Physician Assistant I/Rotating/ 36 Hrs/Emergency Medicine

Wentworth-Douglass Hospital Boston , MA 02298

Posted 6 months ago

GENERAL SUMMARY/ OVERVIEW STATEMENT:

The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively.

The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.

PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.


Principle Clinical Duties and

Responsibilities:
  • Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting

  • Performs complete histories and physical examinations

  • Orders, interprets, and evaluates appropriate laboratory and diagnostic tests

  • Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings

  • Orders medications and writes prescriptions according to organizational and regulatory policies and procedures

  • Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries

  • Performs bedside procedures as are appropriate to the patient population

  • In some settings, the PA may first assist in the operating room or procedural areas

  • Practices cost effective medicine in an efficient manner, maximizing available resources

  • Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting

  • Demonstrates expert clinical judgment skills to function in an independent role

  • Additional duties and responsibilities as required by the department/division

Non-Clinical Duties and

Responsibilities:
  • Demonstrates professional collaborative and consultative relationships with other providers

  • Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report

  • Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings

  • Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers

  • Remains actively involved in continuing education with a commitment to self and departmental growth

  • Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation

  • Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care

  • Additional duties and responsibilities as required by the department/division

For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served

No Direct Patient Care

All age groups

Adolescence (13 to 17 years)

Neonates (birth to 1 month)

Young Adult (18 to 25 years)

Infant (1 month to1year)

Adult (26 to 54 years)

Early Childhood (12 months to 5 years)

Senior Adult (55 to 64 years)

Late Childhood (6 to 12 years)

Geriatric (65 years and up)

QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)

  • The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination

  • BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995

  • Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment

  • Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts

  • Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration

  • Must complete 100 hours of CME according to national and state regulations during each two year period of employment

  • Must complete the BWH Professionalism Program within three months of date of hire

  • Must complete the BWH Procedural Sedation Training if deemed necessary

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)

  • Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate

  • Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position

  • Must have the ability to utilize appropriate problem-solving and conflict resolution skills

  • Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care

  • Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred)

  • Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

WORKING CONDITIONS: Describe the conditions in which the work is performed.

Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients.

The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

SUPERVISORY RESPONSIBILITY: List the number of FTEs supervised.

The Physician Assistant I does not have any supervisory responsibility.

FISCAL RESPONSIBILITY: Indicate financial "scope" information, i.e.: size of budget, volume, revenue, etc.

The Physician Assistant I does not have any fiscal responsibility.

ADDENDUM: Document any additional skills, abilities, criteria, requirements, and/or details pertinent to this role.

While the EM PA can expect to have their schedule in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed.

APPROVAL:

(NAME)

Department Mgr. _______________________________ Title: ___________________ Date: ____________

(NAME)

Other, As Appropriate __________________________ Title: ___________________ Date: ___________

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.

Job Title: ______________________________ Department ID: BR _ _ _ _

PHYSICAL/ENVIRONMENTAL REQUIREMENTS OF JOB

Indicate requirements and frequency by placing an "X" in the appropriate box.

Work Environment:

Activity

Amount of Time Spent

None
1 - 25%
25 - 50%
50 - 75%

Over 75%

Outdoor weather conditions

Extreme cold (non weather)

Work in high place(s)

Work in confined space(s)

Risk of electrical shock

Risk of radiation exposure

Exposure to blood borne pathogens

Flammable/explosive gases

Toxic / caustic chemicals

Dust or other irritants

Grease or oils

Hazardous specimens

Exposure to lab animals

Infectious / contagious disease

Cleaning agents/chemicals

Hot equipment

Noisy equipment

Humid or wet conditions (non -weather)

Other

Lifting/Carry Requirements of this job

No Lifting required

No Carrying required

Number of pounds Amount of Time
1 - 25%
25 - 50%
50 - 75%

Over 75%

Lift Carry Lift Carry Lift Carry Lift Carry

Up to 10 pounds

Up to 25 pounds

Up to 50 pounds

Up to 100 pounds

Over 100 pounds

Push/Pull Requirements of this job:

No Pushing required

No Pulling required

Number of pounds Amount of Time
1 - 25%
25 - 50%
50 - 75%

Over 75%

Push Pull Push Pull Push Pull Push Pull

Up to 10 pounds

Up to 25 pounds

Up to 50 pounds

Up to 100 pounds

Over 100 pounds

Physical Activity requirements of this job:

Activity Amount of Time Spent

None
1 - 25%
25 - 50%
50 - 75%

Over 75%

Stand

Walk

Sit

Use of hands requiring fine motor skills and sense of touch

Move / rotate / bend wrist(s)

Type / use keyboard or other data entry device

Reach with hands & arms

Climb stairs

Climb ladder or other equipment

Drive / operate motor vehicle

Balance

Stoop, kneel, crouch, bend, crawl

Speak

Hear

Taste

Smell

Other

Vision Requirements of this job:

