Physician Assistant - Surgery Per Diem

Partners Healthcare System Danvers , MA 01923

Posted 4 months ago

Under the supervision and direction of the Collaborating Physician and Sr. Administrative Manager of the Danvers Surgery practices, and in accordance with the rules and regulations of Massachusetts governing Physician Assistant (PA) practice, the PA will support the Division of Plastic and Reconstructive Surgery in Danvers by primarily performing first assist duties in the Operating Room. In addition, the PA may coordinate and perform patient assessments, treatment, patient education, and assist in the follow-up care of patients. The PA will obtain patient histories, perform comprehensive physical examinations to evaluate plastic surgery patients, arrange diagnostic procedures, coordinate consultations, implement treatment plans, communicate with referring physicians and provide patient and family education. The PA may also perform rounding and discharging duties for post-operative patients. The PA will promote a collaborative relationship and effort between the patient and surgical oncology and plastic surgery teams, including other clinicians, medical assistants, and support staff. The incumbent is responsible to maintaining state licensure in good standing.For patients within the Division of Plastic Surgery, the PA will provide sound nursing practice using advanced knowledge of clinical patient care. Effectively communicates with patients, families, providers and staff. Participates in projects, programs and other activities to support clinical practice and practice operations. Maintains necessary licensure and completes continuing education to ensure performance of all responsibilities.First Assistant Duties: * * Preoperative patient management in collaboration with the surgeon, including:*
  • * Performing focused preoperative nursing assessments,* * Participating in the patient plan of care, * * Intraoperative performance of surgical first assistant techniques such as:*
  • * using instruments and medical devices,* * providing surgical site exposure,* * handling and/or cutting tissue,* * providing hemostasis,* * suturing, and* * wound management* * * * Postoperative patient management in collaboration with other health care providers in the immediate postoperative period and beyond, such as participating in postoperative rounds and assisting with patient discharge planning and identifying appropriate community resources as needed. *Clinical Practice:* * Evaluates follow-up patients, and pre- and post-operative patients.* * Obtains health and medical history, performs physical examination, and constructs problem list.* * Collects, records, and interprets patient data.* * Reviews diagnostic data.* * May order necessary diagnostic tests, consultations and procedures as requested by the attending surgeon.* * Conducts examination, preoperative teaching, post-operative evaluation and management, and follow-up.* * Performs simple skin biopsies, cyst aspirations, incisions and drains.* * Removes drains.* * Removes sutures/staples.* * Completes disability paperwork for patients.* * Fills out visiting nursing paperwork for patients.* * Triages urgent referrals.* * Prescribes medications / medication refills while adhering to hospital policies for medication administration as necessary.* * Completes and submits billing for services in a timely and accurate manner. *Communication:* * Returns patient phone calls. * * * Communicates care plan to all referring providers, MD of record, and patients/patient families.* * Responsible for communication and coordination with residents, fellows, nurses, and other physicians involved with the care of hospitalized patients.* * Serves as an information resource for patients.* * Coordinates interface between inpatient and outpatient care.*PRACTICE SUPPORT:* * Participates as requested in MGH and Partners quality initiatives. * * Meets routinely with supervisors to review statistics, progress and overall performance of the practice.EDUCATIONAL:* Participates in educational meetings. * Pursues independent learning opportunities. * Completes continuing education in relevant fields to maintain professional licensure. * Completes the 100 hours of continuing medical education necessary during each 2-year period of employment. Attends internal and external education meetings and reads appropriate professional journals in order to maintain and enhance skills and clinical competence. * Advances medical and technical skills as appropriate to deliver optimum patient care. * Graduate of an accredited American Medical Association-approved Physician Assistant training program. A college degree is required. * Must be certified by the National Commission on Certification of Physician Assistants within one year of hire; must maintain this certification by completing required 100 hours of Continuing Medical Education credits every two years. In addition, PA must demonstrate continued competence by passing re-certification exam every six years. * Current Physician Assistant licensure in Massachusetts. * Current Massachusetts Controlled Substance Certificate and DEA license * Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association * Must be a highly motivated individual who will work in a collaborative manner with physicians and other clinicians * Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association. * Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending surgeon. * Eligible for state and federally controlled substances registration. * Diagnoses and treats health problems; obtains patient histories, performs comprehensive physical exams, does simple diagnostic tests, prepares a diagnosis, implements treatment procedures for illnesses, and prescribes medications. * Able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit. * Is knowledgeable and compliant in all hospital, State and Federal regulatory requirements, including hospital policy and procedures (where applicable to the performance of the job), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and Health Insurance Portability and Accountability Act of 1996 (HIPAA). * Highly motivated, independent and capable of performing in a complex environment; strong sense of initiative and perseverance to carry through to completion of tasks; demonstrates forthrightness and integrity. Ability to identify issues/projects and initiate plans to address asking for direction when appropriate. Ability to take ownership and responsibility for activities. * Excellent interpersonal, written and oral communication skills with good command of English language, including medical and scientific terminology. Able to effectively communicate clinical information to patients and family members. * Exceptional computer skills in systems pertinent to the position. * Skills to work efficiently and effectively and strive to do so in all aspects of position. * Ability to appropriately evaluate all aspects of a situation and to independently make appropriate and timely decisions. * Ability to handle sensitive and confidential matters discreetly. * Knowledge in aspects of safety applicable to position. * Knowledge and compliance with all hospital, State and Federal regulatory requirements, including hospital Policy and procedures (where applicable to the performance of the job), JCAHO and HIPAA.
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