PA-C CARDIOLOGY | Moses Lake

Job Description
Job Description
Overview
Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.
Position Reports To: Practice Manager
Responsibilities
* Outpatient Practice Duties
* Staff outpatient office clinic in Wenatchee
* Staff outpatient office clinic in satellite locations (either Moses Lake or Omak)
* 1-4 days per month
* Provide comprehensive history and physical examinations on new cardiology patients
* Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery
* Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure
* Provide post-operative evaluation (i.e after cardiac operations/procedures)
* Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc
* Evaluate cardiac patient's medical history, physical exam findings and diagnostic/laboratory data
* Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist
* Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission
* Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease
* Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic)
* Act as preceptor for physician assistant/nurse practitioner students
* Actively recruit patients for cardiology-oriented research studies
* Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc
* Educate Cardiac Rehab participants on cardiovascular disease and prevention
* Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed
* Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible
* Inpatient Practice Duties
* Staff hospital services as assigned, 4-10-hour shift rotation, including weekends
* Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions
* Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc
* Perform cardiac patient's medical history, physical exam findings, and evaluate diagnostic/ laboratory data
* Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED
* Generate daily progress notes to be used as shared-visits with on-call cardiologist
* Notify on-call cardiologist of any change in patient condition
* Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist
* Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients
* Admit and perform History and Physical on Antiarrhythmic therapy patients
* Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician
* Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate
* Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis
* Assist on-call cardiologist with triage of patients consults and needs
* Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff
* Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist
* Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700
* Assist in ACLS/BLS codes, as directed by supervising physician(s)
* Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations
* Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s)
* Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s)
* Stress Testing Practice Duties
* Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers
* Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing
* Possess knowledge/competency of appropriate contraindications, risk assessment of testing
* Possess knowledge/competency of BLS/ACLS on an annual basis
* Possess knowledge/competency of Cardiovascular and Exercise Physiology
* Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols
* Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise
* Other duties as assigned
Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications
Required:
* Active Physician Assistant licensure with prescriptive authority in the state of Washington, required by start date.
* CPR/ACLS Certification.
Desired:
* Related experience.
* Cardiology Specialty Certification.