PA (First Assist) / NP (RNFA) Surgery

Hackensack Meridian Health•Red Bank, NJ

About The Position

The Physician Assistant (First Assist) or Nurse Practitioner with RNFA assists, monitors, and manages patients’ day-to-day needs as requested by and in conjunction with a physician, under physician supervision. The role performs duties and responsibilities customary to PA practice and generally accepted medical standards. First Assist experience and operating-room duties are required. Experience with DaVinci XI and DV5 robotic surgery is required. The position works day shift, requires every third [shift/rotation as stated in the posting] and holidays as needed, and has no on-call requirement. The clinician provides supervised medical services, conducts and documents appropriate history and physical assessments, orders and interprets diagnostic tests in collaboration with physicians and consultants, manages medical and surgical conditions, and prescribes medication in accordance with best practices, hospital policy, and New Jersey regulations. The role delivers compassionate, culturally sensitive, patient- and family-centered care; supports care transitions and patient education; coordinates with the multidisciplinary healthcare team; and applies evidence-based and value-based practices to improve care and outcomes. The position also contributes to clinical expertise, protocol evaluation, clinical research, education, mentoring, and professional recognition of HMH PA practice. The clinician participates in rounds, meetings, committees, and workgroups; advocates for patients and families; addresses ethical and care-progression issues; follows applicable HMH policies, infection-control and safety requirements, and professional standards; and performs other assigned duties.

Requirements

At least 3 years of PA First Assist or NP with RNFA experience.
First Assist experience, as the position includes operating-room duties.
Experience with DaVinci XI and DV5 robotic surgery.
PA candidates: successful completion of an approved physician assistant program accredited by the AMA Council on Medical Education.
PA candidates: excellent written and verbal communication skills.
PA candidates: computer proficiency, including Microsoft Office and/or Google Suite.
PA candidates: Physician Assistant License.
PA candidates: National Commission on Certification of Physician Assistants certification.
PA candidates: BLS AHA Basic Health Care Life Support HCP Certification.
PA candidates: AHA Advanced Cardiac Life Support Certification.
NP candidates: Master’s or Doctorate degree from an accredited Nurse Practitioner program.
NP candidates: proven experience in a relevant patient-care setting.
NP candidates: current New Jersey State Professional Registered Nurse (RN) License.
NP candidates: current New Jersey Advanced Practice Nurse (APN) License.
NP candidates: board certification by AANP or ANCC.
NP candidates: AHA Basic Life Support (BLS) Certification.
NP candidates: RNFA certification.
NP candidates: Acute Care certification.
NP candidates: National Provider Identifier (NPI).
NP candidates: active New Jersey prescriptive authority (CDS and DEA).
NP candidates: ability to maintain a collaborative agreement with staff physicians.

Responsibilities

Provide medical services under the supervision of a licensed physician, consistent with the clinician’s education, training, and experience.
Perform and document accurate, complete, relevant history and physical assessments appropriate to the patient’s age, gender, and clinical problem.
Order, perform, and interpret laboratory tests and diagnostic studies or procedures in collaboration with physicians and consultants as appropriate.
Manage general medical and surgical conditions using knowledge of etiologies, risk factors, pathophysiology, and indications and contraindications for treatments.
Prescribe medication safely and effectively in accordance with best practices, hospital policy, and New Jersey regulations, and provide patient education as needed.
Promote recognition of HMH PA practice through conferences, publications, and presentations.
Provide compassionate, effective, patient- and family-centered care for health promotion and treatment of disease.
Practice according to Medical Staff rules and regulations and the bylaws and delineation of privileges.
Apply evidence-based and value-based medicine to analyze and improve care practices and outcomes.
Evaluate patient and family transition-of-care planning, considering resource use, cost, quality, safety, and self-management for chronic conditions.
Demonstrate clinical expertise through advanced assessment and specialty-related procedural skills.
Evaluate protocols and standards of care and translate best practices into clinical practice.
Provide culturally sensitive, educationally appropriate health-management education to patients and families.
Participate in daily interdisciplinary rounds to facilitate coordinated care and clear communication among the healthcare team.
Advocate for patients and families, address obstacles to care progression, and escalate issues as appropriate.
Serve as a clinical resource to the multidisciplinary team on clinical, process, and system improvement opportunities.
Participate in organizational and departmental meetings, committees, and workgroups as necessary.
Maintain accountability for professional practice and adhere to ethical principles involving confidentiality, informed consent, and adverse outcomes.
Promote a collaborative work environment consistent with organizational mission, behavior expectations, values, and pillars.
Mentor other PAs, precept PA students, and participate in educational programs as a clinical expert.
Identify patient and family educational needs and collaborate on appropriate teaching materials.
Integrate new clinical knowledge into practice to promote innovation.
Participate in clinical research and disseminate findings through practice, education, presentations, and publications.
Identify ethical care issues and coordinate interdisciplinary meetings to resolve them.
Comply with HMH and department-specific scope of services, policies, and procedures applicable to the role.
Adhere to HMH infection-control and safety policies.
Perform other assigned duties and projects.
Adhere to HMH organizational competencies and standards of behavior.
Assist with operating-room duties as a First Assist and use DaVinci XI and DV5 robotic surgery systems.