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Physician Assistant Plastic Surgery

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Company: Md Anderson

Location: Houston, TX

Date Posted: August 31, 2014

Source: MD Anderson

Job Location: Houston, TX

Salary Minimum 87200.000
Salary Midpoint 109000.000
Salary Maximum 130800.000

The primary purpose of the Physician Assistant position is to perform the increasingly independent and complex tasks of a routine and standardized nature, which would otherwise be performed by a physician. The incumbent in this position will provide advanced patient care in relation to the patients prescribed diagnosis, treatment, age group, development, and other identified needs. This position provides quality direct and/or indirect patient care clinically, administratively and/or academically. The incumbent in this position will provide direct plastic surgery services to patients within the education, training, and patient care parameters of the Department of Plastic Surgery.

1. Provides quality patient care in relation to the patients prescribed diagnosis, treatment, age group, development and other identified needs. Performs patient assessment, writing progress notes and/or orders which are accurate, clear, legible and complete ...

Job Location: Houston, TX

Salary Minimum 87200.000
Salary Midpoint 109000.000
Salary Maximum 130800.000

The primary purpose of the Physician Assistant position is to perform the increasingly independent and complex tasks of a routine and standardized nature, which would otherwise be performed by a physician. The incumbent in this position will provide advanced patient care in relation to the patients prescribed diagnosis, treatment, age group, development, and other identified needs. This position provides quality direct and/or indirect patient care clinically, administratively and/or academically. The incumbent in this position will provide direct plastic surgery services to patients within the education, training, and patient care parameters of the Department of Plastic Surgery.

1. Provides quality patient care in relation to the patients prescribed diagnosis, treatment, age group, development and other identified needs. Performs patient assessment, writing progress notes and/or orders which are accurate, clear, legible and complete according to the standards set by Medical Records. Consistently monitors notes and lab values as part of assessment.

2. Performs dictations in a timely, thorough, well-organized, and accurate manner. Performs written work in a thorough, accurate, well-organized and legible manner. Completes, notes summaries, evaluations, and other medical records using the standards set by the Department of Medical Records. Performs patient care duties (i.e. wound care, dressing changes, debridement, etc.) as directed by the supervising physician.

3. Consistently performs indicated diagnostic/therapeutic procedures as directed by medical staff. Gathers appropriate data and policy information prior to performing medical procedure. Documents procedures according to institutional policies as set by Medical Records.

4. Performs other tasks and duties as delegated by the supervising physician. Consistently performs any additional duties that are indicated to maintain and improve the delivery of care to Plastic Surgery patients. Demonstrates flexibility and teamwork ability to facilitate accomplishments of duties.

Outpatient

1. Obtains patients medical, personal, and social histories; obtains signed consent forms; and performs physical evaluations on patients. Obtains histories and physical of patients for preoperative history and physical exams or primary medical evaluations which are performed according to institutional standards set by Medical Records. Ensures that data is complete, accurate, current, and reflects clinical physiology/pathophysiology. Ensures that data collected is communicated to attending physician and associated medical staff in a complete, concise and organized fashion.

2. Sets up video camera (which weighs over 25 pounds) daily in the clinic to facilitate patient preoperative video recordings. Provides preoperative preparation for the patient by completing yellow surgery scheduling forms, obtaining signed consent forms, handles pre-certification insurance concerns, ordering breast implants when appropriate, and ordering autologous blood when appropriate.

3. Performs postoperative follow-up assessments on patients in the clinic.

4. Documents findings in the follow-up notes according to institutional standards as set by Medical Records. Communicates clinical evaluation to attending physician and medical staff. Performs appropriate interventions as indicated by the clinical assessment. Carries out diagnostic/therapeutic procedures under the direction of attending physician, including nipple areolar tattooing and tissue expansion procedures on patients which require above average manual dexterity and the use of specialized instruments and materials.

5. Follows preoperative checklist to insure smooth transition of patients from clinic to surgery. Completes the surgery scheduling forms according to instructions set by Surgery Scheduling. Makes sure signed consent form is placed in the medical record. Orders breast implants per instructions provided by the Department (blue manual). Orders autologous blood per guidelines established by Transfusion Medicine.

6. Dictates or writes primary medical evaluations, preoperative histories and physicals, progress notes, follow-up notes, discharge summaries, summary lists, and follow-up letters to referring physicians. Dictates items in a clear, pleasant, and understandable voice using a telephone or manually writing legible notes.

7. Provides medical information as requested by the Administrative Manager or designee to facilitate insurance pre-authorization and reimbursement.

Surgery

1. Works with designated operating room technician who is responsible for microscopes (which are either pushed on a roller cart up to 100 pounds or suspended from the wall) and Doppler/laser probes (weighing up to 25 pounds), maintains clinic checklist on Doppler monitor status; availability, maintenance, and condition. Ensures that a working Doppler/laser unit and probe is available for surgical cases as requested by the faculty surgeon.

2. On a daily, as-needed basis performs first and second assist in surgery as directed by the physician. Demonstrates manual dexterity in use of scalpel and knife. Performs retraction and suctioning, assistance with sutures, and direct hemostasis as needed. As first assist, performs surgical procedures to include retraction and cutting suture, under the direct supervision of the physician. Second assist may include raising a full thickness skin graft or closing donor sites under the direct supervision of the physician. Note: Physician Assistant may need to accompany and assist surgeon at a facility other than M. D. Anderson Cancer Center.

3. Responsible for writing postoperative orders. Responsible for ensuring the patients smooth transition to the recovery room and/or surgical intensive care unit/microvascular flap unit; reports patients medical status to the nurse in charge of the patient.

Inpatient

Makes daily rounds with faculty on in-patients, before clinic, conference, or OR duties, by walking from office to inpatient rooms. Performs a variety of inpatient patient care activities (both patient and clinic area): wound care and dressing changes, removal of drain and sutures, etc. Provides discharge planning for inpatients. Makes arrangements for follow-up care in the Plastic Surgery clinic. Responsible for inpatient consults when attending physician is unavailable.

Job ID: 6318BR

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