Physician Assistant - Surgical Intensive Care Unit Schedule: 40 hours per week, 13-hour shifts (nights, weekends). Environment: High-acuity, fast-paced surgical ICU setting requiring strong collaboration and communication among attending surgeons, intensivists, residents and multidisciplinary team members. Clinical Focus: Management of critically ill post-operative transplant and trauma and acute care patients requiring ventilator support, hemodynamic monitoring, vasoactive infusions, and advanced therapies. A specific focus on transplant surgery patients is expected which will include the following transplant specific learning objectives: Kidney transplant: Understand the etiology of chronic kidney disease, utilization of dialysis (peritoneal vs hemodialysis) and associated complications, genitourinary dysfunction symptoms (neurogenic bladder, incontinence, BPH, UTIs, stones, hematuria. Understand the indications for kidney transplant, the necessary components of pre-transplant evaluation and workup. Understand PRA, DSA & KDPI. Understand different types of donors including living donor, PHS increased risk, DCD. Understand the indications, contraindications, complications, risks, benefits and techniques for kidney transplant. Understand the expected postoperative course for a living donor kidney transplant and deceased donor kidney transplant recipient. Understand kidney transplant recipient & donor pathways. Display ability to manage slow graft function & delayed graft function. Manage hypertension, diabetes, hyperkalemia. Formulate a differential diagnosis based on history, physical exam and diagnostic evaluations for postoperative complications in the kidney transplant population. Understand management of immunosuppression and infection prophylaxis. Liver transplant Understand the etiology of liver disease and prior treatment, MELD score, symptoms of liver disease including hepatic encephalopathy, jaundice, ascites, GI bleeding, secondary bacterial peritonitis, secondary organ damage including hepatorenal syndrome, portopulmonary hypertension, hepatopulmonary syndrome Understand the indications for liver transplant, the necessary components of pre-transplant evaluation and workup. Understand MELD scoring & common complications of cirrhosis. Understand different types of donors including living donor, PHS increased risk, DCD. Understand the indications, contraindications, complications, risks, benefits and techniques for liver transplant. Understand the expected postoperative course for a living donor liver transplant and deceased donor liver transplant recipient. Understand liver transplant recipient & donor pathways. Manage acute postoperative bleeding post liver transplant. Understand indications for ICU vs floor management following surgery. Formulate a differential diagnosis based on history, physical exam and diagnostic evaluations for postoperative complications in the liver transplant population. Understand management of immunosuppression and infection prophylaxis. Demonstrate knowledge of postoperative management including fluid management, electrolyte disturbances, postoperative bleeding, airway management (ventilator), pulmonary function, management of postoperative infection, fever workup, and postoperative nutrition. Understand the surgical anatomy, steps, and potential intraoperative complications, including first/ second assist in each of the following transplant surgeries: Kidney transplant recipient, Laparoscopic donor nephrectomy, Liver transplant recipient, Living donor hepatectomy, Organ procurement, Dialysis access surgery (arteriovenous fistula/graft, peritoneal dialysis catheter) Demonstrate the following procedural skills: JP drain removal, bedside skin suturing, hemodialysis catheter removal, central line placement etc. Responsibilities: In addition to standard APP duties, responsibilities include performing comprehensive assessments, formulating management plans, ordering/interpreting diagnostic tests, performing invasive bedside procedures (such as arterial lines, central lines, chest tubes, and intubations), and participating in daily multidisciplinary rounds, management of patients transferred to the floor. Team Support: APPs in the SICU work closely with critical care physicians and surgical teams to ensure continuity of care and contribute to teaching residents, fellows, and nursing staff. Professional Growth: Opportunities to participate in quality improvement projects, protocol development, and research initiatives. Ongoing education, simulation training, and support for advanced certifications are provided to enhance clinical expertise. Job Profile Summary A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. These roles focus on providing high-quality patient care and promoting wellness. APCs work collaboratively with physicians and other healthcare professionals to diagnose and treat a variety of acute and chronic conditions. In addition, this role focuses on care under the supervision of licensed physicians including conducting comprehensive patient assessments, ordering and interpreting diagnostic tests, diagnosing and treating acute and chronic conditions, injuries, and illnesses, developing and implementing treatment plans in collaboration with supervising physicians, prescribing medications and performing procedures, educating patients and families on treatment options, health maintenance, and preventive care and adjusting treatment plans as necessary. Job Overview This Physician Assistant - Critical Care position is responsible, within the legal limitations, for assisting the physician staff of the Department in the provision of medical services to patients. The position performs complete, detailed and accurate initial evaluations including medical histories, reviews patient records to develop comprehensive medical status reports, and order laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender, and physical condition of the patient. Assumes responsibility to coordinate treatment plans, monitors progress, refers patient as necessary to appropriate sources for care under the direction of the supervising physician. The position understands the philosophy, objectives, policies and procedures of Nursing Service and provides for their implementation. Works cooperatively within department and other services to create a system of quality health care.