Physician Assistant​/Emergency Medicine​/Massachusetts​/Locum Tenens​/Physician Assistant, Mechanical Circulatory

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The Brigham and Women's Hospital, Inc.

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Job Summary
GENERAL SUMMARY/ OVERVIEW STATEMENT:
Candidate will facilitate the care of patients (and their families) that are admitted in the regionalized mechanical circulatory support (MCS) and Heart Transplantation (HTx) inpatient service under the direction of the MCS and HTx Medical and Surgical Directors. The physician assistant will be responsible for the inpatient stepdown level care and recovery of those patients with a Ventricular Assist Device (VAD) and/or suffering from a condition which would likely lead to the implantation of an assist devices as well as those immediately following HTx.

The physician assistant will also be responsible for consulting on select patients in the cardiac surgical intensive care unit prior to their transfer to the MCS/HTx step down after index surgery. As an integral member of the Collaborative Center for Advanced Heart Disease within the BWH Heart and Vascular Center, this individual will: ? Facilitate open lines of communication between inpatient units, Cardiac Surgery service, outpatient clinics, MCS and HTx clinical and research coordinators and nurses, and patients/families.

? Be responsible for coordinating inpatient care by rounding and making recommendations for patient management in concert with multidisciplinary team. ? Provide technical support to team members in the event of device alarms or malfunctions. ? Ensure scope of practice complies with the Joint Commission requirements for Disease Specific Certification for VADs including educating and monitoring all relevant participants in the program in collaboration and guidance of the MCS and HTx Medical and Surgical Directors and others.

? Work as a core member of the Center for Advanced Heart Disease team while also reporting to the medical director of the inpatient MCS unit and the Chief PA on the Cardiology service who will oversee the individual's compliance, performance, schedule, and coverage model, with direct oversight from the Center for Advanced Heart Disease leadership. Additional responsibilities are to ensure the programmatic compliance of the BWH MCS and HTx Program with all Hospital, Regional, State and Federal policies.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

The MCS-HTx PA candidate will be expected and measured against the following duties and responsibilities:
Clinical Practice - Has a sound knowledge of medical and scientific principles and appropriately applies those principles to practice.

- Performs and records the patient history and physical exam and discusses findings with the attending physician.

- Utilizes advanced clinical knowledge to identify, prevent or solve complex and/or recurring patient care problems.

- Follows and manages patients (in collaboration with MD), enhancing continuity of care.

- Performs (oversees/assures completion of) specialized procedures particular to the select population mutually agreed upon with collaborating physician.

- Performs medically delegated aspects of patient care as agreed upon by supervising physician in according to practice guidelines.

- Collaborates with multidisciplinary team to facilitate a comprehensive plan of care and coordinate resources.

- Writes and/or carries out orders which are in accord with current guidelines.

- Orders, interprets and evaluates appropriate lab and diagnostic tests.

- Documents plan of care in patient's medical record.

- Assists, coordinates, and performs admissions, discharges, or patient transfers as deemed appropriate.

- Maintains and practices in accord with practitioner guidelines per federal, state and hospital regulations.

- Maintains patient's right to privacy; assuring patient dignity in the provision of care.

- Maintains clinical expertise in MCS support and the fundamental of HTx medical management. Coordinating MCS - HTx care:

- Works collaboratively with the MCS and HTx Team (Cardiologist, Cardiac Surgeons, Nursing, Transplant Coordinators, Biomedical engineers, etc) and hospital support staff while performing MCS coordinating care activity for all patients who are on MCS, are being evaluated for MCS or during their index hospitalization following HTx.

- Coordinates with the multidisciplinary MCS and HTx patient teams that can include but not be limited to physicians, nurses, physician assistants, social workers, pharmacists, physical and occupational therapists, case managers.

- Ensures MCS and HTx patient discharge plan is communicated and transparent to maximize unit throughput, planning,…