Requisition Number:64472Facility:LOC0001 - 55 Fogg Road55 Fogg Road
Weymouth, MA 02190
Department Name:Critical Care APC PBStatus: Part time
Budgeted Hours: 0Shift: Day/Eve Rotation (United States of America)A physician assistant is defined as a person who is a graduate of a school approved by the AMA Board of Approval and Certification of Physician Assistant Programs, who may provide medical services appropriate to his her training, experience and skills, under the supervision of a registered physician.1. The PA practices in accordance with acceptable medical standards, informs each patient that he / she is not a physician, and that a PA renders medical services only under the supervision of a full licensee.
a. A physician reviews all historical and physical data according to medical staff by-laws and regulations.
b. The PA will work as a member of the general surgical "team", which consists of Attending Physicians, BW surgical residents, BW Surgical interns and PAs.
2.In any emergency situation, a PA may render emergency medical service necessary to avoid disability or death of an injured person until a doctor arrives.
3.The PA will participate in the hospital's quality improvement and risk management programs.
4.The PA will complete medical records in a timely manner according to the medical staff by laws and rules and regulations.
5.The responsibilities of the General Surgery PA will include but not be limited to the following:
a. Prepare admission orders and perform detailed histories and physicals on general surgery patients
b. Assist in the overall preparation of the patient for surgery. Perform daily patient rounds and follow up on all patients and consults including physical exams, diagnostic and therapeutic intervention and order routine labs, diagnostic tests and consults after conferring with the MD
c. Perform a variety of ICU and ED procedures such as phlebotomy, IV insertion, A line insertion, arterial and venous cutdown, insertion and removal of chest tubes, management of pleurovacs, drains, percutaneous tubes, central and Swan Ganz lines, insertion and management of NGT, DHT, foley catheters, weaning and management of ventilators, removal of sutures, clips, endotracheal tubes, arterial and venous sheaths. And simple wound closures.
d. Mix and administer medications for IM, IV, SC and intra thoracic administrations.
e. Participate as assigned in surgical operating procedures.
f. Provide initial interpretation of EKG and CXR and initiate definitive treatment.
g. For inclusion in patient medical records, write pre and post op orders, brief op notes, procedure notes, progress notes, transfer and discharge orders, write prescriptions. Dictate discharge summaries.
h. Provide patient education and participate in the education of medical and surgical resident's, PA's, nurses and students.
i. Perform BLS and ACLS measures as needed.
j. In the absence of the physician respond to pages from the nursing staff and any other regarding patient care.
6.A PA may not obtain surgical consents, autopsy permission or organ donation permission.
7.RECORD KEEPING AND WRITTEN ORDERS
b. PA's may write and sign progress notes.
c. PA's may write and sign discharge summaries, as well as transfer summaries.
d. PA's may fill out laboratory / x-ray requisitions.
e. Rules governing house officer order-writing preference shall apply to the PA in the same manner as their supervising physician.
8.RESPONSIBILITIES OF MEDICATION ORDERING
a. Written Orders: The PA may write orders according to delineated approved by the Medical Executive Committee and the board of Trustees in accordance with the PA prescription regulations of the Commonwealth of Massachusetts and may renew or rewrite orders previously approved by the supervision physician.
b. Verbal Orders:
Verbal orders may be communicated from the supervising physician to the PA, who should promptly write such order's in the patient chart ( on physician order sheets). The pA shall indicate the order is being written per the verbal order of the supervising physician. In the emergency, the PA may give verbal orders.
c. The nurse is responsible for the administration to the patient.
a. All required safety education programs have been attended.
b. Provides complete and accurate responses to safety questions
c. Operates assigned equipment and performs all procedures in a safe manner as instructed.
d. Maintains work area and equipment in condition required by department standards.
e. Demonstrates proper body mechanics in all functions.
f. If Manager/Leader, provides for the safety of department employees.
b. Teamwork: The extent to which an employee acts as a cohesive member of a work team and demonstrates appropriate interactions with all Hospital service providers
c. Communication: Fosters an environment that nurtures collaboration, teamwork, and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationship.
d. Respect for others: Takes actions that indicate a consideration for others and an awareness of the impact of one's behavior on others, demonstrates respect for diverse backgrounds of all patients, families, and co-workers, and seeks accommodations
e. Time and Priority Management:
Optimizes use of time by efficiently using resources to identify barriers and balance priorities. Efficiently utilizes tools, resources, techniques and/or systems to organize tasks. Balances multiple priorities simultaneously, assuring the timely and accurate completion of each task while maintaining quality standards.
f. Quality Awareness/Performance Improvement:
The extent to which an employee demonstrates an understanding of their role in maintaining a commitment to quality. Quality is the consistent provision of safe, effective and satisfying care and services.
g. Safety Awareness - Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.
South Shore Health