NP or PA- Trauma Surgery- MGH

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The Division of Trauma, Emergency Surgery and Surgical Critical Care seeks an APP who is both an expert clinician and prepared at the Masters Level. In conjunction with the Surgical Attending (Trauma/Emergency Surgery), the APP assumes responsibility and accountability for the management of a designated adult trauma and emergency surgery patient population across all settings in which the patient receives care.
This is a full-time 40hr position; 3-13 hour shifts, weekend and holiday rotation    The APP functions as a member of the trauma/emergency surgery team with responsibilities including assessment, diagnosis, management, and coordination of care for the patients on the trauma/emergency surgery service from the time of entry to the system throughout the continuum of care.
Components of the APP role include, but are not limited to:

· Direct Patient Care: inpatient management Identification of patient population History & Physical examination, including trauma tertiary survey  
· Medical diagnoses, with prescription of medical & nursing therapies  
· Incident - oriented progress notes Laboratory test ordering and interpretation Radiographic ordering, interpretation with trauma team or radiology consultation  
· Coordination of system to support patient needs throughout the clinical course  
· Resuscitation Phase Critical Care Phase Intermediate Care Phase  
· In conjunction with the team, initiate medical and/or nursing specialty consults  
· Initiate discharge planning process - incorporating PM&R/Social Service/Case Manager  
· Liaison with Social Service to meet patient and/or family needs  
· Liaison with specialty services - OT, PT, Speech, RT, Nutrition, to ensure comprehensive clinical focus  
· Direct Patient Care: outpatient focus History & Physical examination, including trauma tertiary survey  
· Review of discharge plan and its success - make appropriate changes Communicate with PCP as needed Ensure specialty service involvement (OT, PT, Speech, RT, and Nutrition) when appropriate  
· Indirect Patient Care Participation in multidisciplinary rounds - trauma/emergency surgery service  
· Peer review conference Performance Improvement activities  
· Support and participate in research activities Outreach and prevention program functions  
· Procedures Wound management - dressings, irrigation/cleansing & debridement Suture/staple removal  
· Cervical collar placement & removal Vascular access NG/OG tube insertion Indwelling bladder catheterization Arterial line placement  
· Administration Staff education & consultation  
· Critical pathway management Policy/procedure development  
· Rotation through the outpatient surgical clinic to complete post operative and post trauma follow up, wound care evaluation, and hernia preoperative evaluation.

Skills and Experience:

· Trauma/Acute Care experience is strongly preferred.  
· Critical Care experience is strongly preferred    Licensure, Certifications, or Registration:

· Certification as a Nurse Practitioner in Massachusetts required with certification as an Acute Care Nurse Practitioner preferred.  
· Current Physician Assistant License in the Commonwealth of Massachusetts
** Job Summary
** The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions,…