PA-Orthopedics-3

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Requisition Number

R-22759

Facility

LOC0001 - 55 Fogg Road55 Fogg Road
Weymouth, MA 02190

Department Name

SMC Orthopedics APC PB 2PPK

Status

Part time

Budgeted Hours

0

Shift

Day/Eve Rotation (United States of America)

Under the directions of the Chair of Orthopedic Services and the Executive Director of APCs, the Physician Assistant will evaluate, diagnose and treat patients following written guidelines approved by the Department of Orthopedics

Compensation Pay Range

$75.00 - $110.00

BASIC PURPOSE OF THE JOB

Receiving general direction from the Medical Director - Surgical Services, Chairman - Orthopedic Services, Executive Director - APC’s, Lead Orthopedic Physician Assistant and Executive Director – Musculoskeletal Service Line.  The position will assess, diagnose and treat health problems of patients who suffer from a range of musculoskeletal conditions from time of admission to discharge. Patients include but are not limited to: adult and pediatric inpatient trauma, joint replacement, Fragile Fracture Program patients and General Orthopedic patients.  As a highly skilled clinician, the incumbent will participate with other members of the Orthopedic and Hospital Medicine Care Team in the Emergency Department, Orthopedic Inpatient Unit(s) and serve as first assist in the Operating Room.

CONTACTS AND COMPETENCIES

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

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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

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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

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Minimum Education – Preferred

• Bachelor’s degree

• Completion of Advanced Physician Assistant training program from an accredited institution approved by the AMA.

• Recertification, as required, to maintain licensure.

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Minimum Work Experience

Acute Medicine and/or Orthopedic experience preferred

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Required Licenses / Registrations

PA - Physician Assistant

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Required Classes/Skills -

ACLS - Advanced Cardiac Life Support

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Required additional Knowledge, and Abilities

• Possess the ability to care for patients with musculoskeletal conditions who may also have any range of medical problems.

• Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.

• Eligible for state and federally controlled substances registration.

• Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his/her assigned unit.

• Time Management: Exceptional organizational skills and ability to organize time and priorities effectively, asking for direction when appropriate. Flexibility to handle multiple tasks and deadline pressures.

• Quality Improvement: Skills to work efficiently and effectively and strive to do so in all aspects of the position.

• Knowledge and competence of basic radiation safety during fluoroscopic procedures; required to attend at least one radiation safety training session per year.

• Must have broad knowledge of medical environment, surgical practices and performance goals of the orthopedic Services

• Must exercise the highest degree of professional judgement under the direction and guidance of a licensed physician.

• Must be able to accept instruction and guidance and assume graded responsibility in complex teamwork.

• Must be able to administer such care and treatment and exercise such independent originality in solving problems not covered by existing guidelines, within legal limits, to meet the needs of the patients.

• Must maintain a professional attitude toward patients at all times and an excellent and collegial working relationship with other personnel involved in patient care.

Working Conditions

Position Hours:  Typically Monday through Friday with potential for rotating weekend days.  Additional Weekend and Holiday coverage as determined based on the needs of the department.

ESSENTIAL FUNCTIONS

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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.

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Clinical Responsibilities

Provides direct care to orthopedic patients in collaboration with the Orthopedic Attending Physician.  The duties and responsibilities of the Orthopedic Physician Assistant involved in in-patient care will include, but are not limited to:

• Obtains a detailed and accurate medical history and performs a comprehensive physical exam for patients admitted for elective, non-elective and trauma orthopedic procedures.

• Implementation of all Orthopedic Surgery care plans including writing orders, transfer orders, wound care, dressing changes, application of casts/splints, and fracture reductions.

• Collaborates with hospitalist team on co-managed patients

• Discharge orders and planning, writes discharge orders, dictate formal discharge summary, prescription writing, VNA care plan, etc.

• Obtain, review and interpret radiology and laboratory studies and implement appropriate care plan based on the results in accordance with attending physician instructions.

• Orders necessary diagnostic tests, consultations and procedures as indicated or requested by the attending physician.

• Performs or assists in routine and complex procedures, as necessary.

• Serves as first or second assist in the Operating Room, as necessary.

• Identifies and manages chronic medical conditions and provides continuous care to hospitalized inpatients.  Proactively manage patient to prevent complications.

• Has familiarity with current guidelines regarding the assessment of the risk of a perioperative cardiovascular event for pre-operative patients (such as RCRI, and ACS-NSQIP) and pre-operative medical optimization.

• Writes orders and prescribes medications in accordance with current practice guidelines.

• Writes complete and comprehensive notes on all patients using appropriate electronic systems consistent with Hospital policy.

• Facilitates timely care, including scheduling of procedures, for patients in the Geriatric Fracture Program.

• Actively participates in the South Shore Health System readmission reduction efforts.

• Collaborates with the patient care team (physicians, nurses, PT/OT, case management) to develop and facilitate care plan.

• Provides urgent evaluation to patients with changes in clinical status.

• Safe and effective operation of fluoroscopy equipment; certification within 1 year of hire date.

Situations That Require Referral or Consultation

• Referrals and/or consultations may be obtained by the Orthopedics Physician Assistant when the attending physician deems necessary, and need to be obtained for any medical or surgical problem that does not fall within the scope of practice of the supervising physician.

Delegation of