RN - NSPG Anticoagulation Management Service
Company: North Shore Physicians Group
Posted on: January 8, 2021
About Us:North Shore Physicians Group (NSPG), the largest
multispecialty group north of Boston, has a singular focus: the
patient. We have a total of 27 locations across the North Shore,
with more than 350 board-certified physicians, nurse practitioners,
and other health care professionals working as one to provide
exceptional care.We are a national leader in improving care
delivery, patient health and satisfaction. Through our partnership
with North Shore Medical Center and our affiliation with
Massachusetts General Hospital and Partners HealthCare, we offer
such advances as EMRs, shared medical appointments, online access
and remote patient monitoring. Our success is built on team-based
practices, collaborative environments and the importance of
work-life balance.Bring your exceptional skills to our innovative
practices and join us in driving medicine forward!General
Overview:We are seeking an RN or NP to join our Anticoagulation
Management Service team full-time.The Anticoagulation Management
Service (AMS) uses a primary nurse model to assess and intervene to
best meet the educational needs of patients and families while
striving to optimize day-to-day outcomes of anticoagulation
management. Primary nurses partner with patients and families and
multiple disciplines to manage long-term outpatient anticoagulation
therapy while coordinating transitions of care across the continuum
as needed.Major components of the role include patient and family
education, short and long-term management of anticoagulation
consistent with both NSPG and AMS Policies and
- Provides a plan for anticoagulation management for patients
receiving induction, bridging, and maintenance therapies.
- Is accountable to the patient and family for the initial and
ongoing assessment and development of a patient-specific plan of
- Educates patients during initial assessment and teaching
session(s) and ongoing as needed.
- Informs patients how and when to communicate with the AMS
- Collaborates with referring providers to assure that an
anticoagulation plan of care appropriate to patient specific risk
- Uses NSPG and AMS Policy and Procedure to optimize
- Schedules and receives INR results for warfarin patients at
intervals appropriate to anticoagulation status from clinical
laboratories, home care providers, and/or patients.
- Evaluates warfarin dose response based on INR results and
relevant clinical and behavioral characteristics that influence
patterns of absorption, distribution, metabolism, and elimination
- Determines warfarin dosing using established protocols.
- Monitors dosing and patient clinical response to therapeutic
bridging medications and discontinues use per NSPG protocols.
- Monitors anticoagulant drug supply, reviews pertinent
laboratory values to guide therapeutic decisions.
- Collaborates with referring providers on agent selection and
- Provides transitions to and from warfarin and other oral
- Provides outpatient oversight for peri-procedural management of
- Provides oversight and collaboration concerning population
specific dosing related to renal dysfunction, drug interactions or
extremes of body weight.
- Provides medication adherence monitoring and assessment.
- Acts in the same capacity and is held to the same standards of
clinical and professional performance when performing job duties in
the AMS clinic.
- The AMS Nurse Director should be notified immediately of any
high-risk event including but not limited to; significant patient
injury related to their anticoagulation therapy resulting in
hospitalization or death or any issue that may require
- Communicates effectively
- Maintains documentation in the anticoagulation electronic
- Uses electronic workflow management tools to monitor and manage
- Provides verbal and/or written communication of dose
instruction to patients or providers as needed.
- Provides assessment and triage of information to and from
patients and other providers including issues related to drug-drug
interactions, life style, compliance, procedures and
- Seeks physician guidance in situations where care decisions and
clinical concerns arise and follows up as needed.
- Provides oversight and appropriate follow up for all patients
for such issues as missed appointments and non-compliance, critical
results, contact of physician and other health care providers.
- Facilitates implementation of anticoagulation standards of care
across clinical services
- Educates and supports providers to anticoagulation guidelines
- Participates in education of clinical staff; nursing grand
rounds, patient care conferences, CEU offerings
- Participates as active members of the AMS Practice Committee
and AMS Quality and Safety Committee
- Participates in data collection, evaluation of program
outcomes, and the development of action plans to continuously
improve clinical practice related to:
- Patient and staff satisfaction- Quality metrics
- Nursing research questionsSkillsRequired:
- The ability to make clinical decisions based on a strong
- A high level of interpersonal and communication skills.
- Basic computer skillsExperienceRequired:
- Relevant anticoagulation experienceEducationRequired:
- Bachelor's Degree in Nursing, Graduate of an accredited school
of nursing with a Master's degree, OR Graduate of an accredited
college of pharmacyLicensureRequired:
- Current licensure as a registered nurse in the Commonwealth of
Massachusetts, Current Massachusetts state license as a registered
nurse practitioner, OR Current licensure as a Pharmacist by the
State of MassachusettsPreferred:
- CACP certificationWhy North Shore Physicians Group? You'll
practice at the leading edge of patient-focused medicine in one of
New England's most scenic and historic locations. And you'll make a
difference every single day. Make your move to NSPG. We're one
team, with one focus. Join us. With NSPG you'll experience:
Excellent quality of life The North Shore area offers: Communities
with varied and rich histories and convenient access to museums,
art, restaurants and shops. Natural beauty, handsome architecture
and vivid history - only 15 miles north of Boston. 30 miles of
gorgeous rocky coastline with breathtaking beaches and harbors.
World-class sailing and close proximity to the mountains and
picturesque New England. Easy access to a multitude of
universities, colleges, and public and private schools. Clinical
excellence Our practices are certified Level 3 NCQA
Patient-Centered Medical Homes. For the fifth year in a row, North
Shore Medical Center has been ranked a top regional hospital in
Boston and Massachusetts by U.S. News & World Report. Our
affiliate, Massachusetts General Hospital, is one of U.S. News &
World Report's top three Honor Roll hospitals in America. NSPG and
NSMC use the Epic EMR that integrates patient care through the
Partners HealthCare System, including Massachusetts General
Hospital and Brigham and Women's Hospital. Career advancement Grow,
learn and develop new practice innovations. Continue your medical
education. Make academic connections and explore teaching
opportunities. Explore leadership opportunities. Develop clinical
and administrative career ladders. A supportive practice
environment Collaborative professionals. Patient-centered care
model. Leadership that listens and values your contributions and
ideas. Autonomy and respect for your skills and expertise.
Excellent salary and benefits.
Keywords: North Shore Physicians Group, Peabody , RN - NSPG Anticoagulation Management Service, Healthcare , Peabody, Massachusetts
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