Physician Assistant-Trauma

Position Purpose

The Physician Assistant (PA) performs the functions of examining, planning and implementing the health care of assigned patients under a licensed physician's supervision and direction. The PA secures patient histories, performs physical examinations, orders laboratory tests, develops and implements treatment plans, performs diagnostic and treatment procedures, records findings, and provides patient education and counseling to enhance our effectiveness in providing routine therapeutic health care.

Nature and Scope

The Physician Assistant (PA) may perform the following functions:

Shift 7AM to 7PM

1. Night PA will carry pager and evaluate trauma greens patients as directed by Trauma Physician.
2. Pre-specified Trauma Greens Activations to be seen by PA within 30 mins. of arrival
3. Transfers
4. Following PT. evaluation, the PA will communicate with Trauma Physician
5. Primary activations:
6. Evaluation and admission of Trauma Consult as directed by the Trauma Surgeon
7. Bedside procedures under the guidance and at the discretion of the Trauma Surgeon
8. Following Pt. evaluation PA will communicate with Trauma Physician
9. Attend Trauma Red and Yellow activations along with the Trauma Physician
10. PA to place admitting orders/completed problem list and H&P directed by Trauma Physician
11. Assist trauma surgeon with follow up labs and imaging studies. Including Tegs
12. PA to facilitate workup process of trauma pts.
13. Assist trauma surgeon with notification and care plan of consultants.
14. Communicate with ER Trauma physician concerning evaluation and disposition for trauma PTs
15. Provide assistance intra-op for trauma pts requiring surgery. Complete Post Op orders
16. Evaluation of pts in the ICU as directed by the Trauma Physician or Critical care physician.
17. Orders/intervention/procedures only at the approval of the Trauma Physician.
18. Coverage of calls from floors
19. Focused on pts with potential for decompensation as highlighted by the Day shift PA sign out.
20. Respond to appropriate floor calls in person.
21. Facilitate early discharge and transfer of floor patients.
22. Completed an ICU resuscitation note, on all new trauma admits being resuscitated.

KNOWLEDGE, SKILLS & ABILITIES:

1. Adopts a philosophy consistent with the Renown Health Purpose Statement and models "Standards of Conduct" concepts.
2. Effective communication skills - written and verbal.
3. Ability to establish positive working relations with Provider Staff.
4. Work efficiently and cooperatively in a multi-physician/provider office setting.
5. Work as part of a team toward clinic goals.
6. Maintains accurate, legible, and confidential records.
7. Actively participate in quality assurance, peer review programs, and health care outcome evaluations.
8. Direct nursing and/or medical assistant duties consistent with clinic protocols.
9. Ensures the highest quality of care requiring a code of ethical practice, evidence of continuing professional development, and maintenance of clinical skills.
10. Patient advocate through ethical and legal standards.
11. Combines the roles of provider, mentor, educator, researcher, manager, and consultant, as applicable.
12. Interprets the role of the nurse practitioner to individuals, families, and other professionals.
13. Works efficiently, cooperatively, and autonomously in long-term and acute care facilities, as applicable
14. The Physician Assistant shall at all times comply with the provisions of NRS 630 and Regulations of the Nevada State Board of Medicine
15. The Supervising physician is responsible for the action of the Physician Assistant at all times.
16. Will attain sufficient knowledge in the specialty and assure appropriate on-going education, such as knowledge of all core educational programs, as applicable.
17. Attend and participate in departmental and Renown Health meetings consistently.

SUPERVISION :

1. All entries in the medical record (with the exception of the Discharge Summary) as permitted under Nature and Scope, or in the specific Appendix, must be co-signed by the supervising physician within the next calendar day. The Discharge Summary must be co-signed by the supervising physician in the time frame specified by the Medical Staff Rules and Regulations.
2. Patient rounds made by a PA shall not be considered as fulfilling requirements for Medical Staff member daily patient rounds.
3. The Physician Assistant must at all times comply with the provisions of Nevada Revised Statue and other regulations that set forth the practice of a Physician Assistant in the State of Nevada.
4. The supervising physician(s) is/are responsible for the actions of the Physician Assistant at all times.

The first 20 charts will be reviewed by the Department Chief or his designee for compliance with this Scope of Practice, hospital policies and the community standard of care.

This position does provide patient care.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications
Requirements - Required and/or Preferred

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing, and speaking English. Graduate of an accredited physician assistant program is required. Baccalaureate Degree is preferred. PA will have or complete first assist certificate training within the first year of employment.

Experience:

Two years' experience as physician assistant.

License(s):

Ability to obtain and maintain a State of Nevada Physician's Assistant license. Controlled substance License to Prescribe issued by the State of Nevada Required, and Controlled Substance Registration Certificate issued by the DEA.

Certification(s):

Board Certification issued by the National Commission on Certification of Physician Assistants (NCCPA) required at time of hire OR maintenance of the NCCPA Board Certification shall align with the Nevada State Board of Medical Examiners' requirements for an active/unrestricted State of Nevada Physician's Assistant license.

Basic Life Support (BLS) AND Advanced Cardiac Life Support (ACLS) required. Prefer American Heart Association (AHA) approved certification, but will accept online certification from American Red Cross Training Services, Advanced Medical Certification, or ACLS Certification Institute.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Ability to Credential through Renown's Medical Staff and/or Payor Credentialing, as applicable.