Sr. Physician Assistant

Greenwich, CT
Feb 27, 2019


Job Description

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-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.


Assists the surgeon in the Operating Room and provides aid in exposure, hemostasis and other technical functions during surgery. Ability to provide appropriate care for patients of all ages (birth to adulthood). Provides appropriate care pre and post-op under the direction of the surgeon.

  • 1. Accountable for the delivery of quality patient care
  • 1.1. Consults with surgeon prior to surgery concerning individualized patient needs.
  • 1.2. Demonstrates knowledge of preparation of patient according to ASA classification prior to surgery, under the direction of the surgeon.
  • 1.3. Assists the surgeon in appropriate perioperative care on the patient.
  • 1.4. Demonstrates an understanding of the surgical procedure with knowledge of anatomy, physiology and instrumentation.
  • 1.5. Demonstrates competency in applying the principles of sterile technique according to procedure, and in varying situations. Initiates corrective action when breaks in technique occur.
  • 1.6. Demonstrates knowledge of hair removal and surgical preps with prescribed antimicrobial solutions and procedures.
  • 1.7. Demonstrates knowledge in positioning the patient to provide safety and physical support according to recommended practice.
  • 1.8. Demonstrates appropriate technique when handling tissue, as directed by the surgeon during the operative procedure.
  • 1.9. Demonstrates competency to assist with sponge, sharps and instrument counts and initiates corrective action when counts are inaccurate (including documentation).
  • 1.10. Assists the surgeon and provides aid in exposure and visualization of surgical field through placement and securing of retractors , instruments, hemostasis and other
  • 1.11. technical functions during surgery.
  • 1.12. Demonstrates manual dexterity when suturing/knot-tying.
  • 1.13. Demonstrates ability to provide exposure and visualization of the operating field through placement and securing of retractors, using sponge packing, digitalmanipulation of tissue, suctioning, irrigation or sponging and manipulation of suture materials.
  • 1.14. Demonstrates ability to provide permanent or temporary hemostasis by clamping, cauterizing, tying, ligating, applying clips, vessel loops, tourniquets and by other means as directed and supervised by the surgeon.
  • 1.15. Demonstrates knowledge assisting in securing drainage systems to tissue.
  • 1.16. Demonstrates ability to assist with closure of body planes, using suture material and/or staples, as directed by the surgeon.
  • 1.17. Demonstrates knowledge of the application of dressings, casts and/or traction with assistance.
  • 1.18. Under the direction of the surgeon, demonstrates knowledge and appropriately executes post-op care, including discharge summaries.
  • 1.19. Under the direction of the surgeon, demonstrates knowledge and judgement in x-ray interpretation.
  • 1.20. Under the direction of the surgeon, demonstrates clinical expertise in all functions of clinic:1. Assessment 2. Care Plan 3. Appropriate Treatment
  • 1.21. Demonstrates competency according to procedure while functioning as: Assistant Class I
  • 1.22. Recognizes legal responsibilities and functions within limitations as specified by law and hospital policy.
  • 1.23. Demonstrates flexibility in adjusting plan of care to accommodate changes in patient needs.
  • 1.24. Responds to medical and surgical emergencies during surgery according to departmental procedures.
  • 1.25. Demonstrates knowledge of the use of emergency equipment, and is familiar with emergency procedures used for cardiac arrest.
  • 2. Participates as a team member in the implementation of the patient's plan of care.
  • 2.1. Confirms patient's identity and proper consent for surgery.
  • 2.2. Demonstrates active communication and participation with designated O.R. team member in TIME OUT verification of correct procedure site marking and laterality.Demonstrates accountability for patient care maintaining the integrity, safety and efficiency of the sterile field throughout the surgical procedure.
  • 2.3. Demonstrates knowledge of applying sterile drapes to the patient according to procedure and is accountable for corrective action when breaks in technique occur.
  • 2.4. Demonstrates knowledge of proper handling and documentation of surgical specimens.
  • 2.5. Assists with case set-up and breakdown by adhering to O.R. sanitation policies and procedures - follows universal precautions.
  • 2.6. Demonstrates knowledge of prescribed procedures for terminally cleaning all items that have come in contact with patient.
  • 3. Assists with the preparation of equipment and supplies required for the surgical procedure.
  • 3.1. Plans for coordinates supplies and equipment for intra operative use.
  • 3.2. Demonstrates proficiency when selecting instruments for all types of surgery.
  • 3.3. Recognizes need for and completes occurrence screen.
  • 3.4. Participates in performance improvement by evaluating standards of care and making recommendations for appropriate revisions.
  • 3.5. Assists the surgical team as needed and as other responsibilities allow.
  • 4. Demonstrates responsibility to the department and a commitment to
  • 4.1. Personal career growth.
  • 4.2. Attends all mandatory hospital/unit based inservices within the year.
  • 4.3. Identifies own limitation in skills or knowledge as demonstrated by requesting guidance from appropriate colleagues.
  • 4.4. Participates in the development and implementation of unit goals and objectives by providing constructive feedback.
  • 4.5. Actively participates in own performance appraisal by identifying own individual goals and reviewing progress with managers.
  • 4.6. Participates in unit projects that contribute to the efficiency of the department.
  • 5. Contributes to the productivity and efficient operation of the department.
  • 5.1. Uses time efficiently in regard to overtime and completes assignments with minimal errors and within the shift.
  • 5.2. Maintains appropriate time frames for lunch and breaks according to hospital policy at all times.
  • 5.3. Uses supplies judiciously and in a cost effective manner.
  • 5.4. Demonstrates cooperation with Operating Room team members and control room charge personnel to reduce turnover time between cases.
  • 6. Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
  • 6.1. The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs, and to provide the care needed as described in the unit's/area's/department's policies and procedures.
  • 7. Responsible for promoting the Greenwich Hospital Quality Service Excellence Standards.


    (minimum educational requirement) B.S.,P.A. (N.C.C.P.A.) National Commission on Certification of Physician Assistant, Inc.


    3-5 years experience in the perioperative arena; able to first assist; able to delegate in a leadership role.


    Licensed in Ct.


    Knowledge in tissue handling technique, knot-tying hemostasis techniques andappropriate use of instruments

    Collaboration with members of the patient care team.

    Working in partnership, as a member of the hospital community with mutual respect and open communication with all levels of staff and clients.

    Standing/walking at least half the day and occasionally working in awkward positions while holding retractors when assisting and supporting extremities. Helping lift heavy objects ten (10) to twenty (20) pounds and assisting with moving of patients ranging from one hundred (100) to three hundred (400) pounds. Moderate stress related to patient care.

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    Job Info

    Job: 4745

    Department: Surgical PA Program
    Category: Advanced Practice
    Status: Full Time
    Shift: DAYS
    Hours: 37.50