Physician Assistant -Cardiac Surgery, Operating Room

The Cardiac Surgery Physician Assistant will provide OR inpatient care for the Cardiac Surgery service, including managing patients in the Cardiac Surgery ICU, stepdown unit, and serving as the initial point of contact for all inpatient consultations. Responsibilities include performing assessments, coordinating daily patient care with attending surgeons, and providing coverage for the office‑based PA staff. The role is entirely non‑operative, and no OR responsibilities are included. The Physician Assistant plays a central role in supporting all non‑OR aspects of patient care. Job Overview The Physician Assistant – Cardiac Surgery position is responsible, within the legal limitations, for assisting the physician staff of the Department in the provision of medical services to patients. The position performs complete, detailed and accurate initial evaluations including medical histories, reviews patient records to develop comprehensive medical status reports, and orders laboratory, radiological and diagnostic studies appropriate for complaint, age, race, gender, and physical condition of the patient. Assumes responsibility to coordinate treatment plans, monitors progress, refers patient as necessary to appropriate sources for care under the direction of the supervising physician. The position understands the philosophy, objectives, policies and procedures of Nursing Service and provides for their implementation. Works cooperatively within department and other services to create a system of quality health care. Duties and Responsibilities Manages a broad spectrum of patients and performs a wide range of clinical, diagnostic and therapeutic procedures. In collaboration with the healthcare team, assesses the health status of patients by obtaining complete and thorough medical histories and performing physical examinations, laboratory and diagnostic studies. Diagnose health and developmental problems and care for patients suffering from acute and chronic diseases. Assesses patient/family psychosocial needs, educational needs, learning readiness, and barriers to learning during admission process. Examines patients, records, and discriminates between normal and abnormal findings to recognize early stages of a serious physical or emotional problem. Consult with physician concerning patient evaluation and condition. Develops an effective, comprehensive plan of care individualized to the age and needs of each patient using established standards of care, knowledge of disease entities, and human growth and development and emotional, social and spiritual needs and following hospital standards. Communicates professionally with patient/family, other practitioners, physicians, and co-workers. Sets priorities and modifies patient care in response to changing situations. Demonstrates judgment in consulting MD regarding all patient encounters. May triage and refer to appropriate source when primary care patients present with new symptoms. Orders appropriate labs and radiological testing based on assessment of needs. Maintains required records, reports and statistics. Maintains accurate patient records, charts and documentation for administrative purposes. Demonstrates appropriateness of prescribing habits (i.e. agents, volume, and refill). Encourages preventative medicine through patient education and counseling. Recognizes that patient and family teaching are an integral part of the role and follows through on teaching that has been initiated with appropriate documentation. Interpret patient needs to other clinical personnel participating in the care through direct communication and input into care plans. Works collaboratively with physician to manage care of patients in a cost‑effective manner. Utilize appropriate resources across the system including nursing interventions. Utilize organizational skills to complete assigned work effectively and on time. May orient and train new Physician Assistants, coordinate staff schedules, assist with performance evaluations, and provide guidance on effective team building. May participate in rounds with residents, completes daily patient management assignments and assists with patient care and disposition. Handles medical emergencies during regular working hours on the inpatient service. Minimum Qualifications Bachelor’s degree. Successful completion of a Physician’s Assistant program. Physician’s Assistance Licensure within the first three months following the receipt of a complete application for medical staff membership and privilege. Physician’s Assistant Certification. Basic Life Support (BLS) certification. Preferred Qualifications State and federal controlled substances registration. Physical Requirements Lifting and turning patients of 30-35 lbs. Prolonged standing and walking. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. Exposure to infectious disease and possible carcinogenic chemicals and blood‑borne pathogens. Requires manual dexterity using fine hand manipulations for performing procedures and computer keyboard. Requires ability to see computer screen, reports, and perform assistance in procedures with accuracy. Requires ability to hear instructions from physician. Skills & Abilities Ability to assess the needs of patients of all different age groups and to provide care appropriately. Effective Interpersonal skills needed for interacting with physicians, staff, patients and their families, and so forth. Excellent analytical skills needed for evaluating patients and coordinating treatment plans. Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician. Pay Range: $141,440.00 - $176,800.00 #J-18808-Ljbffr Tufts Medical Center, Inc.