BWH - Boston, MA

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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 assessment and management of patients including diagnostic and

therapeutic interventions, and continuous implementation and evaluation of an

appropriate plan of care. The Nurse Practitioner works with her/his 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.

A. Patient Care Organization

1. Provides direct care, counseling, and teaching to a select patient population.

2. Performs physical examinations and provides preventive health measures

appropriate to patient needs.

3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess

patients’ clinical problems and health care needs.

4. Arranges for appropriate plan of care and follow-up based on outcome of

diagnostic, lab, and physical assessment findings.

5. Performs laboratory tests appropriate for specific patient population.

6. Orders medications and writes prescriptions according to organizational and

regulatory policies and procedures.

7. Records pertinent patient care findings in the medical record.

8. Sets priorities for appropriate and efficient management of patient care that

reflects cost effective management of time, available human resources,

supplies and equipment

9. Maintains interdisciplinary approach to planning and communicating patient

care information by discussing patient data with appropriate physicians and

other health care professionals.

10. Incorporates the concepts of health maintenance, prevention, and promotion

into daily practice through patient education and counseling.

11. Demonstrates awareness of community resources and assists staff, patients,

and families to effectively utilize them.

B. Quality of Care

1. Assists 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 .

2. Evaluates outcomes of own patients’ care and makes necessary revisions in

care plans.

3. Seeks and provides consultative services as required.

4. Participates in departmental and organization quality improvement program.

5. Utilizes quality improvement data and research findings to enhance patient


C. Coordination

1. Demonstrates appropriate collaborative and consultative relationships with

other providers within the institution and community.

2. Serves on Nursing and Hospital Committees and assumes responsibility for

disseminating and communicating information to staff.

D. Budget

1. Participates in setting productivity metrics and in cost effective management

of personnel, time, supplies, and equipment in his/her area.

2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing

Director in the recommendation of appropriate staffing patterns for their

clinical areas.

E. Personnel Management

1. Participates in selection process of new employees in group or team practice

as requested.

2. Provides input into evaluation of other staff as appropriate.

F. Education

1. Acts as preceptor for nursing students and staff as requested.

2. Participates in orientation of new staff.

3. Participates in Departmental and organization continuing education programs.

4. Identifies own learning needs and updates clinical knowledge and skills

through formal and informal education and review of current literature.

5. Educates lay and/or professional groups through lectures, papers,

publications, and educational materials.

G. Planning

1. Develops 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.

2. Assists in determining, evaluating, and/or implementing clinical area goals

and objectives.

3. Maintains interdisciplinary approach for planning and communicating

information for patient care and operation of practice.

4. Maintains current knowledge of legislation that may affect the health care

delivery system.

H. Research

1. Participates in nursing research at a level consistent with educational

background and experience.

2. Maintains understanding of current research of others in related clinical areas

through review of relevant publications.

3. Participates in grant writing as appropriate.

Education: Masters’ Degree in Nursing required. Satisfactory completion of an

approved formal education program which has as its objective the

preparation of professional nurses to practice as nurse practitioners.

Prior experience as a nurse practitioner preferred.

ANA or other appropriate nursing certification in area of practice

and authorization by the Massachusetts Board of Registration in

Nursing to practice in the expanded role. DEA for prescription


Skills and Abilities 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 be self-directive and demonstrate initiative in addressing

responsibilities of position.

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

Working Conditions:
1. Works in a variety of patient care environments where there may be exposure

to communicable disease, and hazardous materials.

Day Shift.

  • Required to Work Weekends Per Contract.
EEO Statement:
An EEO, AA, VEVRAA Employer

Additional Information


In addition to the role responsibilities described in the Nurse Practitioner Job Description (Job Code 2212) the following are additional specific requirements for this role:

Minimum three years experience as either clinical staff nurse or nurse practitioner in fetal medicine ambulatory practice.

Preferred experience in the management of patients with: maternal endocrine disease, maternal and fetal cardiac disorders, and cervical incompetence, including cerclage removal.

Preferred experience with antepartum and postpartum support, birth control counseling, and IUD placement.

Demonstrated ability to work independently as well as with physicians in the development and operation of specialized care programs.

Previous experience and demonstrated skills in telephone triage required.

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