Physician Assistant-QHC-14100-014

Mount Sinai Health Systems•New York, NY
•$73 - $97

About The Position

The Physician Assistant provides direct clinical services in all areas of the Emergency Department, including the Adult ED, Fast Track, Pediatric Emergency Department, and ED Observation Unit. Under the general supervision of an Attending Physician, the PA evaluates patients, develops diagnostic and treatment plans, documents encounters, orders and interprets tests, and provides care in accordance with hospital guidelines. The role includes procedures performed under general or direct supervision, with all cases presented to the supervising Attending Physician and specified results reviewed with that physician before discharge. The PA also supports patient education, follow-up and referrals, continuing medical education, and the administrative and academic activities of the ED. The job description describes the general nature of the work and is not an exhaustive list of duties.

Requirements

  • Completion of a New York State-approved physician assistant or specialist assistant training program, usually through a Bachelor of Science program or a degree in a closely related field.
  • NCCPA certification.
  • New York State PA license.
  • BCLS, ACLS, and PALS certifications.
  • High analytical ability to diagnose and treat medical and surgical problems effectively and expeditiously under the direction of the supervising Attending Physician.
  • Ability to interact with internal hospital medical, administrative, and professional staff and to take responsibility in daily contacts with patients and their families.
  • Manual dexterity to manipulate surgical instruments and handle medical equipment, and physical strength to lift and properly handle or position patients.

Responsibilities

  • Perform focused or comprehensive patient histories and physical examinations, and formulate diagnostic and treatment plans.
  • Document patient encounters in the medical record, including relevant history of present illness, past medical history, allergies, and current medications.
  • Implement treatment protocols and make clinical decisions for ED Observation Unit patients during its hours of operation, under the supervision of an Emergency Medicine attending.
  • Order diagnostic tests, medications, consultations, immunizations, and clinic referrals.
  • Review, interpret, and document diagnostic test results.
  • Communicate with the supervising Attending Physician and nursing staff about patient care, clinical developments, and patient concerns.
  • Write prescriptions in accordance with hospital guidelines.
  • Counsel patients, when appropriate, on health education and disease prevention.
  • Present all cases to the supervising Attending Physician and discuss all consultation referrals with that physician for approval.
  • Review EKG, laboratory, and radiologic results with the supervising Attending Physician before discharging patients from the ED.
  • Arrange patient follow-up; obtain informed consent; recall patients for further evaluation and treatment; escort patients to other hospital areas or interhospital transfers when necessary; and provide required post-discharge instructions.
  • Complete and document required continuing medical education, including assigned lectures and conferences.
  • Participate in ED staff meetings, quality assurance activities, conferences, morning reports, and other administrative or academic duties as required or requested.
  • Under general supervision, perform procedures including venipuncture and initiation of IV fluids; ordering routine x-rays, laboratory studies, and medications in accordance with guidelines; urinary catheterization; nasogastric tube insertion; reduction of dislocations; orthopedic splinting; arterial puncture for blood gas determination; minor surgical procedures such as suturing, incision and drainage, and wound checks; and initiation of emergency procedures including Basic and Advanced Cardiac Life Support.
  • Under direct supervision, perform endotracheal intubation; participate in resuscitation of cardiopulmonary and other complex medical emergencies and management of complex surgical emergencies; order controlled drugs and psychotropic medications in accordance with hospital guidelines; and perform central venous catheter placement, venous cutdown, joint aspiration, lumbar puncture, and other emergency procedures at the supervising Attending Physician’s discretion.
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