Physician Assistant-QHC-14100-014

Mount Sinai Health System•New York, NY

11h•$73 - $97

About The Position

The Physician Assistant provides direct clinical care 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 assesses and treats patients, documents encounters, orders and reviews diagnostic tests and treatments, and coordinates care with physicians and nursing staff. The role includes procedures under general or direct supervision, as well as participation in emergency care, continuing education, and the administrative and academic activities of the ED.

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 handle daily contacts with patients and their families with a high degree of responsibility.
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 histories and physical examinations and formulate diagnostic and treatment plans.
Document patient encounters in the medical record, including relevant history of present illness and 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.
Write orders for diagnostic tests, medications, consultations, immunizations, and clinic referrals.
Review, interpret, and document results of ordered diagnostic tests.
Confer with the supervising Attending Physician and nursing staff to support quality patient care and communicate clinical developments and patient concerns.
Write prescriptions in accordance with hospital guidelines.
Counsel patients on health education and disease prevention when appropriate.
Present all cases to the supervising Attending Physician.
Discuss all consultation referrals with the supervising Attending Physician and obtain 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 and academic duties as required or requested by the supervising Attending Physician, Director of Service, or Chief Physician Assistant.
Under general supervision, perform venipuncture, initiate IV fluids, order routine x-rays and laboratory studies, order medications in accordance with hospital guidelines, perform urinary bladder catheterization and nasogastric tube insertion, reduce dislocations, splint orthopedic injuries, perform arterial puncture for blood gas determination, perform minor surgical procedures, and initiate 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.