Physician Assistant - Cardiology
US Department of Veterans Affairs
Physician Assistant Cardiology
The PA Cardiology promotes self-care and collaborates with patients to establish realistic health goals throughout the peri-procedural continuum. In addition to providing direct patient care, the PA provides patient and family teaching, staff education, andconsults and collaborates with other health care providers; participates in cardiovascular research; prescribes medications and adjunctive modalities; and refers patients as needed Major duties include, but are not limited to:
- Coordinate and supervise the delivery of complex outpatient and inpatient care for interventional and invasive cardiology patients, including pre-procedural evaluation and risk stratification; order, schedule, and/or perform diagnostic and therapeutic procedures such as EKGs, pharmacologic stress tests, and cardioversions; patient scheduling; and telephone triage for cardiac and post-catheterization issues.
- Serve as a Cardiology provider for a panel of clinic patients, including pre-catheterization and post-catheterization follow-up visits.
- Conduct comprehensive pre-procedural assessments, including review of coagulation status, renal function, allergies, and vascular access planning for patients scheduled for cardiac catheterization, PCI, or structural interventions.
- Manage vascular access site care and monitor for peri-procedural and postprocedural complications, including bleeding, hematoma, pseudoaneurysm, retroperitoneal hemorrhage, and contrast-induced nephropathy.
- Help triage interfacility consults to the cardiology service; integrate research findings and practice changes based on evidence-based guidelines, including AHA, ACC, and SCAI practice statements and other scientific inquiry.
- Participate in research activities as identified within the Cardiology Section, including registries related to cardiac catheterization and interventional outcomes (e.g., CathPCI Registry).
- Participate in the implementation of clinical practice guidelines used within the Cardiology section and service line for the hospital, including anticoagulation and antiplatelet management protocols for post-PCI patients.
- Perform new patient consultations, return visits, and telephone follow-up visits for pre- and post-catheterization patients, and collaborate with Cardiology and Cath Lab staff. Establish a comprehensive plan of care based on clinical findings and current interventional cardiac care guidelines and standards of care. Establish mutual goals with patient/family.
- Prescribe medications, including antiplatelet and anticoagulant therapy, based on patients' status, accepted scientific guidelines, prescriptive authority, and ongoing evaluation of therapies.
- Order and interpret diagnostic tests, including but not limited to, x-rays, EKGs, laboratory tests, stress tests, echocardiograms, and coronary angiography results. Must be able to interpret EKGs in "real time" and correlate with clinical presentation, anticipating and responding quickly and appropriately in emergency situations, including acute coronary syndrome and post-procedural complications.
- All other duties as assigned, pertaining to this occupation, to meet the needs of the Agency, Department, Facility, and/or Service.
Work Schedule: Full-Time, Monday-Friday 8:00am-4:30pm
Telework: Not available.
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized.
Permanent Change of Station (PCS): Not authorized.
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