Physician Assistant

2 months ago

Lakeland, United States RADIOLOGY & IMAGING SPECIALISTS of LAKELAND Full time
Physician Assistant - Interventional Radiology-Full Time

CORE JOB FUNCTIONS
  • Makes preliminary diagnosis or decides on follow-up procedures.
  • Administers or orders diagnostic tests, such as x-rays, electrocardiograms, and blood work, and interprets test results.
  • Develops and implements patient care plans, instructs and counsels patients, and maintains records of treatments and results.
  • Provides general health education and assists with emergency treatment and complex procedures.
  • Answers calls and participates in audits and inquiries related to billed services.
  • Records concise, accurate, and legible documentation of medical data on patients’ charts.
  • Reports and documents significant information and changes in patients’ conditions.
  • Performs minimally invasive vascular and nonvascular procedures as mentioned in management protocol and collaborative agreement independently or under general supervision of attending interventional radiologist and per hospital competencies including but not limited to:
    • Assist with Port Placements
    • Paracentesis
    • Thoracentesis
    • U/S guided biopsies
    • Central venous catheter insertion and removal
    • PICC Line insertion and removal
    • Tunneled catheter placement, exchange, and removal,
    • Tube removal for biliary, nephrostomy, gastrostomy, or abscess
  • Assist physician with any additional interventional studies
  • Service educator: Serves as an education resource for staff
  • Pre study assessment & post study follow-up for interventional patients
  • Pre-assessment and assessment of interventional radiology patients undergoing imaging studies with IV contrast as required.
  • Patient Management of vascular and non-vascular illnesses
  • Assists attending interventional radiologists with vascular interventional procedures
  • Positively impacts Interventional Radiology patients’ clinical management and provides ongoing continuity of care
  • Assists in coordination of patient imaging studies and laboratory tests required for specific Interventional radiology tests and procedures through contact with the referring physicians and/or the patients directly
  • Assists in the management of & the education of patients referred to the Interventional Radiology service in addition to counseling of patients and their families
  • Assists collaborating physicians during procedures
  • Recognizes need for and obtains physician’s input and guidance as indicated within limits of scope of practice
  • Aids in ensuring clearance for interventional procedures based on physical and lab assessment of patients
  • Facilitates/initiates inter/intra-departmental problem solving and communication
  • Assesses potential problems/contraindications for interventional radiology patients receiving IV contrast or those with uncontrolled medical problems, and takes appropriate actions to reduce the risk of patient injury
  • Co-manages with physicians those patients who are/become high risk
  • Demonstrates the ability to extract pertinent patient clinical data in relation to the requested procedure
  • Monitors/communicates problems which may contribute to increased unnecessary length of hospital stay to appropriate clinicians
  • Conducts a pre-study focused screening
  • Conducts a pre-anesthesia, pre-procedural, and focused physical screening
  • Relays information to patients regarding preparation for laboratory tests, examinations, and procedures
  • Obtains an accurate abbreviated age-specific, advanced health history review of systems including biophysical and psychosocial data
  • Performs intake of patients, including the taking of a brief medical history & performing physical exam
  • Documents all consultations to include focused medical history, physical exam, and summary of consultations, treatment options reviewed, risk and benefits of procedures offered, patient disposition, and the results of all testing under the indirect supervision of the attending interventional radiologist
  • Dictates all procedures which are performed independently with final approval by attending interventional radiologist
  • Triages interventional radiology patients via telephone and determines the need for emergency consultations based on acquired information and diagnostic testing necessary. Evaluates interventional radiology patients as needed for pre-screening issues related to contrast media allergies, contrast media pre-medication for allergies, and patients on hemodialysis or peritoneal dialysis
  • Participates in the development of individualized plans of care and ongoing follow-up.
  • Documents progress notes in the medical record
  • Provides verbal and written orders for medications as per collaborative protocol
  • Updates physicians as necessary regarding patient issues to ensure continuity of care
  • Defines the discharge plan of care including follow-up, medications, home care referral, etc
  • Helps to coordinate interventional procedures schedule to include requests from both the inpatient unit and outpatient referrals
  • Adheres to radiation safety regulations
  • Assures that pre- and post- procedures orders are carried out to include both pre-op and post-procedure instructions to patients, relatives and staff
  • Assists with the transferring of patients to other institutions when necessary
  • Demonstrates knowledge and skills in interventional radiology procedures, contrast administration, response to contrast reactions and extravasations related to interventional radiology procedures
  • Provides pre- and post-procedure patient education and counseling
  • Recognizes needs for/obtains physicians’ assistance, input and guidance as indicated within limits of scope of practice
  • Works collaboratively with medical, technical and support staff
  • Facilitates/initiates inter/intra-departmental problem-solving and communication
  • Assists with & facilitates research activities
  • Participate in patient care conferences/tumor boards
  • Takes part in patient rounds with the responsible physicians as necessary
  • Diagnose health problems and manage the healthcare care of patients
  • Prescribe and Order Physical Therapy
  • Perform any other areas of management in which the PA has been formally trained and educated to provide
  • Participate in on call weekend coverage as assigned.
  • Performs related duties as requires
  • Interprets laboratory and radiological findings as they relate to patients' clinical presentation and current treatments.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS
  1. Supervising physician with core privileges in Interventional Radiology
  2. AND (APRNs ONLY) fluoroscopy included in protocol with supervising physician(s).
  3. AND Current ACLS
  4. AND Current and ongoing certification by National Commission on Certification of Physician Assistants
  5. AND demonstrated current competence based on results of OPPE and outcomes with a minimum of 50 fluoroscopy procedures in the last 24 months.

Knowledge, Skills and Attitudes:
  • Skill in completing assignments accurately and with attention to detail.
  • Ability to analyze, organize and prioritize work under pressure while meeting deadlines.
  • Ability to process and handle confidential information with discretion.
  • Ability to work evenings, nights, and weekends as necessary.
  • Ability to work independently and/or in a collaborative environment.

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