When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The ICU PA serves as the primary overnight critical care provider in collaboration with the attending intensivist, hospitalists, emergency physicians, nursing staff, respiratory therapists, and specialty consultants.

The PA is responsible for the assessment, treatment, stabilization, and ongoing management of critically ill patients in the Intensive Care Unit. The position provides dedicated overnight ICU coverage and serves as a key resource for rapid response events, deteriorating patients, ICU admissions, and critical care procedures.

This role is expected to improve clinical support during off-hours, enhance patient safety, support ED throughput, reduce ICU transfers, and contribute to the development of overnight critical care and airway management capabilities.

Schedule:

• Twelve-hour overnight shifts (7:00 PM – 7:00 AM).
• Rotating weekends and holidays.
• Three APP FTEs will provide 365-day overnight ICU coverage.
• Collaborative schedule designed to support physician intensivists and hospital medicine services.

Why BID Milton:

Beth Israel Deaconess Hospital–Milton is a member of Beth Israel Lahey Health and is expanding its critical care capabilities to better serve the South Shore community. The ICU expansion initiative supports increased patient retention, improved access to critical care services, enhanced support for surgical programs, and stronger integration within the BILH network.

Join a collaborative team committed to delivering exceptional critical care close to home while helping shape the future of critical care services at BID Milton.

Job Description:

DUTIES AND RESPONSIBILITIES:

Professional

• Demonstrates collaborative efforts with health team members such as nurses, respiratory therapy, social workers, infection control staff, etc.
• Demonstrates compassion, professionalism, and commitment to excellent patient care.
• Demonstrates compliance to the hospital’s Code of Conduct and Employee Standards of Behavior.
• Must be able to work with autonomy within Massachusetts law under direction of supervising physician.

Clinical

• Performs comprehensive and problem-focused history and physical exams (where indicated) on critical care patients admitted through the Emergency Department and on those held for observation, initiates appropriate lab, radiology tests, or other special tests required for evaluation of illness, and scrutinizes lab data on new and former patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan, with direct review by a physician.
• Assists with triage decisions regarding ICU admission and transfer.
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic, and other routine diagnostic procedures used to identify pathophysiologic processes, as privileged.
• Interprets and correlates subjective and objective data to formulate a differential diagnosis and establishes a working diagnosis.
• Formulates a treatment plan for medical problems within scope of practice.
• Writes initial orders in coordination with the attending physician.
• Implements therapeutic intervention for specific conditions, when appropriate.
• Exercises judgment on problems requiring consultation, referral, or evaluation by the supervising physician or other health care professionals.
• Performs routine procedures such as injections, immunizations, suturing and wound care, managing simple conditions produced by infection or trauma, as well as taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged.
• Performs specialized procedures (as requested and under the direction of an attending physician), including blood draws, designated IV starts, lumbar puncture, central venous line placement, arterial line placement, chest tube insertions, thoracentesis, paracentesis, foley catheter insertion +/- bladder irrigation, endotracheal intubation, management of mechanical ventilation, as well as other specific procedures in the Emergency Department and on the inpatient units, with demonstrated competency and the approved delineation of privileges.
• Provides information and answers routine questions of patients regarding their disease, including preventive health maintenance topics such as diet, weight, smoking, and topics related to medical specialty, with basic recommendations.
• Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
• Assists with record keeping, completes appropriate patient medical chart, transcribes lab data, and routine correspondence, as directed and reviewed by physician.
• Refers patients to physicians as appropriate for consultation or for specialized health resources and treatment.
• Participates in rounds in ICU patients as required, upon arrival for duty.
• Responds to all Codes and Rapid Responses.
• Assists Emergency Department physicians in cases of Critical Care consultation in the Emergency Department, in the evaluation of trauma victims in the ED, and with procedures within the PAs scope of practice.
• Evaluates and manages the acute care needs of BID Milton patients in concert with the attending physician.
• Oversees the management of mechanical ventilation with supervision from Anesthesia, Pulmonary, and/or Critical Care physicians.
• Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
• Facilitates appropriate length of stay, transfers, discharge planning, and compliance with regulatory standards for inpatient management.
• Participates in quality monitoring through the review of records and treatment plans for patient outcomes on a periodic basis to ensure quality care.
• May serve as clinical preceptor for PA students and other health professionals.