Overview
The Physician Assistant assists, monitors, and manages the day-to-day needs of patients as requested by, in conjunction with, and under the supervision of a physician. Performs the duties and responsibilities of a Physician Assistant according to customary and generally accepted medical standards. Position will cover rotating days, evenings, nights, weekends and holidays.
The Advanced Practice Nurse performs the role utilizing the patient-centered coordinated care model demonstrated through the following competencies: leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision making. Works collaboratively with other members of the practice/hospital team to assess, plan and implement care for individuals with health and safety needs.
Responsibilities
- Obtains a detailed and accurate history, and identifies problems and presents information to the supervising physician.
- Charts via written, dictation, or electronic means: admission notes, history and physical examinations, consultations, daily patient encounter notes, urgent evaluation notes, minor procedure notes, and brief post-operative notes as it pertains to patients in the inpatient or outpatient setting; present this information to the supervising physician.
- Prescribes medications in accordance with federal and state laws and regulations under supervision of licensed physician if approved by the New Jersey Board of Medical Examiners.
- Assists a supervising surgeon in the operating room when a qualified assistant physician is not required, and a second assistant is deemed necessary by the supervising surgeon.
- Assists supervising physician in a procedure room when a qualified physician is present and it is deemed that a qualified assistant physician is not needed.
- Writes post-operative/post procedure note(s) and order(s) for supervising physician.
- Acts as a first line person responsible for all the post procedure management of patients as requested by the primary physician.
- Starts IVs, inserts foley catheters and nasogastric tubes, irrigates foley catheters, orders transfusions of blood and products, venipuncture, and debridements.
- Exhibits organizational, communication and leadership skills, initiative, accountability, responsibility, appropriate judgment, and decision making.
- Assists supervising physician with office hours and functions as an advocate for patients by managing prescription prior authorization, serving as a clinical expert to obtain surgical prior authorization requiring validation of medical necessity, and resolve issues associated with patient messages that require clinical support.
- Participates in research trials collecting, aggregating and entering data.
- Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
- Functions as a resource to health care personnel and participates in their educational programs.
- Greets patients and visitors in a prompt, courteous and helpful manner. Smiles, making patients/visitors feel welcome and important; makes direct eye contact; responds promptly to patients' needs.
- Adheres to the standards identified in the Medical Center's Organizational Competencies.
- Displays an understanding and awareness of and performs all duties in accordance with the Hospital's Mission and Vision Statements.
- Adheres to all Hospital infection control and safety policies.
- Adheres to HMH Organizational competencies and standards of behavior.
- Other duties and/or projects as assigned.
Qualifications
Education, Knowledge, Skills and Abilities Required:
- Successful completion of an approved physician’s assistant program, accredited by the AMA Council on Medical Education.
- Physician Assistant License.
- Basic Cardiac Life Support Certification required.
Education, Knowledge, Skills and Abilities Required for APN:
- Graduate of an NLN/AACN accredited program in nursing.
- Masters Degree.
- Maintains clinical competencies through participating in continuing educational programs (contact hours per year), and clinical practice as mandated by Board of Nursing and national certification body.
- Experience in relevant patient care setting or as regulations dictate.
Licenses and Certifications Required:
- NJ State Professional Registered Nurse License.
- Advanced Practice Nurse Certification (w/ Masters Degree).
- AHA Basic Health Care Life Support HCP Certification.
Licenses and Certifications Preferred:
- CPR certification.
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