Physician Assistant; Radiology -SOM

Physician Assistant

We are seeking a Physician Assistant who will practice within the guidelines of the department and institution in accordance with the Physician Assistant Delegation Agreement required and approved by the State of Maryland and appropriately credentialed by Johns Hopkins Hospital. Physician Assistants are classified as senior staff by the Johns Hopkins University School of Medicine and work under the direction, supervision, and responsibility of an attending physician.

They evaluate patient health status through diagnostic procedures and tests and collaborate with a multimodal care team.

• Performs emergent, urgent, and routine image guided procedures in accordance with staff member's SOM Delineation of Privileges and approved State Delegation under the direction of an attending physician. Procedures include but are not limited to placement and removal of femoral arterial or venous catheters and fluoroscopic guided lumbar puncture.
• Assists with emergent, urgent, and routine image guided procedures in accordance with staff member's SOM Delineation of Privileges and approved State Delegation under the direction of an attending physician. Procedures include but are not limited to diagnostic and therapeutic cerebral and spinal angiography, percutaneous sclerotherapy/embolization, vertebroplasty/kyphoplasty, image guided (CT or fluoroscopy) spine biopsies, and osseous lesion ablation.
• Under the direction of a physician and within the scope of practice will review the clinical needs of the patient and referring service to confirm the appropriateness of the ordered intervention. In certain circumstances, this may require the PA to collaborate with other services to ensure the most appropriate care course is pursued.
• Review/obtain medical history and perform focused physical examination to ensure patients have been properly screened for the procedure.
• Review/obtain laboratory tests, imaging studies and other diagnostic tests where necessary.
• Obtain informed consent, discussing the risks, benefits and alternative therapy options.
• Place order for the administration of conscious IV sedation.
• Monitor intra-procedure vital signs and level of sedation.
• Manage patient complications during and after procedure.
• May participate in clinical research initiatives as study team member.
• Initiate a Code and perform cardio-pulmonary resuscitation (CPR/ACLS) where necessary.
• Assumes responsibility and accountability for organizing time and workload to meet patient, staff, and divisional needs.
• Ability to remain in stationary position and move about in a procedural suite. Visual acuity and dexterity to operate procedural equipment. Lifting, raising objects from a lower to a higher position or moving objects horizontally from position-to-position. Ability to concentrate during surgical procedures while assisting physician.

• Analyze and evaluate patient history, physical examination findings and laboratory values, and make preliminary diagnosis of patients for review by physicians.
• Serve as an educational and clinical resource to multi-disciplinary staff in and outside of Johns Hopkins as well as to patients and their families.
• Participate in multidisciplinary conferences to coordinate patient care by a team of specialty care practitioners.
• Perform clinic and hospital based patient assessments/consultations to determine whether or not a patient is a candidate for a specific intervention. This process should include obtaining detailed medical histories, reviewing medical records, performing physical examinations and ordering and interpreting laboratory tests, imaging studies and other diagnostic examinations.
• May participate in clinical research initiatives as study team member.
• Assist in the admission, inpatient management and discharge of Interventional Neuroradiology patients.
• May assist attending physicians in work of clinical specialty involving greater level of managing complex patients through advanced decision making and greater level of independence in doing assessments and procedures.
• Ability to remain in stationary position and move about in a clinical setting. Visual acuity and dexterity to use and operate clinical equipment. Lifting, raising objects from a lower to a higher position or moving objects horizontally from position-to-position.

• Performs emergent, urgent, and routine image guided procedures in accordance with staff member's SOM Delineation of Privileges and approved State Delegation. These procedures include but are not limited to placement and removal of femoral arterial and venous catheters.
• Review the clinical needs of the patient and referring service to confirm the appropriateness of the ordered intervention. In certain circumstances, this may require the PA to collaborate with other services to ensure the most appropriate care course is pursued.
• Review/obtain medical history and perform focused…