Physician Assistant I ER ICU Pediatrics

GENERAL SUMMARY/ OVERVIEW STATEMENT:

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:

* Care of the critically or intensively ill neonate in the neonatal ICU setting, including attendance at high risk deliveries with the NICU team, admission of the ill neonate to both the level III and level II setting, and ongoing care in the NICU/SCN 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
* The Physician Assistant shall work with a multidisciplinary team to review history and daily patient data, round with a multidisciplinary team to make management plans, perform appropriate procedures (including but not limited to: endotracheal intubation, needle thoracentesis, thoracostomy, paracentesis, umbilical line placement, PICC line placement, peripheral arterial access, lumbar puncture, bladder catheterization, RetCam screening eye exams).
* 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

QUALIFICATIONS:

* 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

WORKING CONDITIONS:

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.

SUPERVISORY RESPONSIBILITY:

The Physician Assistant I does not have any supervisory responsibility.

FISCAL RESPONSIBILITY:

The Physician Assistant I does not have any fiscal responsibility.

ADDENDUM:

While the PA can expect a relatively predictable work schedule planned in advance whenever possible, scheduling

variations may occur in order to cover clinical needs as they become apparent to the department/division/clinic. The PA may be asked to take call, pick up additional shifts, work variable hours, and/or provide backup coverage as needed.

Specific Duties Include:

* Care of the critically or intensively ill neonate in the neonatal ICU setting, including attendance at high risk deliveries with the NICU team, admission of the ill neonate to both the level III and level II setting, and ongoing care in the NICU/SCN setting.
* The Physician Assistant shall work with a multidisciplinary team to review history and daily patient data, round with

a multidisciplinary team to make management plans, perform appropriate procedures (including but not limited to:

endotracheal intubation, needle thoracentesis, thoracostomy, paracentesis, umbilical line placement, PICC line

placement, peripheral arterial access, lumbar puncture, bladder catheterization).