The Physician Assistantworksexclusively in the Surgical Intensive care Unit (SICU) inpatient care setting within the Crescenz VAMC. The Staff Surgical Critical Care Physician Assistant is credentialed and privileged through the Medical Staff Office Supervisor under the auspices of the Chief of Staff in accordance with Medical Staff Bylaws. The Physician Assistant is responsible for patient care in his/her assigned area(s). Planning, coordinating and exercising professional judgment in initiating and implementing administrative and clinical decisions are integral components of the position.
Tour of Duty: Generally 6:00am - 6:00pm, 3 shifts per week
Major Duties Include:
a. Performing initial histories and physical examinations.
b. Providing and coordinating comprehensive care for assigned patients in any care setting.
d. Screening patients to determine the need for further health care.
e. Ordering diagnostic studies such as laboratory tests, X-rays, electrocardiograms (EKGs) specified in the PA's scope of practice.
f. Carrying out health promotion and disease prevention activities including education and shared decision-making.
g. Drawing blood specimens or obtaining other specimens for laboratory testing as needed.
h. Initiating and expediting requests for consultations and scheduling special tests and studies.
i. Writing orders and prescriptions, as necessary, for the care of the patient in accordance with Federal and State law.
j. Making daily rounds to observe and record patient's medical progress, updating and summarizing medical records, changing orders when appropriate, and notifying the responsible physician of significant changes in the patient's condition.
k. Documenting progress notes and summaries in the patient's medical record.
l. Obtaining consent and documenting procedures performed for which the PA is responsible.
m. Providing education and counseling of patients and families in preventive care, medical conditions, and the use of prescribed treatments and drugs.
n. Completing pre-op preparation and otherwise facilitating smooth pt. flow to the operating room.
o. Participate as needed in a detailed hand-off between providers to ensure safe and high-quality care
Serves as a point of contact for patient care within the SICU.
Collaborates with the surgical Intensivist as well as staff of other departments and the patient admitting team to coordinate care plans.
Supports the peri-operative evaluation and care of patients who require care within the SICU
Performs procedures within the SICU which are within the Surgical Critical Care Physician Assistant's scope of practice and for which they are credentialed
Manages the prescription for critical care relevant medications (including vasoactive and antiarrhythmic agents), blood component therapy, and technological support devices including mechanical ventilation (invasive and non-invasive).
a. Cardiopulmonary Resuscitation (CPR) and defibrillation.
b. Life-threatening arrhythmia management including synchronized cardioversion
c. Treatment of acute respiratory failure
d. Treatment of life threatening injury
e. Treatment of compartment syndromes (abdominal, thoracic, extremity)
* Participates in clinical and administrative committee assignments at the direction of the Chief of Staff/Chief, Surgical Care Line/Section Chief, Surgical Critical Care
* Participates, where appropriate, in research support activities as directed by his/her section chief, such as but not limited to clinical trials and the evaluation of alternative health care delivery systems to enhance patient care.
* Participates fully in educational development through staff and section meetings and assumes responsibility for professional development by attending relevant training and regularly reviewing the literature to improve clinical competencies and meeting professional continuing education requirements to maintaining current competence and licensure.
* Citizenship of the United States
* Graduate of a PA training program, or of a surgical assistant program which is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or one of its predecessor organizations; and aBachelor's degree from an accredited PA training program or in another health sciences related field from an accredited college or university recognized by the U.S. Department of Education.
* Current and continuous certification by the National Commission on Certification of Physician Assistants (NCCPA) is required for employment in VHA.
* Meets physical standards.
* English Language Proficiency. PAs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d).
*Current Basic Life Support ( BLS) and Advanced Cardiac Life Support (ACLS) certifications are required for critical care assignments.
* Candidates must meet threshold criteria/qualifications for Credentialing and Privileges of the PVAMC.
Note: GRANDFATHERING PROVISIONS.Effective with the issuance of this new qualification standard all PA's are required to have a Bachelor's Degree and maintain certification. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: VA HANDBOOK 5005/78 SEPTEMBER 5, 2014 PART II APPENDIX G8
a. PAs on VA rolls prior to the implementation date of this standard who do not meet the minimum academic level of a Bachelor's degree are exempted from this requirement.
b. PAs on VA rolls prior to March 12, 1993 who are not NCCPA certified remain exempt from the NCCPA certification requirement. However, a PA who subsequently became or becomes certified is no longer exempt and must maintain certification as a condition of employment.
c. PAs who have been grandfathered and subsequently leave the PA occupation lose the grandfathered status and must meet the full VA qualification standard requirements in effect at the time of reentry to the PA occupation, unless a waiver is approved by the Under Secretary for Health.
Physical Standards: The tasks of this position generally require sitting, standing, occasional crouching or kneeling. Moderate lifting is required to move equipment throughout the SICU and other Medical Center locations. Considerable manual dexterity and hand-eye coordination are continuously required. This includes continuous observation of a computer screen. Cardiopulmonary resuscitation demands coordination and stamina.
Heavy Lifting (50 LBS and over); Heavy Carrying (50 LBS and over); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted).
Reference:VA Directive and Handbook 5019
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
All applicants are required to submit the following supporting document type(s): *Resume
Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
*Cover Letter *DD-214 *OF-306 *Other(Application for Associated Health Occupations Standard Form SF 10-2850c) *Other Veterans Document *SF-15 *SF-50 *Transcript REQUIRED DOCUMENTS:
Proof of current certification, licensure or registration (Copy required at time of application).
Unofficial transcript(s) - official college transcript(s) will be required before being hired (Copy required at time of application).
Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form. For more information, please review the information for disabled Veterans in the application checklist or visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Faxing Applications or Supporting Documents:
You are encouraged to apply online. Applying online will allow you to review and track the status of your application. If you are unable to apply online or unable to upload your supporting documents to your online application, follow the directions located at the following site: Fax Options. The Vacancy ID of the job opportunity announcement is 1969160.
NOTE: If you applied online and your application is complete, do not fax the paper application (1203-FX) as this will overwrite your prior online responses and may result in you being found ineligible.