Per diem Physician Assistant

Job Description Under the supervision of a licensed physician, evaluates and treats patients having medical and/or surgical problems. Performs routine history and physical examinations; performs and/or interprets diagnostic tests and/or procedures in conjunction with physicians. Delivers direct patient care. Responsibilities Under the supervision of the licensed physician, performs complete patient history and physical examinations; orders laboratory tests and X-rays; performs and/or interprets laboratory and test results and initiates treatment; may perform routine or emergency procedures including but not limited to irrigation and suturing of wounds or incisions, drainage of abscesses, insertion of nasogastric tubes and intravenous line, sampling of arterial blood, etc.; writes appropriately authorized prescriptions; may prescribe controlled substance under appropriate physician countersignature. The Line Service function will be to receive consults for central or midline catheters, as well as dialysis catheter for the entire hospital. Place lines with ultrasound guidance. Appropriately document procedures. Check placement on follow up films. Keep careful log of all cases of Central lines for insertion and timely removal, as well as complications. Assist with SICU coverage/rounding, including patient care, writing daily orders and transport of ICU patients. Help and work with new fellows, residents and students. Trainer at Sim Center for Line insertion. Teach line placement. PA Coordinator for the ASSET course and future courses. May assist in the operating room and bedside with surgical procedures at the discretion of the Director of Service. Integral part of overall nosocomial reduction, including CLABSI, CAUTIS and SSI. This includes daily involvement in Quality Improvement projects with documentation and charting. Other related duties include working on Colon Bundle, removal of Foleys and removal of lines on a timely fashion. Evaluation of line sites, use of VACC machines, Biogram evaluation in conjunction with antibiotic stewardship. May initiate or participate in initial management and stabilization of patients with multiple trauma or cardiopulmonary arrest under general supervision of the physician in charge under specific emergent circumstances. Performs daily patient rounds. Confers with attending physicians, residents, nursing staff, etc., to ensure delivery of optimum quality of patient care. Confers regularly with co-workers to keep them apprised of clinical developments, patient concerns, etc. May participate in special projects as assigned. May prepare QA data for review. Performs other duties pursuant to clinical responsibility such as arranging follow-up for patients, recalling patients for further evaluation and treatment, escorting patients when necessary to other areas of the hospital, etc. Informs patients of necessary post‑discharged instructions as required. Upon discharge, may note discharge summaries, prescriptions, and referrals on patient charts. Completes and documents continuing medical education required of physician assistants in order to meet requirements for certification including assigned lectures and conferences. In specific departments, may act as first assistant in operating area as needed. May perform pre‑operative and postoperative evaluation and render related medical care as necessary. Performs related duties as required professionally or at the request of the supervising physician and/or the Director of Service. Administrative duties that include but not limited to daily volume and quality indicators, morbidity and mortality documentation, and development of Performance Improvement conferences. An integral part of our ACGME SICU Fellowship program. Requirements Completion of NYS approved program for training of physician or specialist assistants to acquire knowledge of anatomy, physiology and clinical patient care, usually via Bachelor of Science program/degree in closely related field. Certain education/training may be accepted by NYS in lieu of these requirements (nurse, etc.). High level of analytical ability required effectively and expeditiously diagnosing and treating medical/surgical problems under the direction of physician. High degree of responsibility required for daily contacts with patients and their families. Manual dexterity required for adept manipulation of surgical instruments and handling of medical equipment; physical strength necessary for lifting and proper handling and positioning of patients. Registration required with New York State as Physician Assistant. Certification with National Commission on Certification of Physician Assistants (or equivalent organization) preferred; mandatory for Physician Assistant. Certification may require with American Heart Association or like organization in some areas as providers of Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS). The Mount Sinai Health System (MSHS) provides equal employment opportunity to all its employees and applicants for employment without unlawful discrimination on the basis of their actual or perceived race, creed, color, religion, national origin, sex, gender, gender expression, gender identity, age, disability, marital or parental status, sexual orientation, veteran, immigration, citizenship, or other protected status. EOE including Veterans and Disabled. #J-18808-Ljbffr