Physician Assistant - Critical Care

Overview

Position Summary
An exempt position responsible for practicing critical care medicine and managing all aspects of in-patient medical care under the appropriate physician supervision as defined by New York State law. Within the physician-advanced practice provider relationship, Physician Assistant/Nurse Practitioner exercise autonomy in medical decision-making as well as a broad range of diagnostic and therapeutic services.

Position Summary
An exempt position responsible for practicing critical care medicine and managing all aspects of in-patient medical care under the appropriate physician supervision as defined by New York State law. Within the physician-advanced practice provider relationship, Physician Assistant/Nurse Practitioner exercise autonomy in medical decision-making as well as a broad range of diagnostic and therapeutic services.

• Understands and adheres to the WPH performance standards, policies and behaviors.
• Obtain medical histories, conduct physical exams, order and interpret tests, prescribe medications, and treat illnesses. Consult with physicians as needed.
• Provide consultation services for potential critical care candidates from the ER, floor, or post-operative patients.
• Actively participate in morning rounds to determine a daily treatment plan and/or goal for each patient on the critical care service.
• Discuss treatment plans/goals and other pertinent issues with family members of critically ill patients.
• First responder to the bedside of any patient on the critical care service demonstrating an acute change in clinical status.
• Coordinate any treatments, interventions, testing or procedures that the patient may need.
• Arrange appropriate consultations on behalf of the intensivist(s).
• Provide updates to the on-call intensivist of any progress, acute change(s) or challenges encountered in a patient s clinical status.
• Perform procedures under the scope of practice of the APP.
• Counsel patient/family on health care matters including end of life care discussions.
• Document patient information and care in the medical record which may include responsibilities for maintaining departmental statistical database for research and quality purposes.
• Familiarity with anatomy, pharmacology, pathophysiology, clinical medicine and physical diagnosis.
• Demonstrate skill in gathering and analyzing physiological, psychological and socioeconomic patient data.
• Demonstrate skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention, or referral.
• Demonstrates ability to make responsible decisions within the scope of PA practice.
• Facilitate care and management of patients admitted to the critical care unit(s).
• Performs all other related duties as assigned.

• Doctoral-level or higher is not required;
  Master’s Degree in Nursing is required or highly recommended for Nurse Practitioner track (as applicable).
• Current NYS license to practice as a Registered Professional Nurse (for Nurse Practitioner track, if applicable).
• Current NYS certification as a Nurse Practitioner (either Adult/Geriatric).
• Maintains a current collaborative practice agreement.
• Current National Certification.
• Advanced Cardiac Life Support (ACLS)

• Current New York State Licensed Physician Assistant
• Current National Certification
• Current White Plains Hospital Physician Assistant DOP
• Master’s degree from an accredited school (highly recommended)
• Advanced Cardiac Life Support (ACLS)

Proficiency in all procedures, techniques and skills approved in the delineation of privileges

• Central-line (triple-lumen or introducer) & dialysis catheter insertion
• Arterial (radial, femoral, axillary) line insertion
• NGT/OGT placement
• Foley catheter insertion
• Removal of surgical drains/dressings/staples
• If applicant does not have procedural skill requirements, it is expected that applicant participates in training program.

• Management of all categories of shock
• Goal-directed fluid resuscitation
• Vasopressor and inotropic agents
• Hemodynamic monitoring
• Ventilator management
• Ven…