PA/NP Thoracic surgery

SSH South Shore Hospital, Inc.; United States; On-site; USD 133,000 - 254,000; Full time

Job summary

South Shore Health is seeking a Physician Assistant for Thoracic Surgery to evaluate, treat, and manage patients with surgical and thoracic conditions under the medical direction of the MD Chair and APC leadership. The role emphasizes collaboration with Attending Thoracic Surgeons across the continuum of care in a surgical hospital setting.

The PA will participate in comprehensive patient care as a physician extender, including clinic, floor, and operating room duties, with a focus on

Qualifications

• Graduate of an accredited Physician Assistant Program.
• Prefer two or more years of practice.
• PA license required. Licenses, certifications, and classes will be monitored by the Medical Staff Services Department.

Responsibilities

• Obtain comprehensive histories and present all new patients to the appropriate attending physician.
• Oversee and participate in preparing patients scheduled for surgery, including preoperative evaluation and orders.
• Take clinic calls and document communications in the medical record.
• Perform physical examinations, prescribe medications, and perform procedures.
• Assist in the operating room as first or second assistant.
• Discharge planning, dictate discharge summaries, and write orders.

Skills

Patient care

Clinical assessment

Preoperative evaluation

Education

Graduate of an accredited Physician Assistant Program

Job description

Requisition Number: R-24149 Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH APC PB BWH Status: Full time Budgeted Hours: 40 Shift: Day (United States of America)

Job Description

Under the medical direction of the MD Chair of thoracic Surgery as well as the Executive Director of APCs, the PA will evaluate, treat and manage patients with surgical/thoracic conditions. The nature and scope of practice of the Physician Assistant in Thoracic Surgery is to assess, diagnose and treat health problems of patients across the continuum of care, in collaboration with the Attending Thoracic Surgeons. Physician Assistants in the Division of Thoracic Surgery will participate in the comprehensive care of patients in the role of physician extenders.

Compensation Pay Range: $132,620.80 - $254,498.24

Under the medical direction of the MD Chair of Thoracic Surgery and the Executive Director of APCs, the PA will evaluate, treat, and manage patients with surgical and thoracic conditions. The nature and scope of practice of the Physician Assistant in Thoracic Surgery is to assess, diagnose, and treat health problems across the continuum of care in collaboration with the Attending Thoracic Surgeons. Physician Assistants in the Division of Thoracic Surgery will participate in the comprehensive care of patients in the role of physician extenders.

BASIC PURPOSE OF THE JOB

The nature and scope of practice of the Physician Assistant in Thoracic Surgery is to assess, diagnose, and treat health problems across the continuum of care in collaboration with the Attending Thoracic Surgeons. Physician Assistants in the Division of Thoracic Surgery will participate in the comprehensive care of patients in the role of physician extenders.

CONTACTS AND COMPETENCIES

Please select the Contacts and Competency category that best describes this position: Category C.

Competency in this position is dependent upon the patient population, as the role provides patient care and services.

This position requires knowledge of disease processes and diagnosis.

Examples include nurses, clinical managers, pharmacists, imaging positions, CNSs and ACCs, clinical dietitians, and respiratory therapists.

CONTACTS

Patient Contact: Yes Age of Patients: Adolescents 13–18 years; Adults 19–70 years; Geriatrics 70+ years.

JOB REQUIREMENTS

• Minimum Education – Preferred: Graduate of an accredited Physician Assistant Program.
• Minimum Work Experience: Prefer two or more years of practice.
• Required Licenses / Registrations: PA – Physician Assistant. This position is a licensed independent practitioner credentialed through the Medical Staff Services Office.
• Required Additional Knowledge and Abilities: PA license required. Licenses, certifications, and classes will be monitored by the Medical Staff Services Department.

ESSENTIAL FUNCTIONS

1 – CLINIC

• a. Obtain comprehensive histories from patients and present all new patients to the appropriate attending physician.
• b. Oversee and participate in preparing patients scheduled for surgery, including ordering and obtaining radiology and laboratory studies, reviewing results, discussing concerns with attending physicians, and completing all aspects of preoperative evaluation not otherwise specified.
• c. Take clinic phone calls from patients, VNAs, etc., and address issues with input from attending physicians as needed. All phone calls will be documented in the medical record.
• d. Perform physical examinations, prescribe medications, and perform procedures including dressing changes, wound care, venipuncture, arterial blood gases, thoracentesis, jejunostomy tube changes, chest tube removal/insertion, and suture placement/removal.
• e. Clinics are held at South Shore Hospital and Brigham and Women’s Surgical Associates, 90 Libbey Parkway, Weymouth, MA.

2 – FLOOR

• a. Participation in rounding.
• b. Implementation of Thoracic Surgery care plans, including writing orders, transfer orders, wound care, dressing changes, chest tube removal/insertion, venipuncture/arterial blood gases, pleural sclerosis solutions, bronchoscopy, chest tube/Blake tube conversions, central and arterial line insertion/removal, jejunostomy tube care, and suture/staple insertion/removal.
• c. Discharge orders and planning, dictation of discharge summaries, prescription writing, and VNA care plans.
• d. Obtain, review, and interpret radiology and laboratory studies and implement care plans based on results and attending physician instructions.
• e. Daily documentation of physical exam findings and care plans in the hospital chart. All events and communications with attending physicians will be documented.
• f. Review charts daily for consultation notes, event notes, and multidisciplinary care plans.

3 – OPERATING ROOM

• a. First or second assist in surgeries.
• b. Write postoperative orders.

4 – Situations Requiring Referral or Consultation

Referrals or consultations may be obtained when deemed necessary by the attending physician for any medical or surgical problem outside the supervising physician’s scope of practice.

5 – Delegation of Supervising Physician Responsibilities

Direct supervision is the responsibility of the supervising physician or designee (another MD). Duties delegated must fall within the supervising physician’s scope of practice.

6 – Provisions for Managing Emergencies

Physician assistants will follow all state and national mandates and guidelines for emergency management.

7 – Scope of Prescriptive Practice

Prescriptive practice will conform to Massachusetts State Controlled Substance Act and all applicable regulations.

• a. Prescriptive practice will be reviewed quarterly by the supervising physician.
• b. The PA may prescribe Class II–Class V medications.

ESSENTIAL FUNCTIONS (Cont.)

1 – Technology and Learning

• a. Participates in continued learning and demonstrates willingness to learn and utilize new technology and procedures.
• b. Embraces technological advances that support effective communication.

PHYSICAL REQUIREMENTS

General Activity: Frequent standing/walking; no driving. Motion: Frequent pushing, pulling, lifting, bending. Motor Skills: Use of hands and feet required. Weight/Force: Light lifting (<25 lbs). Body Fluid Exposure: Yes.

License/Registration/Certification Requirements:

• ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Physician Assistant - Board of Registration of Physician Assistants (Massachusetts)

South Shore Health is a not-for-profit, charitable health system offering primary and specialty care, hospital care, home health and community care, emergency and urgent care, and preventative and wellness services. We are the largest independent health system in southeastern Massachusetts. South Shore Health brings together like-minded people who work “As One” toward a common goal of providing exceptional care the people of our region deserve. We unite top-caliber talent, technology, and service with the wishes and personal needs of patients and their families to develop individualized treatment plans.