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).

Duties

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 and nursing for airway management and ventilator weaning. Writes orders for laboratory work, medications, and treatments in compliance with hospital policies. Communicates with Surgical Service physicians' patient problems and status updates. Participates in and prepares discharge planning needs for SICU patients through communication with team members, patients, families, and consultants. Documents relevant laboratory data, study results, patient care, pertinent procedures, and patient updates within notes. Demonstrates competence with placement and removal of enteral feeding tubes, central venous catheters, arterial lines, swan ganz catheters, sutures, drains/tubes. Assists with and performs invasive procedures including, central lines, arterial lines, bronchoscopy, PEG tube placement, and percutaneous tracheostomy. Collaborates with physicians, nurses, and other members of the health care team using effective communication and interpersonal skills to develop, promote, and maintain interdisciplinary teamwork. Participates in performance measures through documentation and data collection/reporting. Assists in investigation and documentation of patient issues and concerns. Identifies individual differences as related to the physiological, cultural, and psychological aspects of maturational development. Demonstrates ability to multi-task and prioritize patient care needs. VA offers a comprehensive total rewards package. Work Schedule: Monday - Friday, Night shift with rotating on-call and weekends. Travel: Required. You may be expected to travel Up to 15% for this position. Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Physician Assistant Basic Requirements English Language Proficiency. Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Education: Master's degree in any discipline or a bachelor's degree in any discipline with one year of experience as a Physician Assistant. Certification: Successfully passed the PA National Certifying Exam (PANCE) (or are you in the process to taking the exam) ~AND~ Licensure: PAs must possess an active, current, full, and unrestricted license to practice in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. PAs must maintain current registration in the State of licensure if this is a requirement for continuing active and current licensure in that State. NOTE: Individuals who have or have had multiple licenses and had any such license revoked for professional misconduct, professional incompetence or substandard care, or who surrendered such license after receiving written notice of potential termination of such license by the State for professional misconduct, professional incompetence, or substandard care, are not eligible for appointment to the position unless such revoked or surrendered license is fully restored (38 U.S.C. § 7402(f)). This requirement does not apply to licensed PAs currently employed by VA as of November 30, 1999, provided they maintain continuous appointment and are not disqualified for employment by any subsequent revocations or voluntary surrenders of State license, registration or certification. GRANDFATHERING PROVISION. All persons employed in VHA in this occupational series that are also performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held including positive education and licensure/certification. Grade Determinations: Physician Assistant-I (PA-I) Experience and Education. None beyond the basic requirements. This is the entry level for PAs. Demonstrated Knowledge, Skills, and Abilities. The following list of knowledge, skills, and abilities (KSA) present the minimum skill set expected of an Entry Level PA. This practice may include, but is not limited to: Ability to utilize the principles of PA practice in the care