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Cardiac Surgery ICU Physician Assistant
1 month ago
The Physician Assistant I in Cardiac Surgery ICU at Brigham and Women's Hospital is a dynamic and challenging role that requires a highly skilled and dedicated professional. The successful candidate will be responsible for providing high-quality patient care in a fast-paced and dynamic environment.
Key Responsibilities:
Provides direct care, counseling, and teaching to a designated patient population in the inpatient, operative, and 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 appropriate to the patient's clinical needs
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
Requirements:
Must have successfully completed a graduate-level physician assistant program (Master's 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
Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to the first day of employment
Must hold a current valid license as a physician assistant in the Commonwealth of Massachusetts
Must have 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
Working Conditions:
The Physician Assistant I in Cardiac Surgery ICU will work in a fast-paced, dynamic environment with a very large and complex patient volume. The position may require heavy lifting of equipment and patients, and the candidate 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.
Required Clinical Duties:
The BWH CSS PA I will independently perform the following:
a) insertion of urinary catheter
b) dress and debride surgical incision
c) removal of intra-aortic balloon pump catheter under supervision
d) removal of epicardial pacing wire
e) removal of chest tube
f) assist with procedures in the ICU and step-down unit
g) insertion of central venous and arterial line
h) insertion of nasogastric and Dobhoff feeding tube
Required Physical and Mental Abilities:
The candidate must be quality-driven and have a proven ability to be a productive member of a cohesive team of peers, dedicated to providing optimum patient care. The candidate must exercise the highest degree of professional judgment under the direct supervision and guidance of a licensed physician. The candidate must maintain a professional attitude toward patients and exercise mature independent problem-solving to meet the needs of the patients.
Additional Information:
The BWH cardiac surgery service is a 24/7 PA-run service, therefore working weekends and holidays are required. The BWH rotating cardiac surgery PA I is scheduled to work a relatively predictable rotating 50/50 day/night schedule of 12-hour days with the frequency of 3, 3, 4 days per week, averaging 40 hours per week over a three-week cycle. Scheduling variations may occur to cover the needs of the cardiac surgery services. The cardiac surgery PA I may be asked to pick up additional shifts and/or provide back-up coverage as needed.
