Acute Care NP or PA- ICU - MGH

Massachusetts General Hospital
United States, Massachusetts, Boston
267 Charles Street (Show on map)
May 11, 2026
Full-time (40 hrs) 3-13-hour shifts plus one hour of education every week. Shifts are 6am-7pm and 6pm-7am with one hour overlap for sign out and to sort out pending patient care issues. Ellison 14 ICU patient populations are adult complex surgical patients including burns along with acutely ill medical patients (i.e. both SICU and MICU-type patients). While Ellison 14 is the official 'Burn ICU' at MGH and has a storied history of caring for critically ill burn patients, currently, thermal burns constitute a minority of our patients (<10%). Ellison 14 ICU has a 'closed ICU' model. All patients on the unit are cared for by the same team. Our APPs are the primary ICU care providers, supported by admitting surgical teams and consultants. Our multispecialty care team model, in-line with other ICUs at MGB, is based on responding clinicians (APPs and residents) supervised by 24/7 in-house attending ICU staff physicians and supported by critical care fellows. The job includes, but is not limited to critical care interventions, intensive care monitoring, diagnosing and prescribing treatments, therapeutics, and medications, coordinating referrals and discharging patients from the ICU. We emphasize and expect responsible, collaborative decision-making from our APPs, within their full scope of supervised practice. We encourage procedural excellence. In collaboration with a multidisciplinary care team, they would be responsible for establishing, implementing, and evaluating the ICU course of treatment and the coordination and communication of the treatment plan. The APP will have a key role in patient and family teaching, while promoting competent, compassionate nursing care for patients and relatives. They will serve as a role model for professional nursing practice. All new hires go through a detailed on-boarding experience and several weeks-long orientation at MGH ICUs tailored to their background and prior experience. Minimum Qualifications: * 1-3 years of full-time ICU APP experience, preferred * 2 or more years of full-time critical care RN experience PLUS graduation from an Acute Care NP program, required General Summary The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. Does this position require Patient Care? Yes Essential Functions -Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting -Performs complete histories and physical examinations -Orders, interprets, and evaluates appropriate laboratory and diagnostic tests -Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings -Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries -Performs bedside procedures as are appropriate to the patient population -Orders medications and writes prescriptions according to organizational and regulatory policies and procedures Education Master's Degree Nursing required Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] Advanced Practice Registered Nurse [APRN] [MA] preferred Experience Experience as a nurse practitioner 0-1 year preferred Knowledge, Skills and Abilities - Skilled in taking medical histories to assess medical condition and interpret findings. - Ability to maintain quality control standards. - Ability to react calmly and effectively in emergency situations. - Ability to interpret, adapt and apply guidelines and procedures. - Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public Additional Job Description The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.