Spine Neurosurgery PA IV — Lead Clinician & First Assist

PHYSICIAN ASSISTANT IV - FULL TIME-SPINE -NEUROSURGERY Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient through preventative healthcare and guidance. May provide care in both the hospital and outpatient setting. May include weekends and shift work. Includes surgical first assist responsibilities.

1. Regular, consistent, on-site, and timely attendance.
2. Ensures the assessment of the patient and the direct and indirect care of the patient is delivered in accordance with all appropriate licensing boards, hospital policies, procedures, and all other professional standards.

a. Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient. b. Performs systematic physical exam and history of present illness. c. Documents assessment data, history of present illness and physical findings as appropriate in the medical record within established time frame. d. Involves patient and family and other healthcare providers when appropriate directed by individual physician practice. e. Prescribes appropriate medications based on the patient's condition per state prescriptive authority guidelines and the Excela Health Allied Health Committee directed by individual physician practice. 3. Demonstrates leadership by utilizing the behaviors inherent to the practice of a professional physician assistant. a. Solves problems utilizing critical thinking skills and seeks assistance from supervising physician as appropriate b. Maintains accountability for actions taken c. Effectively functions as a resource person d. Functions as a patient advocate e. Performs effectively in the role of preceptor for new employees f. Assists in maintaining/decreasing organizational costs. g. Completes competencies required annually. 4. Assists in the department's compliance with state, JCAHO, OSHA and other regulatory agencies a. Assists in the preparation for surveys/inspections b. Participates in the non-punitive medication reporting system. c. Ensures accountability for narcotics per regulatory requirements. d. Participates in health system/office fire, safety, utility, hazard, and disaster drills. 5. Provides for patient safety in compliance with nursing, hospital, and physician practice guidelines and policies. a. Utilizes two forms of patient identification before implementing any form of patient care b. Assumes appropriate code team role during emergency situations c. Responds effectively during emergency situations d. Assists in maintaining a safe and clean environment for patients, visitors and staff e. Adheres to infection control processes, including standard precautions to reduce the risk of acquiring or transmitting infections. f. Practices the National Patient Safety Goals. 6. Participates in unit performance activities designed to enhance the quality of patient care and customer service a. Identifies initiatives to improve patient outcomes, satisfaction, or effectiveness. b. Assists in chart reviews/audits as needed for performance improvement data collection. c. Supports initiatives implemented to improve patient outcomes and/or office efficiencies. 7. Manages the physical and psychological problems of the patient. a. Identifies normal and abnormal findings. b. Implements a plan of treatment and reassesses as needed directed by individual physician practice. c. Evaluates the physical and emotional responses to medications and treatments. d. Prescribes immunization per recommended schedules directed by individual physician practice. e. Seeks appropriate consultation with others of the healthcare team. 8. Communicates effectively with physician supervisor and other healthcare providers to achieve desired outcomes and assures a continuous flow of patient care. a. Initiates and maintains problem list and medication lists. b. Assesses and facilitates consultation when indicated. c. Directs patients to appropriate level of care and communicates all pertinent information in a timely organized manner. d. Assists in identifying and utilizing resources and or social agencies for further treatment or rehabilitation. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)” 1. Performs procedures, assists in surgery, and provides care to the surgical patient as per established guidelines. a. Positions patients and assists surgeon in the operating room. b. Preps and drapes the patient as per established guidelines. c. Assists in surgery by performing tasks defined by the surgeon. d. Assists and maintains sterile techniques through procedures. e. Per supervising physician's direction performs skin closures as directed. f. Monitors patients until clinically stable unless requested by the surgeon to perform other duties. g. Performs suture removal, and dressing changes as per supervising physician's directions. h. Be available for call from home to assist in emergency surgeries. 2. Directs and provides appropriate Pre and Post-operative care. a. Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. b. Provides preoperative teaching to patients and or families. c. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. d. Orders appropriate testing per established guidelines and as outlined by supervising physician. e. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. f. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. g. Prepares for and develops discharge planning in conjunction with supervising physician. h. Dictates discharge summaries timely and appropriate. i. Provides counseling and instruction to patients and or families as appropriate. 3. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. a. Assumes appropriate code team role during emergency situations and responds effectively. b. Facilitates timely treatment of abnormal labs or other relevant findings. c. Develops workflow patterns to facilitate patient transfers or discharges. d. Participates in outcome management and Press Ganey scores. 4. In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment. a. Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary b. Adjusts medication as indicated c. Provides patient/family education regarding medication, rationale for use and possible side effects 5. Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care. a. Alerts the treatment team to any significant changes in the patient's status b. Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate c. Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician 6. Documents in the medical record. a. Records patient's current mental status b. Documents all screenings and assessments performed c. Records medication changes, prescriptions written and samples provided d. Documents patient's complaints, concerns and questions as appropriate e. Documents any/all telephone contact with patients, families, pharmacists or physicians f. Records beginning and end times of each session g. Signs and dates all documentation 7. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant. a. Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Maintains accountability for actions taken c. Effectively functions as a resource person d. Acts as a patient advocate e. Performs effectively in the role of preceptor/mentor to new hire/students 8. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes and satisfaction b. Assists in chart review/audits as needed for performance improvement data collection c. Supports initiatives implemented to improve patient outcomes and or efficiencies 9. Provides for patient safety in compliance with hospital and or physician practice policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections b. Utilizes two forms of patient identification before implementing any form of patient care c. Practices the National Patient Safety Goals

• Related training/experience (preferably within the past five years)
• One-year medical/surgical experience

Qualifications Skills Required BASIC OFFICE/COMPUTERS Expert EXCELLENT COMMUNICATION Expert ORAL/WRITTEN COMMUNICATIO Expert DECISION MAKING ABILITY Expert FLEXIBILITY Expert INDEPENDENT THINKING Expert LEADERSHIP Expert ABILITY TO MULTI-TASK Expert ORGANIZATIONAL SKILLS Expert SOUND JUDGMENT Expert WORK IN TEAM ENVIRONMENT Expert TIME MANAGEMENT Expert Education Required Masters or better in PHYSICIAN ASSISTANT. Licenses & Certifications Required DEA

NAT COMM CERT PHY ASSIST

PHYSICIANS ASSISTANT

BASIC LIFE SUPPORT

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Independence Health System