Liver and Kidney Transplant Physician Assistant

Sutter Health•San Francisco, CA

1d•Onsite

About The Position

The Physician Assistant (PA) at CPMC-California Pacific Med Center Van Ness assesses, diagnoses, plans, and implements the medical care of patients in collaboration with a physician. The PA functions within the full scope of licensure and is accountable for the assessment, coordination, delivery, and evaluation of care, including direct patient care, patient/family education, and transitions of care. This role involves providing medical consultation, performing therapeutic procedures delegated by the supervising physician, assisting with various procedures, and offering patient education, treatment, and follow-up. The PA may also complete daily rounds using an organized multi-disciplinary team approach to ensure continuity of care. Responsibilities may include managing patients in an office, hospital, emergency, and/or perioperative setting, adhering to ambulatory care and inpatient standardized procedures, protocols, policy, and procedures regulated by the State of California Physician Assistant Practice Act.

Requirements

Functions within the full scope of licensure.
Accountable for the assessment, coordination delivery and evaluation of care, including direct patient care, patient/family education and transitions of care.
Follows ambulatory care and inpatient standardized procedures, protocols, policy and procedures regulated by the State of California Physician Assistant Practice Act.
Demonstrated knowledge of surgical anatomy, physiology, and operative technique relative to operative procedures wherein the PA assists (Perioperative).

Responsibilities

Performs patient assessments to include: obtaining basic medical information and history, reviewing patient's medical record, performing physical exam, documenting findings into patient medical record, and reporting deviations from normal findings to attending physician.
Provides health care services to patients under the direction and responsibility of physician.
Examines patient, performs comprehensive physical examination, and compiles patient medical data, including health history and results of physical examination.
Administers or orders diagnostic tests, and interprets test results for deviations from normal.
Develops and implements patient management plans, records progress notes, and assists in provision of continuity of care.
Instructs and counsels patients regarding compliance with prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
Performs therapeutic procedures, such as injections, immunizations, and managing infection.
Communicates orally and in writing with patients, physicians and staff as indicated.
Provides health education and counseling to patients.
Accurately documents patient encounter data.
Provides relevant quality assessment and reports.
Establishes and maintains effective and seamless communication between the practice and patients’ medical providers in order to provide continuity of care.
Serves as coordinator for patients to access community and other resources necessary for appropriate management of medical and psychosocial factors.
Identifies, reports and contributes to performance improvement activities.
Seeks process improvements consistent with organizational priorities and goals.
Contributes to the development of clinical pathways, updating/maintaining physician order sets and physician preference cards.
Collects and tracks targeted performance improvement data for projects.
Assists with clinical effectiveness studies and projects.
Performs first/second assistant responsibilities in accordance with state scope of practice requirements (Perioperative).
Provides care for different types of patients with varying complexity (Perioperative).
Assists in the positioning, skin preparation, and draping of the patient (Perioperative).
Provides hemostasis and wound exposure, handles tissue appropriately to reduce the potential for injury, sutures tissue, and applies dressings to the wound under the direction of the surgeon (Perioperative).
Uses surgical instruments skillfully in ways consistent with their design and purpose (Perioperative).
Inserts central venous jugular/subclavian catheters or Swan-Ganz catheters under the direct supervision of the supervising physician (Liver Transplant).
Independently performs procedures including: thoracentesis, paracentesis, wound debridement, arthrocentesis, lumbar puncture, surgical drain removal, chest tube removal, staple removal (Liver Transplant).
Assists operating room personnel in positioning and padding of the patient on the operating room table (Liver Transplant).
Assists with all surgical procedures associated with liver transplantation, organ procurement, hepatobiliary surgery, and general surgery of the cirrhotic or post-transplant patients (Liver Transplant).
Assists with insertion of the Foley catheter, retraction, suction, suturing, following of sutures, dissection, ligation, flushing the donor allograft, use of cautery and opening and closing the incision (Liver Transplant).