The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively.
The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Principle Clinical Duties and Responsibilities:
Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
Performs complete histories and physical examinations
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
Performs bedside procedures as are appropriate to the patient population
In some settings, the PA may first assist in the operating room or procedural areas
Practices cost effective medicine in an efficient manner, maximizing available resources
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
Demonstrates expert clinical judgment skills to function in an independent role
Additional duties and responsibilities as required by the department/division
Non-Clinical Duties and Responsibilities:
Demonstrates professional collaborative and consultative relationships with other providers
Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
Remains actively involved in continuing education with a commitment to self and departmental growth
Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
Additional duties and responsibilities as required by the department/division
The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination
BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration
Must complete 100 hours of CME according to national and state regulations during each two year period of employment
Must complete the BWH Professionalism Program within three months of date of hire
Must complete the BWH Procedural Sedation Training if deemed necessary
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate
Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position
Must have the ability to utilize appropriate problem-solving and conflict resolution skills
Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care
Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred)
Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician
Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients.
The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.
The Physician Assistant I does not have any supervisory responsibility.
The Physician Assistant I does not have any fiscal responsibility.
The Physician Assistant for the Electrophysiology Lab is responsible for assisting the attending physicians and housestaff in the medical management of the patients cared for by the Electrophysiology and Pacemaker Service, in the device clinic, in house, as well as in the EP Lab. Workload could necessitate working evenings and weekend shifts.
Pre-procedure Patient Care:
The physician assistant will be responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, registry documentation, orders, sedation assessment, nursing instructions, consent and other required elements. The physician assistant, in collaboration with the Laboratory Flow Managers, may be asked to help coordinate admissions and transfers to the hospital. The physician assistant will perform pre-procedure assessments in the Recovery room/holding area or outpatient setting as needed.
Interface between Cardiac Electrophysiology and Recovery Area:
The physician assistant will be knowledgeable about the Cardiac Electrophysiology Laboratory scheduling, procedure room turnover and availability of resources. He/she will be called upon to manage patients after their procedures (as appropriate and in collaboration with the consult Fellow) while they await transfer to patient floor or discharge. The physician assistant will assist in family liaison.
Medical Treatment and Post-procedure Care:
The physician assistant will be responsible for many aspects of care under the supervision of the attending physician, including but not limited to: fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation management, education, and post-discharge planning. Following procedures, the physician assistant will manage vascular access, monitor and manage arrhythmias, pacing, drug therapy, O2 therapy, and other non-cardiac medications, under the supervision of the attending physician. The physician assistant will assist in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary complications, abrupt vessel closure, arrhythmias, access site complications and others. The physician assistant will assist in transfers to and from the intensive care units.
The physician assistant will assist the attending physician during diagnostic ep studies/ ablations, device implantations/extractions and research procedures performed in the Cardiac Electrophysiology Laboratory and other clinical areas.
The physician assistant will perform patient education regarding discharge including preventive care and risk factor reduction. He/she will write discharge orders, prescriptions and complete discharge summaries in collaboration with the attending physician. The physician assistant will act as a liaison between the attending cardiologist and family members and will schedule follow-up care as necessary, including VNA if needed.
F. Outpatient Clinical Duties:
Collaborates with team in preparing patients for admissions/procedures.
Works collaboratively with nursing staff to assist in the care of patients. This includes but is not limited to:
1. Symptom management
2. Evaluation and management
3. Prescription writing
4. Ordering and interpreting diagnostic studies with review by supervising MD.
Performs procedures in accordance with PA scope of practice, including but not limited to:
1. Electrophysiology and Pacemaker Service Scope of practice guidelines
2. Assists Electrophysiology attending with clinic visits of patients and in monitoring patient care and formulating treatment plans.
F. Professional Development
Identifies areas for professional growth.
Formulates professional goals, objectives and methods for accomplishing these.
Supports initiatives within the BWH and the Department of Medicine.
Participates in committees at the divisional, departmental, and organizational levels.
Brigham and Women’s Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.
Primary Location: MA-Boston-Boston - BWH Main Campus
Work Locations: Boston - BWH Main Campus 75 Francis St Boston 02115
Job: Physician Assistants
Organization: Brigham & Women's Hospital(BWH)
Standard Hours: 40
Employee Status: Regular
Recruiting Department: BWH EP/Pacer Lab
Job Posting: May 14, 2019