Icu Advance Practice Provider

ICU Advance Practice Provider
St. Elizabeth’s Medical Center, Steward Health Care System, Boston MA

St. Elizabeth’s Medical Center, a community-based academic teaching hospital and a major affiliate of Tufts University School of Medicine and Boston University School of Medicine, is seeking Advanced Practice Providers (PAs and NPs) with Critical Care experience for fulltime positions to assist with clinical coverage of St. Elizabeth’s Medical ICU and Cardiac Surgery ICU from 7pm – 7am. APPs will provide coverage of medical ICU and pre and post-operative cardiac surgery ICU patients with immediate supervision from eICU physicians. The work will also include collaboration with ICU residents and interns. This is a hybrid position that will include work in both ICUs on alternating nights. Appropriate training in both ICU setting as needed is feasible. Duties will include assisting with admissions from the ER, floors, and referring hospitals, assessing and managing decompensating patients, and performing needed procedures, specifically placement of central lines and arterial lines. Additional procedures will be taught. St. Elizabeth’s serves as the tertiary care hospital for Steward’s Massachusetts hospitals and possesses all of the clinical services compatible with that role.

Requirements:
Licensed or license eligible nurse practitioner or physician assistant with at least one year of in-patient critical care experience.
Have both Massachusetts MCR and Federal DEA or eligible for same.
BLS and ACLS certification
FCCS recommended but not required

Responsibilities and Duties
1. Co-management of a 28 bed, academic, adult intensive care unit with eICU attending as immediate back-up. Shifts will be overnight from 7 pm – 7am.
2. Coverage of a 10 bed adult cardiac surgery intensive care unit with eICU attending as immediate back-up. Shifts will be overnight from 7 pm – 7am.
3. Round on patients and develop over-night care plan, follow-up on lab and imaging studies and order/adjust medication regimens including paralytic agents, vasoactive medications and anti-arrhythmic agents.
4. Admit patients to the ICU from the emergency department, in-patient floors, or referring hospitals.
5. Perform critical care consults and respond to rapid responses and cardiac arrests on med-surg floors.
6. Independently perform procedures including central lines, arterial lines.
7. Interpret EKGs and manage arrhythmias or ischemic events.
8. When applicable, document admission and progress notes.
9. Provide verbal and written morning sign-out to attending and resident staff.

Organizational Structure
1. Will function as independent provider with eICU oversight in an academic ICU setting.
2. Will report directly to attending physician covering the ICU for direct patient care issues.
3. Will report to the Director of Critical Care APPs for training and education, scheduling and performance reviews.

Qualifications and Skills
Should have prior experience and/or credentialling in the following:
a. Orogastric and Dobhoff tube placement.
c. Ultrasound guided central line placement
d. Arterial line placement
e. ACLS

Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.

Steward Health Care System has created a model of exceptional quality and delivery of care for its patients AND a stimulating, progressive environment for its employees. As a healthcare provider with Steward Health Care, you will become part of a new chapter in the delivery of health care and experience an organization that is led by some of the country’s most progressive physicians.

If you are interested in learning more about this opportunity, or would like to apply, please contact:
Megan D’Eramo, Regional Director, Network Development
Steward Health Care
Phone: 617-791-7063
Email: [email protected]

All inquiries will remain confidential.
Steward Health Care is an equal opportunity/affirmative action employer. Women and minorities are encouraged to apply.