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Cardiothoracic Physician Assistant
3 months ago
Design and conduct comprehensive examinations, diagnosis and implementation of treatment plans, admission orders, discharge summaries, ordering special labs, and radiographic studies
Provide medical education/counseling to patients & their families
Verify, establish, and assure that identified pre-operative surgical requirements are met, assure appropriate arrangements have been established for admission, and coordinate inpatient activities on the floor
Primarily responsible for admissions and medical care of patients
Assist the surgeon in the operating room, including prepping and draping, and first or second assist in surgery
Perform bedside procedures including placement of arterial lines, swan-ganz catheters and central lines, bronchoscopy, changing of tracheostomy tubes, wound care and debridement, thoracentesis, removal of chest tubes, temporary pacing wires, intra-aortic balloon pump, central lines, arterial lines, and drains
Demonstrate ability to diagnose and treat cardiothoracic surgery patients seen in consultation with other health care providers
Promote patient care programs for the cardiothoracic surgery patient and periodically update them based upon current and new concepts, research, as well as findings of the attending physician
Integrates the activities of the cardiothoracic surgery service with other patient care programs at the facility
Manage a task force for Quality Assurance within cardiothoracic section
Coordinate holistic inpatient and outpatient care, identification of problems, issues, conflicts or barriers to uneventful patient care
Conduct problem solving to formulate a patient care plan to avoid these issues preoperatively while coordinating with social work
Establish and maintain relationships with social work, rehabilitation, medical, and dietary services throughout the facility for improved efficient patient care
Surgical Intensive Care Duties
Considers factors related to safety, effectiveness, and cost in planning and delivering care
Obtains history, physical examination, and assessment of ongoing patient needs through effective use of the nursing process to make practice decisions in an ethical manner
Orders and interprets routine laboratory tests, diagnostic studies, and radiographic tests
Performs diagnostic and stabilization procedures as necessary based on ACLS
Collaborates with respiratory therapy and nursing for airway management and ventilator weaning
Writes orders for laboratory work, medications, and treatments in compliance with hospital policies
Communicates with Surgical Service physicians' patient problems and status updates
Participates in and prepares discharge planning needs for SICU patients through communication with team members, patients, families, and consultants
Documents relevant laboratory data, study results, patient care, pertinent procedures, and patient updates within notes
Demonstrates competence with placement and removal of enteral feeding tubes, central venous catheters, arterial lines, swan ganz catheters, sutures, drains/tubes
Assists with and performs invasive procedures including, central lines, arterial lines, bronchoscopy, PEG tube placement, and percutaneous tracheostomy
Collaborates with physicians, nurses, and other members of the health care team using effective communication and interpersonal skills to develop and maintain interdisciplinary teamwork
Identifies 'at risk' individuals in need of referrals
Maintains accurate, timely medical records
Participates in performance measures through documentation and data collection/reporting
Acts as a patient advocate
Assists in investigation and documentation of patient issues and concerns
Identifies individual differences as related to the physiological, cultural, and psychological aspects of maturational development
Bases ones practice on research and participates in clinical research projects
Demonstrates ability to multi-task and prioritize patient care needs
VA offers a comprehensive
total rewards package
.
Work Schedule:
Monday - Friday 8:00am - 4:30pm
VA offers a comprehensive total rewards package
.
VHA Physician Total Rewards
.
Pay:
Competitive salary, annual performance bonus, regular salary increases
Paid Time Off:
50-55 days of paid time off per year (26 days annual leave, 13 days sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)
Retirement:
Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance:
Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
CME:
Possible $1,000 per year reimbursement (must be full-time with board certification)
Malpractice:
Free liability protection with tail coverage provided
Contract:
No Physician Employment Contract and no significant restriction on moonlighting
Recruitment or relocation Incentive
:
Not authorized.