Vision Requirement

Required

Not Required

Close vision

Distance vision

Color vision

Peripheral vision

Depth perception

Ability to adjust focus

Other

Safety equipment used while performing this job:

Safety eye glasses

Gowns

Filter lens (welding/soldering)

Scrubs

Face shields

Boots

Ear plugs or Mufflers

Hard hat

Surgical mask / dust mask

Coveralls

Self contained breathing apparatus (SCBA)

Gloves

Other

Level of noise typical in this work environment:

Very quiet

Quiet

Moderate

Loud

Very loud


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VIEW JOBS 9/29/2019 12:00:00 AM 2019-12-28T00:00 GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy. PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation. 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identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation * Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care * Additional duties and responsibilities as required by the department/division For all positions that include direct patient care, indicate with an "X" the age(s) of all patient populations served No Direct Patient Care All age groups Adolescence (13 to 17 years) Neonates (birth to 1 month) Young Adult (18 to 25 years) Infant (1 month to1year) Adult (26 to 54 years) Early Childhood (12 months to 5 years) Senior Adult (55 to 64 years) Late Childhood (6 to 12 years) Geriatric (65 years and up) QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.) * The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination * BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995 * Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment * Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts * Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration * Must complete 100 hours of CME according to national and state regulations during each two year period of employment * Must complete the BWH Professionalism Program within three months of date of hire * Must complete the BWH Procedural Sedation Training if deemed necessary SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.) * Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate * Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position * Must have the ability to utilize appropriate problem-solving and conflict resolution skills * Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care * Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred) * Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician WORKING CONDITIONS: Describe the conditions in which the work is performed. Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected. SUPERVISORY RESPONSIBILITY: List the number of FTEs supervised. The Physician Assistant I does not have any supervisory responsibility. FISCAL RESPONSIBILITY: Indicate financial "scope" information, i.e.: size of budget, volume, revenue, etc. The Physician Assistant I does not have any fiscal responsibility. ADDENDUM: Document any additional skills, abilities, criteria, requirements, and/or details pertinent to this role. While the EM PA can expect to have their schedule in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed. APPROVAL: (NAME) Department Mgr. _______________________________ Title: ___________________ Date: ____________ (NAME) Other, As Appropriate __________________________ Title: ___________________ Date: ___________ The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified. Job Title: ______________________________ Department ID: BR _ _ _ _ PHYSICAL/ENVIRONMENTAL REQUIREMENTS OF JOB Indicate requirements and frequency by placing an "X" in the appropriate box. Work Environment: Activity Amount of Time Spent None 1 - 25% 25 - 50% 50 - 75% Over 75% Outdoor weather conditions Extreme cold (non weather) Work in high place(s) Work in confined space(s) Risk of electrical shock Risk of radiation exposure Exposure to blood borne pathogens Flammable/explosive gases Toxic / caustic chemicals Dust or other irritants Grease or oils Hazardous specimens Exposure to lab animals Infectious / contagious disease Cleaning agents/chemicals Hot equipment Noisy equipment Humid or wet conditions (non -weather) Other Lifting/Carry Requirements of this job No Lifting required No Carrying required Number of pounds Amount of Time 1 - 25% 25 - 50% 50 - 75% Over 75% Lift Carry Lift Carry Lift Carry Lift Carry Up to 10 pounds Up to 25 pounds Up to 50 pounds Up to 100 pounds Over 100 pounds Push/Pull Requirements of this job: No Pushing required No Pulling required Number of pounds Amount of Time 1 - 25% 25 - 50% 50 - 75% Over 75% Push Pull Push Pull Push Pull Push Pull Up to 10 pounds Up to 25 pounds Up to 50 pounds Up to 100 pounds Over 100 pounds Physical Activity requirements of this job: Activity Amount of Time Spent None 1 - 25% 25 - 50% 50 - 75% Over 75% Stand Walk Sit Use of hands requiring fine motor skills and sense of touch Move / rotate / bend wrist(s) Type / use keyboard or other data entry device Reach with hands & arms Climb stairs Climb ladder or other equipment Drive / operate motor vehicle Balance Stoop, kneel, crouch, bend, crawl Speak Hear Taste Smell Other Vision Requirements of this job: Vision Requirement Required Not Required Close vision Distance vision Color vision Peripheral vision Depth perception Ability to adjust focus Other Safety equipment used while performing this job: Safety eye glasses Gowns Filter lens (welding/soldering) Scrubs Face shields Boots Ear plugs or Mufflers Hard hat Surgical mask / dust mask Coveralls Self contained breathing apparatus (SCBA) Gloves Other Level of noise typical in this work environment: Very quiet Quiet Moderate Loud Very loud Partners Healthcare System Boston MA

Physician Assistant I/Rotating/ 36 Hrs/Emergency Medicine

Wentworth-Douglass Hospital