Physician Assistant - Cardiothoracic Surgery

Catholic Health•Village of Roslyn, NY

1d•Onsite

About The Position

St. Francis Hospital, The Heart Center® is New York State's only specialty designated cardiac center. A member of Catholic Health Services of Long Island, St. Francis is consistently recognized by U.S. News & World Report as a national leader for Cardiology & Heart Surgery. St. Francis provides a full spectrum of surgical services and the Cardiothoracic Physician Assistant / PA is a valued member of our world renowned Open Heart Program. The Physician Assistant will provide inpatient pre and post-operative care as well as first or second assist in the most advanced CT Surgical procedures performed at St. Francis Hospital main campus in Roslyn, NY and Good Samaritan Medical Center in West Islip, NY.

Requirements

Physician Assistant / PA
Cardiothoracic Surgery
Inpatient pre and post-operative care
First or second assist in CT Surgical procedures
Perform assessment and evaluation of patient
Introduce and identify self to patient and family
Record admission orders
Performance of patient History and Physical
Initiate consultation
Evaluate, diagnose and treat adolescent and adult patients
Perform therapeutic procedures in response to life threatening situations
Perform various treatments
Medication reconciliation
Record Progress notes
Wound checks and dressing changes
Suture uncomplicated lacerations
Incision and drainage
Remove drains
Perform injections
Provide immunization
Manage simple conditions produced by infections or trauma
Assist in the management of more complex illnesses and injuries
Perform excision of lesions and skin biopsy
Manage uncomplicated minor closed fractures
Manage uncomplicated dislocations
Initiate peripheral IV
Insertion of Nasogastric/feeding tubes
Insertion of Foley catheter
Collect specimens for pathological and cytological examinations
Emergency response to Cardiopulmonary Arrest and Rapid Response Calls
Ordering of restraints and 1:1 monitoring
Order support services (e.g. PT, OT, Speech, Dietery, Respiratory, etc.)
Supply patient education and counseling
Order single dose schedule II, III, IV and V medications
Order routine medications
Administer medications by oral, IV or IM routes
Order and interpret routine diagnostic studies
Order blood transfusions and blood products
Order procedures requiring a signed consent
Instructing and counseling patients on medical issues, treatments medications Lab test etc.
Educate patients on wellness, disease prevention and safety issues
Assess risks for falls and initiate plan of action
Discharge patient
Dictate discharge summary
Order discharge medications
Demonstrate successful completion of an approved, recognized course when such exists, or acceptable supervised training or other acceptable experience.
Provide documentation of competence in performing the requested procedure consistent with criteria set forth in medical staff policies governing the exercise of specific privileges.
All requested privileges must be approved by Department chair as well as by the Director of PA Surgical Services.
PICC line insertion - requires completion of PICC line training course as well as documented experience in 5 or more PICC line insertions and sign off by the Chief of interventional Radiology or their designee.
Intubation of a patient – requires skill sing off by Director of Respiratory Therapy or Anesthesia/designee
First assist in the OR for open surgical cases – requires documented experience as first assist on 25 cases with case logs.
First assist in the OR for laparoscopic/arthroscopic surgical cases – requires documented experience as first assist on 25 laparoscopic/arthroscopic procedures.
Evaluates own development in relation to professional practice standards, relevant statues and regulations.
Participates in on-going educational activities related to clinical knowledge, professional issues and the managed care environment.

Responsibilities

Performs assessment and evaluation of patient in the Surgical Department
Introduces and identifies self to patient and family immediately upon presentation.
Record admission orders after discussion with attending physician.
Performance of patient History and Physical with attending physician. A discussion with the attending physician is not required for a PA performing a history and physical in PST.
Initiate consultation after discussion with attending consultant physician.
Evaluate, diagnose and treat adolescent and adult patients for common illnesses and injuries.
Taking initiative in performing the evaluation and therapeutic procedures in response to life threatening situations.
Performs various treatment for patient in the Surgical Department
Medication reconciliation in consultation with attending physician.
Record Progress notes.
Wound checks and dressing changes.
Suture uncomplicated lacerations.
Incision and drainage as well as remove drains when applicable.
Perform injections and provide immunization.
Manage simple conditions produced by infections or trauma.
Assisting in the management of more complex illnesses and injuries.
Performs excision of lesions and skin biopsy.
Manage uncomplicated minor closed fractures, and uncomplicated dislocations.
Initiate peripheral IV.
Insertion of Nasogastric/feeding tubes.
Insertion of Foley catheter
Collect specimens for pathological and cytological examinations.
Required Emergency response to Cardiopulmonary Arrest and Rapid Response Calls.
The core privileges for a Surgical Physician Assistant may include other procedures that are extensions of the same techniques and skills described above.
Ordering of restraints and 1:1 monitoring.
Initiate consultation requesting specialist in consultation with attending physician.
Order support services (e.g. PT, OT, Speech, Dietery, Respiratory, etc.).
Supply patient education and counseling.
Order single dose schedule II, III, IV and V medications.
Order routine medications.
Administer medications by oral, IV or IM routes.
Order and interpret routine diagnostic studies.
Order blood transfusions and blood products as per hospital policy.
Order procedures requiring a signed consent as required by hospital policy.
Instructing and counseling patients on medical issues, treatments medications Lab test etc. as well as therapeutic affects of these interventions.
Educate patients on wellness, disease prevention and safety issues.
Assess risks for falls and initiate plan of action when required.
Discharge patient after discussion with attending physician.
Dictate discharge summary after discussion with attending consultant physician.
Order discharge medications after discussion with attending physician.
PA must demonstrate successful completion of an approved, recognized course when such exists, or acceptable supervised training or other acceptable experience.
PA must provide documentation of competence in performing the requested procedure consistent with criteria set forth in medical staff policies governing the exercise of specific privileges..
All requested privileges must be approved by Department chair as well as by the Director of PA Surgical Services.
PICC line insertion - requires completion of PICC line training course as well as documented experience in 5 or more PICC line insertions and sign off by the Chief of interventional Radiology or their designee.
Intubation of a patient – requires skill sing off by Director of Respiratory Therapy or Anesthesia/designee
First assist in the OR for open surgical cases – requires documented experience as first assist on 25 cases with case logs.
First assist in the OR for laparoscopic/arthroscopic surgical cases – requires documented experience as first assist on 25 laparoscopic/arthroscopic procedures.
Maintains professional development
Evaluates own development in relation to professional practice standards, relevant statues and regulations.
Participates in on-going educational activities related to clinical knowledge, professional issues and the managed care environment.