Physician Assistant I Neuroscience ICU

Mass General BrighamBoston, MA
1dOnsite

About The Position

Brigham and Women’s Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. ADDENDUM: The Neurocritical Care PA I will participate in patient care as part of the neurocritical care team caring for neurology and neurosurgery patients in the Neurosciences ICU. GENERAL SUMMARY/ OVERVIEW STATEMENT:. The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.

Requirements

  • The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters 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
  • BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
  • Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
  • Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
  • Must have or eligible for, and maintain, 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
  • Must have the ability to work in a high stress, dynamic, busy clinical setting with flexible organizational climate
  • Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position
  • Must have the ability to utilize appropriate problem-solving and conflict resolution skills
  • Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care
  • Must be proficient with BWH computer systems as needed to independently perform daily tasks
  • Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

Nice To Haves

  • Two years of PA experience strongly preferred.

Responsibilities

  • Rounding with critical care team composed of attending physicians, fellows, residents, and APPs
  • Obtaining patient histories, performing comprehensive physical examinations, coordinating tests and consultations, implementing treatment plans, communicating with patients and families
  • Performing inpatient consultation and follow-up
  • Performing procedures that may include, but are not limited to:
  • Staple/suture removal/placement
  • Wound care/packing
  • Lumbar punctures
  • NGT placement
  • Central line placement
  • Arterial line placement
  • Lumbar drain placement/removal
  • Spine braces/cervical collar placement and removal
  • Provide leadership and participation in selected local and national organizational committees, councils, and initiatives.
  • Capable of independently orienting, onboarding, and/or training new hire PAs and/or PA students within the department/division.
  • Actively involved in ongoing quality improvement and patient safety initiatives.
  • Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or 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 are appropriate to the patient population, including lumbar puncture
  • In some settings, the PA may first assist in the operating room or procedural areas
  • 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
  • Additional duties and responsibilities as required by the department/division
  • Demonstrates professional collaborative and consultative relationships with other providers
  • Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
  • Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
  • Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
  • Remains actively involved in continuing education with a commitment to self and departmental growth
  • Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
  • Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
  • Additional duties and responsibilities as required by the department/division
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