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Cardiothoracic Surgery Physician Assistant

Cardiothoracic Surgery Physician Assistant

Texas Health Huguley FWSTampa, FL, United States
30+ days ago
Job type
  • Full-time
Job description

Job Description

Cardiothoracic Surgery Physician Assistant (25022256)

Description

All the benefits and perks you need for you and your family :

  • Rollover PDO with service year increases in accrual
  • Company Discount Programs
  • Growing Organization

Our promise to you :

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Location : 3000 MEDICAL PARK DR, Tampa, 33613

The community you’ll be caring for : AdventHealth Medical Group Zephyrhills & Dade City

The role you’ll contribute :

Evaluates, diagnoses, treats, and manages a wide range of medical conditions. Prescribes medications, develops patient treatment options, interprets and verifies test results, and collaborates with other healthcare providers for continued education to ensure comprehensive and coordinated patient care. Provides medical care to patients under the supervision of a physician. Conducts physical examinations, orders and interprets diagnostic tests. Works closely with physicians to develop and implement treatment plans for patients. Educate patients and their families about healthcare issues, disease management, and preventive care.

The value you’ll bring to the team :

Principal Duties and Job Responsibilities

  • Participation in daily inpatient rounding by taking patient history, conducting physical exam, reviewing laboratory and diagnostic data, performing medication reconciliation, procedures, and computer order entry as appropriate. Participation in daily multidisciplinary round by contributing specific surgical perspective and promoting integrated comprehensive patient care
  • Active team participant in mentoring and educating other team members
  • Inpatient consultation and admission at the direction of the collaborating physician.
  • Documentation of all patient encounters by computerized progress notes, brief operative note, procedural notes or admission / consultation / discharge summary dictation
  • Pre-operative patient evaluation and medical optimization
  • Evaluates and treats patients with acute, chronic, and surgical concerns which include the following :

  • Admission / consultation of patients at the direction of the collaborating physician
  • Conduct medical history; performance of physical examination
  • Collection, interpretation & recording of diagnostic clinical laboratory data
  • Ordering, specimen collection & interpretation of all relevant laboratory / microbiological tests
  • Ordering & interpretation of all relevant radiologic / US / MRI / NM studies
  • Ordering, performance & interrelation of cardiac diagnostic testing
  • Diagnosis of acute and chronic conditions affecting all organ systems
  • Development of treatment plans
  • Ordering medications
  • Address the pharmacologic needs of patients by CPOE / written / oral methods
  • Dispense & Administration of medications
  • Performance medication reconciliation
  • Formulating interventions and performing therapeutic measures to ensure the appropriate individualized plan of care is implemented.
  • Applying knowledge of age specific needs, (pediatric, adolescents, adult and geriatric) to plan of care interventions and patients' responses to care
  • Ordering / renewal of restraints
  • Performance of rounds & recording of computerized written and / or dictated documentation of all patient encounters by computerized progress notes, brief operative note, procedural notes or admission / consultation / discharge summary dictation
  • Pre-operative patient evaluation and medical optimization
  • Post-operative patient ICU and floor management
  • Coordinating information flow among medical, ancillary, nursing, financial and insurance personnel
  • Facilitate and direct BLS / ACLS measures as necessary
  • Participation in Clinical & multidisciplinary rounds by contributing specific surgical perspective & promoting integrated comprehensive patient care, & assisting with discharge planning
  • Provide relevant patient education and counseling regarding health status / test results / disease process & discharge planning
  • Address patient psychosocial needs by assessing patient's functional status & evaluating patient's mental status by Consultation / Referral to other health professionals & community agencies
  • Assessing clinical factors including, but not limited to, immunosuppression complications, drug toxicity, infections complications and risk rejection
  • Coordinating care of recipient and / or living donor as needed
  • Communicating frequently with referring physicians regarding the patient's status
  • Perform any other clinical responsibility within the PA's level of training and scope of practice
  • Assist the collaborating physician in any intervention in the interest of patient care / safety
  • Functions fully within the Outpatient and Inpatient setting
  • Providing on-call coverage for medical triage for outpatients in collaboration with the physician on-call
  • Perform First / Second Surgical Assist duties within the OR setting and / or at bedside as program and surgeon direct which may include but is not limited to :

  • First & 2nd Operative assistant on cardiothoracic surgical and transplant patients
  • Assist with Heart Transplantation, Lung Transplantation & Ventricular Assist Device surgeries
  • Assist with Cardiothoracic Surgery including CABG, Valve Repair and Replacement, Aortic Procedures, Thoracotomy, Lung Resections, and Central / Peripheral Vascular repair.
  • Conduit Harvest, including greater and lesser saphenous veins and radial artery o Sternotomy & Sternal closure o
  • ECMO initiation / weaning and cannulation / decannulation techniques
  • Obtainment of informed consent for procedures performed by the PA
  • Insertion of percutaneous / open chest tubes, arterial lines & femoral / axillary IABP, Fem / SC / IJ Central venous access, PA catheter placement, transvenous pacer wires, and dialysis catheters
  • Documenting, coding and completing diagnosis of patient's condition to facilitate appropriate insurance reimbursement.
  • Post-operative patient ICU and floor management
  • Call requirements will be rotational to include a 24-hour / 7-day coverage system. Out-Of-House SICU & Floor call responsibilities, Donor call organ assessment & OR call responsibilities
  • Attends and participates in transplant team meetings including Patient Review Committee, hospital interdisciplinary rounds, discharge planning and QAPI. Communicates with the transplant team in a professional and effective manner. Participation in database & clinical research
  • Participation in clinical research & actively participates in regulatory-related data collection and surveys agencies including but not limited to :

  • Oversight and participation of regulated data reporting for regulatory agencies i.e. DNV, United Network for Organ Sharing (UNOS), Centers for Medicare and Medicaid Services (CMS), and Interagency Registry for Mechanically Assisted Circulatory Support (INTRAMACS).
  • Maintaining a current understanding of changes in respect to accrediting bodies
  • Participating in preparation for regulatory surveys, such as UNOS, Medicare, and DNV
  • Serving as an expert resource and point-of-contact on clinical and protocol-related issues
  • Participating in the preparation of action plans in response to recommendations for improvement and deficiencies identified by regulatory agencies
  • Participating in mock surveys and self-assessments, focusing on continual readiness
  • Providing in-service and continuing education for staff within the scope of the Transplant Program
  • Performs additional miscellaneous duties and responsibilities as may be assigned from time to time by Assistant Director or physician team.
  • Qualifications

    The expertise and experiences you’ll need to succeed :

    Education and Experience Required

  • 2+ years experience
  • Graduate of a physician assistant program approved by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)
  • 2+ post-graduation clinical experience or one-year post-graduate surgical residency training experience Required
  • 1+ cardiothoracic specialty specific experience Required
  • Pre-Operative, Intra-Operative, Post-operative Surgical patient care experience Required
  • Critical care experience Required
  • Licensure, Certification or Registration Required

  • National Commission of Certification of PA's Required
  • Advanced Cardiac Life Support Cert (ACLS)
  • #J-18808-Ljbffr

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