Pediatric Neurosurgery Nurse Practitioner (MSN)

    Massachusetts General Hospital
    Boston, MA 02108
    Full-time
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    Job Description

    GENERAL SUMMARY/ OVERVIEW STATEMENT:

    The Pediatric Neurosurgery Nurse Practitioner (NP) collaborates with the clinical faculty and resident staff to provide quality care to patients of the Pediatric Neurosurgical Service. The clinical scope emphasizes all phases of care as needed to provide a high quality, seamless experience to the patients, with an emphasis on the outpatient component. Within the purview of pediatric neurosurgery, there are disease categories such as certain common acquired craniofacial conditions for which the NP will take a collaborative yet central role in outpatient assessment and care. Many pediatric neurosurgical patients have lifelong, often congenital or childhood-acquired conditions where the best care mandates the establishment of long term relationships with patients, families, primary care providers, and community services such as schools. The NP will play a central role in fostering these long term relationships, and thus will provide clinical care to both pediatric and adult patients that fall in the scope of the practice. The NP obtains patient histories, performs comprehensive physical examinations and minor procedures, evaluates follow-up patients, and coordinates tests and consultations, performs preoperative evaluations, implements treatment plans, communicates with referring physicians and patients/families, and performs patient education. Moreover, the NP collaborates in the design of all components of care systems, including both the direct delivery of care as well as the design and delivery of educational materials.

    PRINCIPAL DUTIES AND RESPONSIBILITIES:

    1. Clinical Practice:
    • Provides clinical care to both pediatric and adult patients that fall in the scope of the practice.
    • Obtains health and medical history, performs physical examination, and develops and maintains problem lists. Reconciles medication lists.
    • Collects, records, and interprets patient data. Evaluates patients in the outpatient and emergency room settings.
    • Makes judgments as to the level of acuity of patient problems and accordingly coordinates patients, families, and neurosurgical physicians. Prioritizes clinical information and accordingly selects the timing and route of communication to neurosurgical physician staff. Gives guidance and counseling to nonclinical staff based on these and other clinical judgments.
    • Orders appropriate laboratory, radiological, and other diagnostic studies.
    • For elective surgical patients, performs H & P, preoperative teaching, post-operative evaluation and management, and follow-up. Manages pre- and post-procedure medications; responsibilities will also include follow-up visits with adult patients, mostly with congenital problems within the scope of the practice.
    • Prescribes Schedule II-VI medications in accordance with guidelines developed with the supervising physician.
    • Attends rounds of the surgical staff where appropriate.
    • Removes sutures/staples.
    • Performs minor procedures not limited to wound care, shunt taps, reservoir taps, and shunt reprogramming.
    • Completes necessary documentation for patients, both of a clinical and administrative categories.
    • Tracks own reimbursable clinical services for invoicing.
    1. Communication:
    • Serves as an information resource for patients.
    • Captures key information from new and established patients.
    • Maintains communication with patients and families by phone, approved electronic media, and face to face.
    • Maintains communication with referring providers, specialty services, technical (such as MRI/CT) personnel, and ancillary services (such as PT/OT/speech therapy).
    • Assures continuity of care of hospitalized patients in coordination with residents, fellows, nurses, and other physicians. Coordinates transitions between inpatient and outpatient care.
    • Collaborates in redesign of care.
    • Gives educational presentations to various provider and patient groups. May participate in research and other academic activities.
    • May participate on behalf of the Pediatric Neurosurgical practice by serving on various committees and/or attend interdisciplinary care and planning meetings.
    1. Teamwork and collaboration:
    • Cross-covers for other departmental APP's during absences and variations in work flow as needed.

    Qualifications :

    QUALIFICATIONS:

    Nurse Practitioner:

    Minimum of Master's Degree in Nursing and previous experience in an academic medical environment preferred.
    • Hold current certification as an Acute Care Pediatric Nurse Practitioner or Pediatric Nurse Practitioner.
    • Hold current valid Massachusetts nursing license.
    • Hold a current valid Federal DEA certificate.
    • Hold a current valid State Controlled Substance Certificate in the Commonwealth of Massachusetts.

      SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
    • As per the General Summary and other sections above.
    • Neurosurgical problems may be extremely stressful to families. Maintains compassion and efficiency in dire circumstances. Works well under pressure.
    • Current CPR and PALS certifications.
    • Is knowledgeable and compliant in all hospital, State and Federal regulatory requirements, including hospital policy and procedures (where applicable to the performance of the job), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and Health Insurance Portability and Accountability Act of 1996 (HIPAA).

      WORKING CONDITIONS:

      Work will be performed in both the inpatient and outpatient settings. The work may require the lifting of heavy objects and patients, as well as exposure to potentially infective material. Work requires contact with needles and other sharp instruments. Prolonged standing can be expected. Walking to and from the patient care units can be expected.

      FISCAL RESPONSIBILITY:

      Timely submission of documentation of reimbursable clinical services.
    Posting ID: 593245976Posted: 2021-01-13Job Title: Pediatric Neurosurgery Nurse Practitioner