Surgical Physician Assistant

New London, CT
Oct 10, 2018

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Job Description

Surgical Physician Assistant- Lawrence & Memorial Hospital - New London, CT The primary function of a Surgical Physician Assistant (PA) is to provide comprehensive care to patients in collaboration with physicians in the perioperative setting. Each PA has a designated supervising physician as outlined by Connecticut General Statute. Exemplifies behaviors reflecting Service Excellence and support of the Strategic Dimensions by modeling the Core Success Factors as described in the Performance Review. Lawrence + Memorial is a not-for-profit, general, acute care, private hospital that has been serving this region since 1912. We are licensed for 280 beds and provide patient care to medical, surgical, pediatric, rehab, psychiatric and obstetrical patients. Lawrence + Memorial Hospital offers a full service surgery program for both inpatient and outpatient procedures. All surgical procedures at L+M are performed by board-certified surgeons to ensure patient safety, comfort and the best possible outcomes. We offer same-day or next-day consultation appointments. Our surgeons apply the latest proven techniques and technologies, including minimally invasive surgery to reduce the size of an incision and reduce scarring after surgery. Our anesthesiologists also use the latest in targeted anesthesia applications so that your recovery is as pain-free and as fast as possible. At L+M, we understand that everyone is apprehensive before surgery, and so our staff \u2013 from the receptionists at the front desk to the nurses in the post-anesthesia care unit \u2013 will treat you with care and compassion. For more information please contact Natasha Rotella at Natasha.rotella@ynhh.org or 203-502-6515. To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values\u2014integrity, patient-centered, respect, accountability, and compassion\u2014must guide what we do, as individuals and professionals, every day.

Responsibilities:
  • 1. Clinical Practice:
  • 1.1 Provides first and second assisting in General Surgery and other surgical subspecialties as needed and demonstrates proficiency in a variety of surgical techniques, depending on surgical specialty assigned, which includes but is not limited to knot tying, suturing, skin closure, sterile technique, maintaining exposure of the surgical site, laparoscopic surgical technique and anticipating surgeon needs.
  • 1.2 Performs specialized invasive diagnostic and therapeutic procedures as credentialed or under the supervision of a physician procedures, including (but not limited to) dressing changes, minor wound care, suturing of minor wounds, drain advancement and removal, nasogastric tube placement, removal of central venous catheters, administration of local anesthetics, skin staple and suture removal, bladder catheterization (including re-insertion of suprapubic tubes), wound debridement, removal of chest tubes, arterial punctures, venipunctures for intravenous administration or blood sampling, reinsertion of gastrostomy tubes.
  • 1.3 Physician Assistants will rotate in surgical physician assistant call schedule including coverage of Obstetric c-section assists
  • 1.4 Rounds daily on assigned patients and has the primary responsibility for documenting the patient''s status, data assessment and plan of care. Regularly communicates concise but complete patient information on patient status and pertinent test results to surgeons and consulting physician(s) as needed.
  • 1.5 Develops treatment plans in consultation with the supervising physician(s) based on initial and ongoing assessment of patients? medical, physical, and psychological status.
  • 1.6 Implements physician-directed treatment plans including writing or phoning orders for medications, treatments, tests, IV fluids, etc. and interpret normal and abnormal findings.
  • 1.7 Assists physician(s) with patient care, has primary responsibility for medical record documentation and related paperwork and ordering of tests/procedures and sub-specialty consultations.
  • 1.8 May assist with contacting patients'' primary care physician.For new admissions, obtains comprehensive health histories, performs complete physical examinations, enters admission orders for appropriate laboratory and diagnostic imaging tests, and completes orders for therapy under the supervision of Physician(s).
  • 1.9 Communicates patient treatment plans to social workers, care coordinators and health care agencies and serves as a liaison and interacts with ancillary services to ensure timely and comprehensive care for all patients.
  • 1.10 Provides patient education and counseling regarding health status, test results, disease processes, and discharge planning. Completes discharge paperwork when applicable, including the W-10 and prescriptions and the discharge summary. Reviews discharge instructions with patients and nursing at time of discharge. Coordinates outpatient follow-up.
  • 1.11 Serves as a liaison to patients and their families.
  • 1.12 Shares the responsibility of carrying the Surgicalist phone on a rotating basis with other team members as determined by the departmental needs.
  • 1.13 Collects all paperwork associated with the daily sign-out process and ensures that patient sign-outs are updated either in EPIC or on paper for all general surgical patients by shift end.
  • 1.14 Assists in the care of in-house surgical patients, ensuring safe and efficient care.
  • 1.15 Performs post-operative evaluations on in house patient as needed
  • 1.16 Physician Assistants will conduct office hours in the NEMG General Surgery office for patients referred from the emergency room for evaluation and consultation and for post -op global patients.
  • 1.17 Documents a brief post-op note within 24 hours in EPIC for any procedure invasive procedure performed or on which they have assisted. Note will include documentation of PA role in procedure, ie exposure, retraction, dissection, wound closure, etc...
  • 1.18 Identifies healthcare needs and assesses the status of patient''s and coordinates post-discharge follow-up care.
  • 1.19 Displays commitment to ongoing development of surgical skills and knowledge. Promotes the dissemination of the newest clinical evidence in literature to improve patient care.
  • 2. Education
  • 2.1 Identifies information needs of team members, patients and families. Provides related teaching and education to unit nurses and PA students.
  • 2.2 Acts as a clinical resource for residents and fellows, and as a role model/preceptor for PA students. Maximizes opportunities in the clinical setting for informal education of staff, patients, and families.
  • 2.3 Assists in orientation to new staff working.
  • 2.4 Actively researches information on patient medical conditions and shares information with other team members and students.
  • 2.5 Participates in educational conferences and attends Grand Rounds, as time permits.
  • 2.6 Participates in a level of continuing medical education -CME activity annually that improves the quality of care provided.
  • 2.7 Quality Improvement/Customer Satisfaction
  • 2.8 Participates in team based quality improvement and patient/customer satisfaction initiatives.
  • 2.9 Responds to patient complaints and reports patient satisfaction concerns to Patient Relations Department at local delivery network and manager so that appropriate action may be taken before patient discharge.
  • 2.10 Ensures medical record documentation meets NEMG, State and Federal guidelines, clearly documenting patient diagnosis and medical information required for legal and billing purposes.
  • 3. Patient Safety
  • 3.1 Immediately reports any concerns about patient safety to manager and/or Adminstration.
  • 3.2 Follows all patient safety policies and procedures for healthcare providers.
  • 3.3 As a healthcare provider, is responsible for reporting adverse or potential adverse events related to patient care.
  • 4. Operations
  • 4.1 Follows all NEMG policies and procedures.
  • 4.2 Responds to pages in a timely manner and notifies manager if pager is lost or stolen.
  • 4.3 Completes all mandatory training requirements related to HIPAA, Emergency Management, patient safety, or as assigned.
  • 4.4 Ensures the required licensure and certifications are kept up to date and that NEMG always has copies of current licenses and certificates.
  • 4.5 Bills for all procedures performed and documented. Under signed name, writes Hospitalist or private attending name for day performed procedure.
  • 4.6 Attends all team meetings, as required.
  • 4.7 Dresses and acts professionally at all times.
    Other information:

