PRE-OP PHYSICIAN ASSISTANT - ORTHOPEDIC SURGERY
Company: Boston Medical Center
Location: Boston
Posted on: October 16, 2024
Job Description:
POSITION SUMMARY: Under the general supervision of the Chief
Physician Assistant, Attending physician and Operations Director,
the Physician Assistant is responsible for providing varied medical
services, which may include: Performing pre-operative clearance for
surgical patients, ordering and interpreting laboratory tests and
diagnostic studies, initial and follow-up evaluation of orthopedic
related complaints including formulating a diagnosis and treatment
plan; counseling patients and families; prescribing and/or
dispensing medication; assisting in surgery or other invasive
procedures; rounding on admitted patients. Additionally, the
Physician Assistant may be involved in a patient's medical care in
any capacity the attending physician deems proper and consistent
with applicable law, hospital regulations, delineation of
privileges, and the Physician Assistant's training, knowledge,
skills, and experience. Position: Pre-Op Physician Assistant
Department: Orthopedic Surgery Schedule: Full Time ESSENTIAL
RESPONSIBILITIES / DUTIES:
- Provides pre-operative services including Pre-op H&P and
SAFE protocol clearances.
- Provides direct care, counseling and teaching to a designated
patient population in the ambulatory, inpatient, operative and/or
procedure setting.
- Perform comprehensive and problem focused history and physical
examination, interpret and correlate laboratory and diagnostic
procedures. Interpret and correlate subjective and objective data
to formulate a differential diagnosis and establish a working
diagnosis. Formulate a management plan for orthopedic problems
within scope of practice. Implement therapeutic intervention for
specific conditions when appropriate. Exercise judgment on problems
requiring consultation, referral, or evaluation by the supervising
orthopedic surgeon or other health care professionals
- Order, collect, and perform appropriate laboratory or
diagnostic procedures, and studies including but not limited to
blood and tissue specimens. Ordering or performing diagnostic
studies such as but not limited to EMG, electrocardiogram,
compartment pressure measurements, and diagnostics including
special x-rays, CT, MRI, and bone scans etc.
- Perform diagnostic and therapeutic procedures including but not
limited to joint and bursa aspirations, closed reduction of
fractures and dislocations, injections of joints, tendons, trigger
points and bursa, as well as bracing, and cast and splint
applications.
- Presents and discusses the findings of the initial evaluation
with the Attending Physician to determine the treatment plan.
Documents the treatment plan and writes appropriate orders and
referrals.
- Oversees the entire clinical experience to assure coordination
and consolidation of patient care plans and execution of those
plans to tie the service together. Facilitates communication with
other departments to ensure the delivery of excellent, cost
effective, and efficient patient care.
- Under the countersignature of the attending physician, is
responsible for producing preoperative and postoperative orders, as
authorized by applicable law and department protocol.
- Writes orders on patients admitted to the hospital including
medication, labs, diagnostic and therapeutic tests, and nursing
activities. May be authorized to write appropriate prescription
orders, including those for narcotics, stimulants, and depressant
drugs, investigational medications and pre and postoperative orders
as necessary.
- Makes rounds to evaluate patients and writes progress
reports.
- Educates patients and/or families about preventive care,
medical issues, and use of prescribed medical treatments,
injections, procedures and/or medications.
- Records and maintains legible, accurate and confidential
patient medical records including initial evaluation, subsequent
follow-up, unusual incidents or events, and patient progress to
provide complete and up-to-date information for ongoing reference
and evaluation.
- Participates in hospital level activities representing the
department.
- Facilitates transitions of care from inpatient to outpatient
setting, including performance of medication reconciliation,
arrangement of appropriate and timely follow up, and completion of
an accurate and concise discharge summary.
- Facilitates direct admission process as needed.
- Provides faculty support by monitoring all incoming patient
requests including: phone calls, MyChart messages and any patient
care related paperwork or correspondences.
- May assist in surgery to include but not limited to first
assist, deep and superficial tissue closures, application of
appliances and any other action delegated by the surgeon. Conduct
hospital, rounds, write orders, and respond to patient related
calls for the orthopedic surgeon. Evaluate and clarify clinical
conditions, formulate and implement a treatment or therapeutic plan
for hospitalized patients, construct H&Ps and discharge
summaries. Provides general wound vac set-up, placement, and
monitoring. Supports in clinic casting-splinting as needed.
- In addition to providing direct clinical support to our
surgeons, holds independent clinical sessions as needed.
- Ensures treatment and consultations consistent with NCQA
(National Committee for Quality Assurance), TJC (The Joint
Commission on Accreditation of Healthcare Organizations), and
federal and state regulatory standards.
- Engages in inpatient orthopedic care including but not limited
to patient discharge planning, patient rounding/monitoring and
bedside procedures.
- Works closely with the social work - case management partners
to develop discharge strategies to support post-surgical home
care.
- Attends scheduled weekly staff meetings, monthly departmental
grand rounds and department daily huddles.
- Assist with research projects and their implementation as
needed
- Order, prescribe, dispense, and administer Medication,
orthosis, orthotics, braces and other orthopedic devices (durable
medical equipment) as may be allowed by state legislation.
- Ensures professional growth and development through
participation in educational programs and workshops and maintaining
knowledge of industry standards and practices.
- Maintains patients' confidentiality.
- Conforms to hospital standards of performance and conduct,
including those pertaining to patient rights, so that the best
possible customer service and patient care may be provided.
- Adheres to all of BMC's RESPECT behavioral standards and
utilizes hospital's cultural beliefs as the basis for decision
making and to support the hospital's mission and goals.
- Follows established hospital infection control and safety
procedures.
- Performs other duties pertaining to patient care and practice
operations as required.
JOB REQUIREMENTS EDUCATION: Qualified Physician Assistants will
hold at least a Master's degree and must be a graduate of a PA
Program accredited by the Accreditation Review Commission on
Education for the Physician Assistant, Inc. (ARC-PA) or its
predecessor. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: In
order to apply for the position, the PA must be National Commission
on Certification of Physician Assistant (NCCPA) PANCE eligible and
eligible for PA licensure in the State of Massachusetts.
Documentation of Massachusetts PA license and initial NCCPA
certification are required upon hire. Massachusetts Controlled
Substances Registration and federal DEA Controlled Substance
Registration are required. EXPERIENCE: Prior experience in similar
clinical setting/specialty is preferred, but not mandatory.
KNOWLEDGE AND SKILLS:
- Successful candidates will be self-directed, demonstrate
initiative and professionalism, and exercise expert clinical
judgment to function independently in this role.
- Excellent interpersonal and communication skills in English are
required in order to communicate complex medical information to
collaborators such as patients and their families, physicians,
staff, and community health workers.
- Physician assistants who have exceptional problem solving and
conflict resolution skills are preferred.
- Individuals with an interest and/or expertise caring for
diverse populations of patients with varying levels of health
literacy are encouraged to apply for this position.
Equal Opportunity Employer/Disabled/Veterans
Keywords: Boston Medical Center, Nashua , PRE-OP PHYSICIAN ASSISTANT - ORTHOPEDIC SURGERY, Healthcare , Boston, New Hampshire
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