Job Description

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number: R-12954

Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190

Department Name: SSH General Surgery PB

Status: Full time

Budgeted Hours: 40

Shift: Day/Eve Rotation (United States of America)

Under the medical direction of the MD Chair of Surgery as well as the Executive Director of APCs, the PA will evaluate, treat and manage patients with surgical conditions.

BASIC PURPOSE OF THE JOB

A physician assistant is defined as a person who is a graduate of a school approved by the AMA Board of Approval and Certification of Physician Assistant Programs, who may provide medical services appropriate to his or her training, experience and skills, under the supervision of a registered physician.

CONTACTS AND COMPETENCIES

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

Category C - Competency in this position is dependent upon the patient population as the position does provide patient care and/or services. This position does require knowledge of disease processes or diagnosis.

Examples: Nurses, Clinical Managers, Pharmacists, Education Positions, Imaging Positions, CNSs & ACCs, Clinical Dieticians and Respiratory Therapists.

CONTACTS

Patient Contact

Does this position have Patient contact? Yes

Age of Patient(s) - (check all that apply)

Neonates 1 - 30 days; Adolescents 13 - 18 yrs

Infants 30 days - 1 year; Children 1- 12 years; Adults 19 - 70 years; Geriatrics 70+ years

JOB REQUIREMENTS

Minimum Education - Preferred

A graduate of an AMA recognized Physician Assistant training program that is accredited by the Accreditation Review Commission or Education for Physician Assistant (ACR-PA)

Minimum Work Experience

Required Licenses / Registrations

PA - Physician Assistant

Required Classes/Skills -

ACLS - Advanced Cardiac Life Support

This position is a licensed independent practitioner credentialed through the Medical Staff Services Office

Required additional Knowledge, and Abilities

License, certifications, and classes will be monitored by the Medical Staff Services Department

ESSENTIAL FUNCTIONS

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job\'s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions that the person in the job is held accountable for. Following are the essential functions of the job.

1 - The PA practices in accordance with acceptable medical standards, informs each patient that he / she is not a physician, and that a PA renders medical services only under the supervision of a full licensee.

a - A physician reviews all historical and physical data according to medical staff by-laws and regulations.

b - The PA will work as a member of the general surgical "team", which consists of Attending Physicians, BW surgical residents, BW Surgical interns and PAs.

2 - In any emergency situation, a PA may render emergency medical service necessary to avoid disability or death of an injured person until a doctor arrives.

3 - The PA will participate in the hospital\xe2\x80\x99s quality improvement and risk management programs.

4 - The PA will complete medical records in a timely manner according to the medical staff by laws and rules and regulations.

5 - The responsibilities of the General Surgery PA will include but not be limited to the following:

a - Prepare admission orders and perform detailed histories and physicals on general surgery patients

b - Assist in the overall preparation of the patient for surgery. Perform daily patient rounds and follow up on all patients and consults including physical exams, diagnostic and therapeutic intervention and order routine labs, diagnostic tests and consults after conferring with the MD

c - Perform a variety of ICU and ED procedures such as phlebotomy, IV insertion, A line insertion, arterial and venous cutdown, insertion and removal of chest tubes, management of pleurovacs, drains, percutaneous tubes, central and Swan Ganz lines, insertion and management of NGT, DHT, foley catheters, weaning and management of ventilators, removal of sutures, clips, endotracheal tubes, arterial and venous sheaths. And simple wound closures.

d - Mix and administer medications for IM, IV, SC and intra thoracic administrations.

e - Participate as assigned in surgical operating procedures.

f - Provide initial interpretation of EKG and CXR and initiate definitive treatment.

g - For inclusion in patient medical records, write pre and post op orders, brief op notes, procedure notes, progress notes, transfer and discharge orders, write prescriptions. Dictate discharge summaries.

h - Provide patient education and participate in the education of medical and surgical resident\xe2\x80\x99s, PA\xe2\x80\x99s, nurses and students.

i - Perform BLS and ACLS measures as needed.

j - In the absence of the physician respond to pages from the nursing staff and any other regarding patient care.

6 - A PA may not obtain surgical consents, autopsy permission or organ donation permission.

7 - RECORD KEEPING AND WRITTEN ORDERS

b - PA\xe2\x80\x99s may write and sign progress notes.

c - PA\xe2\x80\x99s may write and sign discharge summaries, as well as transfer summaries.

d - PA\xe2\x80\x99s may fill out laboratory / x-ray requisitions.

e - Rules governing house officer order-writing preference shall apply to the PA in the same manner as their supervising physician.

8 - RESPONSIBILITIES OF MEDICATION ORDERING

a - Written Orders: The PA may write orders according to delineated approved by the Medical Executive Committee and the board of Trustees in accordance with the PA prescription regulations of the Commonwealth of Massachusetts and may renew or rewrite orders previously approved by the supervision physician.

b - Verbal Orders: Verbal orders may be communicated from the supervising physician to the PA, who should promptly write such order\xe2\x80\x99s in the patient chart ( on physician order sheets). The pA shall indicate the order is being written per the verbal order of the supervising physician. In the emergency, the PA may give verbal orders.

c - The nurse is responsible for the administration to the patient.

9 - Safety

a - All required safety education programs have been attended.

b - Provides complete and accurate responses to safety questions

c - Operates assigned equipment and performs all procedures in a safe manner as instructed.

d - Maintains work area and equipment in condition required by department standards.

e - Demonstrates proper body mechanics in all functions.

f - If Manager/Leader, provides for the safety of department employees.

10 - Organizational Competencies

a - Service: The extent to which an employee demonstrates an understanding of the organizational and department\'s service standards and strives to achieve them , treats patients and families with dignity, compassion and respect at all times, and demonstrates courtesy in interactions with members of all departments and disciplines within the hospital

b - Teamwork: The extent to which an employee acts as a cohesive member of a work team and demonstrates appropriate interactions with all Hospital service providers

c - Communication: Fosters an environment that nurtures collaboration, teamwork, and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationship.

d - Respect for others: Takes actions that indicate a consideration for others and an awareness of the impact of one\'s behavior on others, demonstrates respect for diverse backgrounds of all patients, families, and co-workers, and seeks accommodations

e - Time and Priority Management: Optimizes use of time by efficiently using resources to identify barriers and balance priorities. Efficiently utilizes tools, resources, techniques and/or systems to organize tasks. Balances multiple priorities simultaneously, assuring the timely and accurate completion of each task while maintaining quality standards.

f - Quality Awareness/Performance Improvement: The extent to which an employee demonstrates an understanding of their role in maintaining a commitment to quality. Quality is the consistent provision of safe, effective and satisfying care and services.

g - Safety Awareness - Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.

ESSENTIAL FUNCTIONS (Cont.)

1 - Technology and Learning

a - Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.

b - Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

PHYSICAL REQUIREMENTS

Indicate the appropriate physical requirements of this job in the course of a shift.

Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

General Activity - Frequent Standing/Walking Required, Frequent Driving Required

Motion - Frequent Activity Required-pushing, pulling, lifting, bending

Motor Skills - Use of hands required, Use of feet required

Weight/Force - Light lifting required (
25lbs)

3 13 hours shifts per week

Responsibilities if Required:

Education if Required:

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

South Shore Health