    EDUCATION:

    Graduation from an accredited Physician Assistant/Associate program required. Certified as a Physician Assistant/Associate by the National Commission on Certification of Physician Assistants. Must hold a valid Connecticut medical license, Connecticut Controlled Substance Registration and Federal Drug Enforcement Agency (DEA) Certification.

    EXPERIENCE:

    One (1) to two (2) years prior surgical experience is preferred but not required

    SPECIAL_SKILLS:

    Excellent clinical, interpersonal and organizational skills. Ability to work independently with minimal supervision.
    ACCOUNTABILITY:

    Accountable to conduct accurate and appropriate evaluation, care, and coordination of care of patients.
    COMPLEXITY:

    Evaluates, manages, and coordinates care of patients under the supervision or in collaboration with the Physician(s). May assist Physician(s) in all aspects of patient care, including interactions with other services involved in the care of patients, and possibly in the ED. Works with Management on special projects as assigned.
    PHYSICAL_DEMAND:

    MMR is required. Varivax (chicken pox vaccine) or evidence of prior chicken pox is required. Hepatitis B (or signed declination) is required for those with potential exposure to blood/body fluids.
    Tdap and influenza vaccination are strongly encouraged. Must be able to withstand the rigors of being on call for long hours. Frequent exposure to blood/body fluids, communicable diseases, biohazards, and other hazardous conditions. Must be able to withstand physically demanding positions for extended periods including but not limited to standing, sitting, walking, bending, stooping, and twisting.

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    Job Info

    Job: 1808

    Department: LMP Surg Phys Assts
    Category: Advanced Practice
    Status: Full Time
    Shift: DAYS
    Hours: 40.00