outpatient clinic and across departments.
Candidate will work in collaboration with the attending physicians physician assistants nurses administrative assistants and other providers internal and external to the department.
- Provide extensive patient support for ongoing colorectal needs including equipment management lifestyle education and teaching and symptom management. Responds to clinical questions from patients and physicians in a timely manner; completes administrative tasks such as returning phone calls updating clinic notes and completion of dictations in a timely manner; keep collaborating and referring physicians informed as appropriate.
- Effectively prioritize patient care needs; understand the full range of treatment options available to each patient and have the ability to discuss these with the patient and their family/ partner.
- Demonstrate empathy knowledge and understanding of issues associated with:- Altered body image - Psycho-sexual changes function/dysfunction
- Sexuality - Loss/bereavement - Spirituality - Social and cultural considerations - Changes in social relationships
- Demonstrates knowledge of patients nutritional requirements; assists the patient in tracking food and fluid intake.
Operations Support/Administrative Responsibilities:
- Supports ongoing quality initiatives and strives to learn new systems and technologies as they become available to improve patients care documentation and communication. Remains proficient with BWH computer systems as needed to independently.

Job Summary

Summary
The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for the assessment and management of patients including diagnostic and therapeutic interventions and the continuous implementation and evaluation of an appropriate plan of care.
The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines members of the care team and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing. Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners. ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

Working Conditions - Works in a variety of patient care environments where there may be exposure to communicable disease and hazardous materials. APRN national certification required.
Does this position require Patient Care Yes

Essential Functions
-Patient Care Organization
direct care counseling and teaching to a select patient population.
physical examinations and provides preventive health measures appropriate to patient needs.
interprets and evaluates appropriate lab and diagnostic tests to assess patients clinical problems and health care needs.
for appropriate plan of care and follow-up based on outcome of diagnostic lab and physical assessment findings.
laboratory tests appropriate for specific patient population.
medications and writes prescriptions according to organizational and regulatory policies and procedures.
pertinent patient care findings in the medical record.
priorities for appropriate and efficient management of patient care that reflects cost effective management of time available human resources supplies and equipment.
interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.
the concepts of health maintenance prevention and promotion into daily practice through patient education and counseling.
awareness of community resources and assists staff patients and families to effectively utilize them.
-Quality of Care
in the development implementation and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.
outcomes of own patients care and makes necessary revisions in care plans.
and provides consultative services as required.
in departmental and organization quality improvement program.
quality improvement data and research findings to enhance patient care.
-Coordination
appropriate collaborative and consultative relationships with other providers within the institution and community.
on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.
-Budget
in setting productivity metrics and in cost-effective management of personnel time supplies and equipment in their area.
with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.
-Personnel Management
in selection process of new employees in group or team practice as requested.
input into evaluation of other staff as appropriate.
-Education
as preceptor for nursing students and staff as requested.
in orientation of new staff.
in Departmental and organization continuing education programs.
own learning needs and updates clinical knowledge and skills through formal and informal education and review of current lay and/or professional groups through lectures papers publications and educational materials.
-Planning
annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.
in determining evaluating and/or implementing clinical area goals and objectives.
interdisciplinary approach for planning and communicating information for patient care and operation of practice.
current knowledge of legislation that may affect the health care delivery system.
and integrates patient population and/or disease state in programmatic goals and objectives.
-Research
in nursing research at a level consistent with educational background and experience.
understanding of current research of others in related clinical areas through review of relevant publications.
in grant writing as appropriate.
-Supervisory Responsibilities
assume responsibility for providing direction to designated personnel.

Qualifications

Education/Licensure:

• 1. Completion of Masters DNP or PhD Degree in Nursing required. Completion of a Masters or post Masters degree in adult or family NP program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC) required.

• 2. Current Adult/Geriatric or Family Nurse Practitioner Certification by an accredited APRN certifying body required.

• 3. Valid prescriptive authority from both MA DPH and Federal DEA required.

• 4. Current APRN license to practice in Massachusetts required.

Experience:

• 1. Minimum 3 years clinical Nurse Practitioner experience in an ambulatory setting required.

• 2. Minimum 1 year current clinical Nurse Practitioner experience caring for a Colorectal surgical patient population required.

• 3. Ostomy Nurse Certification strongly preferred.

Other:

• ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in an expanded role. DEA for prescription writing.

SKILL/ABILITIES/COMPETENCIES REQUIRED:

• 1. Expert Clinical judgement skills to function in the independent role.

• 2. Excellent interpersonal relationship and communication skills in order to collaborate with patients families staff and community health workers.

• 3. Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.

• 4. Ability to self-directive and demonstrate initiative in addressing responsibilities of position.

• 5. Ability to utilize appropriate problem solving and conflict resolution skills.

CLINICAL STANDARDS THAT SERVE AS GUIDELINES FOR THIS PRACTICE Nurse practitioner practice conforms to generally accepted standards of care as promulgated by the American Nurses Association and other relevant professional organizations. Patient care management is based on current evidence and sound clinical judgment. Clinical references may include but are limited to: Harrisons Principles of Internal Medicine; Physicians Desk Reference; Barker Principles of Ambulatory Medicine

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

45 Francis Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$50.70 - $134.78/Hourly

Grade

MNA2221Z At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

The Brigham and Womens Hospital Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

Mass General Brigham Competency Framework

At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.