Physician Assistant-Peri Anesthesia PAC Clinic

DRISCOLL HEALTH PLAN•Edinburg, TX

2d•Onsite

About The Position

The Peri anesthesia APRN facilitates professional leadership and related specialized care to the pre-operative patient population, with the intent of optimizing patient outcomes and improving the pre-operative preparation of patients to decrease or prevent surgical delays or cancellations. Responsibilities include performing pre-operative physical assessments, obtaining history and physical information for MRI cases, assessing the need for and ordering appropriate pre -operative laboratory testing or pre-operative clearances, collaborating with an anesthesiologist to determine pre-operative medication orders, and managing data for the pre-op program for research, outcomes and/or reporting purposes.

Requirements

Master’s or Post Master’s Degree, required.
Graduation from a Nurse Practitioners Program with practice authority in the State of Texas, required.
Active and unencumbered nurse practitioner and registered nurse license in the State of Texas, required.
Advanced specialty courses and ongoing education requirements as required by DCH.
DCH Credentialing obtained within time frame required and continuously maintained ongoing.
Must obtain DCH credentialing as an active member of medical staff and appropriate medical privileges, required.

Nice To Haves

1-2 years of pediatric experience, preferred.
1-2 years in peri-operative or peri-anesthesia, preferred.

Responsibilities

Maintains utmost level of confidentiality at all times.
Adheres to hospital policies and procedures.
Function within scope of practice, under the supervision of an attending.
Have excellent communication and customer service skills, proven excellence in clinical care and supervisory skills.
Participate and assist with coordination and continuity of care.
Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
Assist with physician directed care including: Write appropriate orders (e.g., nursing care, medication orders, laboratory, and imaging/radiological examinations).
Review pertinent abnormal findings in the patient's history, physical examination, radiological and laboratory data with supervising physician, obtain appropriate referral/consultation, additional laboratory or radiological studies as needed, and initiate appropriate medical intervention(s).
Performing pre-operative physical assessments, obtaining history and physical information for procedures (invasive/non-invasive), assessing the need for, and ordering appropriate pre-operative laboratory testing or pre-operative clearances, collaborating with an anesthesiologist to determine pre-operative medication orders, and managing data for the pre-op program for research, outcomes and/or reporting purposes.
If applicable, performs and records history and physical examinations (initial admissions and consults will be seen by attending prior to implementing plan of care).
If applicable, completes consultations approved by the supervising physician with follow-up as indicated. Ensure testing has been completed, results verified, review labs/studies and vital signs. Complete progress note as indicated.
Advise supervising physician of unexpected events, providing an accurate synopsis of events related to a major change in the patient’s condition and describing corrective measures already taken.
Daily assessment of patient’s hospital course, write note of patient’s progress in chart as it pertains to the supervising physician and implement indicated therapy as determined by the supervising physician.
Serve as a resource for clinical staff. Interpretation and findings for both patient and family, family orientation and resources information; coordination of meetings; communication between the pre-op clinic and primary care physicians and / or specialist; review and recommend specialty services if needed to patient’s primary care provider.
Coordinates all activity necessary for the pre-operative program.
Schedule and perform face-to-face patient interviews for high-risk patients (ASA 3+, high risk procedures).
Coordinate high-risk patient anesthesiologist review as deemed necessary.
Consult with anesthesiologist for decisions related to postponement/cancellation of a procedure.
Assure that all patient testing is completed, assessed, and reported three days prior to date of surgery.
Acts as a liaison between the physicians and other staff.
Maintains a database of current patients.
Assists with the coordination of discharge planning and/or follow-up.