Memphis VAMC-Physician Assistant (Intensive Care)-91361600
Overview
The VAMC in Memphis, Tennessee is recruiting for a Physician Assistant for the Intensive Care Unit to serve as a full-time Pulmonary Critical Care service physician assistant. The position is accountable to the Chief of Pulmonary Critical Care for assuring the most effective delivery of state-of-the-art care by meeting or exceeding compliance standards.
Duties include but are not limited to:
- Providing acute care in collaboration with the Pulmonary / Critical Care Medicine Physicians.
- Managing patients according to established standards and frequently giving directions to patient care support staff (nursing, respiratory, etc.).
- Assisting in identifying and managing patients requiring critical care throughout the hospital and coordinating care delivery based on standards.
- Functioning in accordance with State and Federal regulations for equivalent and providing care according to standards of care which include assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan, and evaluation of patient status.
- Generating diagnoses, treatment plans, prescribing medications, consulting, collaborating and performing procedures in accordance with standards of care.
- Providing care to patients in non-acute care locations who develop or are at high risk of developing sepsis as well as those with high risk for early clinical deterioration due to any etiology.
- Serving as stabilizing reference/facilitator for the rotating medical team (emphasis on facilitating monthly orientation and standardization).
- Playing a lead role in trainee education, including orientation to the Critical Care unit and system-based practices unique to the VA Medical Center.
- Performing health assessments utilizing physical and diagnostic tools (special emphasis on bedside ultrasound).
- Establishing diagnoses and treatment plans that include health education, prescribed pharmacologic and non-pharmacologic treatment following standard of care (special emphasis on mobility and prevention).
- Consulting and collaborating with specialty and primary care services as needed.
- Facilitating staff, patient and family education and providing educational resources related to all aspects of acute care including end of life (special emphasis on end-of-life care).
- Contributing to data collection and using ICU data to monitor outcomes and quality of care.
- Performing life-saving procedures including but not limited to intubation, Central Venous Line, Arterial line, thoracentesis, and Chest tube placement.
- Assisting the ICU team in procedures, including obtaining consents, and setup of procedures including necessary medications.
- Receiving, triaging as needed, and completing critical care consults including linking consults to completed notes.
- Actively engaging in preventive care for our patients, including enforcing the prevention care bundles.
- Serving as leader for rapid response and sepsis teams data.
- Performing efficient screening and assessments to identify patients with sepsis criteria or those at high risk to develop sepsis or early clinical deterioration.
- Ordering and interpreting diagnostic and therapeutic tests as needed.
- Prescribing appropriate pharmacologic and non-pharmacologic treatment modalities as described in sepsis standard of care and care bundles (special emphasis on dynamic fluid volume assessments).
- Monitoring the effectiveness of sepsis interventions and location of care delivery based on patient severity. Assisting in determining appropriate level of care including transferring to higher level of care.
- Collaborating with multidisciplinary team members to provide high quality sepsis care including ED, general ward, spinal cord and other areas within the hospital.
Job Requirements
Physician Assistant Basic Requirements:
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Education: Graduate of a training program accredited by the Accreditation Review Commission on Education of PA (ARC-PA) or one of its predecessor organizations. Additionally, candidates must meet one of the following:
(1) Master's degree in any discipline;
OR
(2) Bachelor's degree in any discipline with one year of experience as a PA.
- Certification: Must have successfully passed the PA National Certifying Exam (PANCE). NOTE: Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is no longer required for employment in VHA.
- Licensure: PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State.
- Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service.
- English Language Proficiency: Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f).
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