Physician Assistant - Nights and Weekends

Summary

Practices in the Surgical Service to the full extent of education - training - and certification.

PREFERRED EXPERIENCE:

Demonstrated competency in first-line management of critically ill Cardiovascular / Surgical ICU patients-immediate postop cardiac surgery - acute coronary syndrome - heart failure - arrhythmias - hemodynamic instability; proficiency with invasive hemodynamic monitoring - mechanical ventilation - vasoactive/inotropic drips - and mechanical circulatory support devices (IABP
- Impella).

• Preferred Experience:
  
  Demonstrated competency in first-line management of critically ill cardiovascular and surgical ICU patients - including independent experience with immediate postoperative cardiac surgical patient management - acute coronary syndrome - heart failure - arrhythmias - and hemodynamic instability
• Proficiency with invasive hemodynamic monitoring - mechanical ventilation - vasoactive/inotropic drips - and mechanical circulatory support devices such as IABP and Impella
• Demonstrated competency in the management of critically ill cardiovascular patients - including post cardiac surgery - heart failure - acute coronary syndrome - arrhythmias - and hemodynamic instability
• Duties:
  Provide medical and surgical care for both inpatients and outpatients in the sections of cardiothoracic surgery and surgical intensive care - serving as the primary coordinator for the physicians and PA/ARNP providers
• Patients often have concomitant medical problems and are multi-symptomatic
• The PA shall coordinate patient care programs based upon the admitting chief complaint and shall perform the following duties:
  Designing and conducting comprehensive examinations - diagnosis and implementation of treatment plans - admission orders - discharge summaries as well as ordering special labs - and radiographic studies
• Provide medical education /counseling of patients and their families
• Verify - establish and assure that identified pre-operative surgical requirements are met - assure appropriate arrangements have been established for admission - and coordinate inpatient activities on the floor
• Primary responsibility for admissions and medical care of patients
• Assist the surgeon in the operating room - including prepping and draping - and first or second assist in surgery
• Perform bedside procedures including - placement of arterial lines - swan-ganz catheters and central lines - bronchoscopy - changing of tracheostomy tubes - wound care and debridement - thoracentesis - removal of chest tubes - temporary pacing wires - intra-aortic balloon pump - central lines - arterial lines - and drains
• Demonstrate the ability to diagnose and treat cardiothoracic surgery patients seen in consultation with other health care providers
• Integrates the activities of the cardiothoracic surgery service with other patient care programs at the facility
• Manage a task force for Quality Assurance within the cardiothoracic section
• Conduct problem solving to formulate a patient care plan to avoid these issues preoperatively while coordinating with social work
• Establishes and maintains relationships with social work - rehabilitation - medical - and dietary services throughout the facility to result in improved efficient patient care
• Clinical Practice
  - Surgical Intensive Care Considers factors related to safety - effectiveness and cost in planning and delivering care
• Obtains history - physical examination - and assessment of ongoing patient needs through effective use of the nursing process to make practice decisions in an ethical manner
• Orders and interprets routine laboratory tests - diagnostic studies - and radiographic tests
• Performs diagnostic and stabilization procedures as necessary based on ACLS
• Collaborates with respiratory therapy…