NP or PA - Cardiac Surgery

Cardiac Surgery (Billings Clinic Main Campus)

Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination. Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results.

Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate.

Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. Refers patients to other health care providers and appropriate sources of care as necessary. Participates in on-call rotations and off hour rounding as it pertains to the specific department. Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.

Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Performs other duties as assigned or needed to meet the needs of the department/organization.

Additional duties for PA/NP - Surgical:
Assists the physician in all aspects of surgical procedures. Assists surgeon with instruments, supplies, equipment, and retraction during surgical procedures. Maintains appropriate theoretical and clinical skills with application and patient relevance of commonly utilized equipment specific to the surgeon's needs for the specialty/department and other areas as appropriate; pharmacological application; application of laboratory values and radiologic findings with disease process or physiological status.

Performs wound exposure, suturing, hemostasis and tissue handling procedures as training and skill level allows under the direct supervision of the physician. Assists physician with post operative follow-up care in both the hospital and/or clinic. Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. Adheres to universal and sterile field protocols during operative procedures. Assist with room flow in the operating room.

Knowledgeable in instrumentation and patient positioning.

Minimum qualifications:

Education for Physician Assistants:
Graduate of an accredited physician assistant program. Current National Commission on Certification of Physicians Assistants (NCCPA) Board Certification/License as Physician Assistant. Approved to practice as a physician assistant in Montana or Wyoming by Board of Medical Examiners. Additional unit specific requirements are listed above. Education for Nurse Practitioners:
Graduate of an accredited nurse practitioner program. Current Board Certification as a Nurse Practitioner. Approved to practice as a Nurse Practitioner with a current Montana and/or Wyoming Board of Nursing License as an advance practice nurse. Current Montana and/or Wyoming license as a Registered Nurse as appropriate to service area. Additional unit specific requirements are listed above. Certifications and Licenses:
Healthcare Provider CPR Certification; additional CPR certifications may be required depending on the patient population and/or service area.