Physician Assistant I Cardiac Surgery ICU rotating

Brigham and Women’s Hospital • Remote (PA, United States) • $200k - $250k / year • 3w ago

Job Description - Physician Assistant I Cardiac Surgery ICU rotating (3305566)

GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider responsible for the assessment and management of various populations of patients, including diagnostic and therapeutic interventions, development of appropriate plans of care, and ongoing evaluation. The PA works under the supervision of an attending physician and reports directly to the chief physician assistant administratively.

The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Principle Clinical Duties and Responsibilities:

Provides direct care, counseling, and teaching to a designated patient population in the 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.
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes, and discharge summaries.
Performs bedside procedures as appropriate to the patient’s clinical needs.
Practices cost effective medicine in an efficient manner, maximizing available resources.
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting.
Demonstrates expert clinical judgment skills to function in an independent role.
Additional duties and responsibilities as required by the department/division.

Non-Clinical Duties and Responsibilities:

Demonstrates professional collaborative and consultative relationships with other providers.
Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report.
Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings.
Maintains superior interpersonal and communication skills as a member of the healthcare team.
Remains actively involved in continuing education with a commitment to self and departmental growth.
Adheres to all established safety policies, procedures, and precautions.
Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care.
Additional duties and responsibilities as required by the department/division.

QUALIFICATIONS:

The appropriate candidate will have successfully completed a graduate level physician assistant program (Master’s degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA).
Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to the first day of employment.
Must hold a current valid license as a physician assistant in the Commonwealth of Massachusetts.
Must have a current DEA registration and Massachusetts Controlled Substance Registration.
Must complete 100 hours of CME according to national and state regulations during each two-year period of employment.
Must complete the BWH Professionalism Program within three months of date of hire.
Must complete the BWH Procedural Sedation Training if deemed necessary.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

Must have the ability to work in a high stress, dynamic clinical setting.
Must have the ability to be self-directive and demonstrate initiative.
Must have the ability to utilize appropriate problem-solving and conflict resolution skills.
Must be energetic and quality driven.
Must be proficient with BWH Epic computer systems.
Must maintain the highest degree of professional judgment under supervision.

WORKING CONDITIONS:

Work settings may include ambulatory clinics, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. The PA may be exposed to radiation, infectious bodily fluids, and sharp instruments.

SUPERVISORY RESPONSIBILITY: The Physician Assistant I does not have any supervisory responsibility.

FISCAL RESPONSIBILITY: The Physician Assistant I does not have any fiscal responsibility.

ADDITIONAL INFORMATION: The BWH cardiac surgery service is a 24/7 PA run service; therefore, working weekends and holidays is required. The PA I is scheduled to work a rotating 50/50 day/night schedule of 12-hour days.

Required clinical duties:

The BWH CSS PA I will independently perform the following:
Insertion of urinary catheters.
Dress and debride surgical incisions.
Removal of intra-aortic balloon pump catheter under supervision.
Removal of epicardial pacing wires.
Removal of chest tubes.
Assist with procedures in the ICU and step-down units.
Insertion of central venous and arterial lines.
Insertion of nasogastric and Dobhoff feeding tubes.

Brigham and Women’s Hospital is an Affirmative Action Employer. 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.