Thoracic Surgery Physician Assistant

4 weeks ago

Nashville, Tennessee, United States Vanderbilt University Medical Center Full time
Job Summary

The Physician Assistant (PA) within the acute care hospital setting works in collaboration with, and is an integral member of, a multidisciplinary healthcare team. The PA functions primarily as a hospitalist in an inpatient setting, managing the care of acute/complex chronically ill patients. The PA is typically on a service-aligned team managing the patient care from step-down to discharge. The PA may have responsibilities for same patient population during follow-up outpatient visits.

Key Responsibilities
  • Assessment of Health Status: Performs and documents in the medical record a complete history and physical examination for acute and complex chronically ill patients.
  • Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information, and diagnostic procedures where indicated.
  • The Physician Assistant may serve as the first responder for both nursing and house staff in the event of patient status changes, orders, and in situations requiring procedural and resuscitative interventions.
  • Assesses for risks associated with the care of the acute and complex chronically ill patient, including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions, and diagnostic procedures.
Collaboration and Communication
  • Coordinates daily rounds with the Attending physician teams, presents 24-hour patient report, collaborates in plan of care, and follows assigned patient population throughout the day.
  • Diagnosis: Collaborates with interdisciplinary healthcare team in making diagnoses of acute and complex chronic conditions.
  • Manages diagnostic tests through ordering, interpretation, performance, and supervision.
  • Formulates differential diagnoses by priority.
  • Diagnoses complications and orders appropriate interventions.
  • Formulates Plan of Care: Identifies expected outcomes from diagnosis and formulates and documents a plan of care to address complex acute and chronic healthcare needs.
  • Utilizes evidenced-based practice guidelines or protocols in an individualized, dynamic plan of care that can be applied across the continuum.
  • Implements and modifies plan of care.
  • Prescribes diagnostic strategies and therapeutic interventions both pharmacologic, non-pharmacologic, and surgical, needed to achieve expected outcomes.
  • Manages further diagnostic tests through ordering, interpretation, performance, and supervision.
  • May perform advanced procedures consistent with privileges and competency validation, including minor suturing, complex wound management, line and tube placements and removals.
Documentation and Professional Practice
  • Maintains ongoing communication and collaboration with interdisciplinary healthcare team.
  • Facilitates and communicates with patient, family, and staff to promote continuity of care across the inpatient and outpatient continuum of care.
  • Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and/or clinic note where applicable.
  • Documentation is timely, meets acute care compliance standards, and captures patient acuity.
  • Demonstrates Professional Practice behaviors, including preceptor/mentoring, education, and instruction of students, nursing staff, nurses, graduate, and novice Physician Assistants.
Technical Capabilities

We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education, and research. We believe nursing is an applied art and science focused on helping people, families, and communities reach excellent health and well-being.

As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing.

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