Senior Physician Assistant-NYPresbyterian Medical Group-Queens-Neurosurgery- Nights
LocationFlushing, New York
Shift:Night (United States of America)
Senior Physician Assistant-NYPresbyterian Medical Group-Queens
POSITION SUMMARY: To provide a high level of clinical care to the neurosurgical patients under the supervision of a physician in the inpatient settings; support the clinical, educational and fiscal objectives of the neurosurgical division.
MINIMUM QUALIFICATIONS: New York State Physician Assistant License and Registration; NCCPA Board Certification. Must be a member in good standing of the Department of Surgery and maintain current certifications including ACLS and BCLS or equivalent (FCCS/ or ATLS). Minimum of 5 year’s experience or equivalent as deemed appropriate.
Provide active support of the service excellence in the Medical Center, consistent with the Medical Center’s determination that service excellence will distinguish it in the marketplace. All Medical Staff are expected to vigorously pursue objectives to improve customer satisfaction in the department and through collaboration with other departments.
Provide complete medical and surgical care of the surgical patient from admission to discharge including consultative services in the inpatient settings. Perform and document a thorough history and physical exam with the ability to derive a comprehensive clinical impression, or set of differential diagnoses, and concomitant plan of management including diagnostic studies. Accurately and efficiently assess the patient’s clinical status in a competent manner, with presentation to the supervising/ attending physician. Demonstrate a strong command and appropriate application of clinical and basic knowledge in the diagnostic process.
Demonstrate an ability to make appropriate, highly complex clinical decisions and take effective action. Perform on-going assessment of therapy and modify patient management plan as necessary with a matured and broad fund of knowledge.
Initiate therapeutic measures and notify the supervising/attending physician in a timely manner. . Recognize clinical limitations and seek appropriate and prompt assistance. Conduct oneself in a manner that reflects respect and dignity for all patients, staff, and visitors. Conduct oneself in a manner that reflects care and respect for the Medical Center’s facilities.
Provide surgical assistance in the operating room.
Maintain in good standing one’s participation as a provider in all relevant third party payor programs including, without limitation, Medicare and Medicaid.
Participate in such managed care programs pursuant to the provisions in the Hospital’s provider contracts. Further, you shall exercise every effort to expeditiously complete applications for all the managed care plans with which your patients are enrolled to maximize the ability to accept these patients and be compensated.
Abide by the Medical Center’s Legal Compliance Policy and Program including the Code of Conduct.
Promptly notify the Chief Physician Assistant or Supervising Physician concerning any facts or circumstances that may expose the Medical Center or its Affiliates or any of their trustees, officers, directors, employees or agents to liability or penalty for any violation of federal, state or local law, rule or regulation.
Support and uphold the Medical Center’s Mission Statement and service excellence/customer service program.
Comply with the Bylaws, rules and regulations of the Medical Center and the Medical Staff and all Federal, state and local statutes and regulations with respect to your practice.
At all times be qualified, professionally competent, duly licensed, have a current controlled substances registration and be a member in good standing of the Medical Staff of the Hospital.
Abide by all Medical Center policies and procedures.
Participate in budgetary and cost containment initiatives for the individual department, practice and the Medical Center at large.
Participate in continuous quality and performance improvement initiatives.
Meet all standards of care relevant to specific responsibilities.
Participate in the teaching and supervision of physician assistant students.
Develop and maintain a high level of customer service by displaying courtesy, tact and diplomacy with patients, staff, colleagues, visitors, vendors and representatives of other institutions and government and regulatory agencies. Display a keen sense of integrity and a respect for matters of confidentiality.
Be directly responsible to the Chairman of the department of surgery, Director of Neurosurgery, supervising physician and Chief Physician Assistant in all matters concerning the Hospital and its activities.
Attend and participate in departmental, hospital and practice functions.
- Write admission orders as requested by the accepting or admitting physician.
- Prescription writing.
- Perform and document history and physical examination.
- Perform daily assessment, consultations, and documentation.
- Order appropriate laboratory tests and diagnostic studies according to clinical diagnosis, clinical pathways and protocols.
- Obtain informed consent in conformance with organization policies and procedures.
- Management of patient within the scope of practice.
- Assist with discharge planning/needs of patients and document discharge summary
- Act as procedural assistant including first and second assist in the operating room.
- Arterial puncture (ABG).
- Inset and remove nasogastric tubes.
- Incision and drainage of superficial abscess.
- Perform field infiltrations of anesthetic solutions.
- Urinary bladder catheterization (short-term and indwelling).
- Venous punctures for blood sampling, cultures, and IV catheterization.
- Wound debridement and general care of the superficial wounds and minor superficialsurgical procedures.
- Preliminary interpretation of EKGs.
- Suturing of lacerations including removal of staples/sutures.
Position Specific Responsibilities
As a member of the full-time Physician Assistant staff in the Division of Neurosurgery, Department of Surgery, you shall:
Provide leadership to junior physician assistants and physician assistant students. Serve as a role model and preceptor to guide, mentor and provide instruction to junior housestaff and physician assistants in the daily duties of patient care.
Participate in the overall program development of Neurosurgery.
Credential junior physician assistants in advanced core procedures.
Provide administrative guidance for the physician assistants on the neurosurgery service; oversee PA work schedules and assignments.
Collaborate in the development and implementation of quality assurance and performance improvement initiatives focusing on neurosurgery.
Provide professional surgical services to patients of the Hospital. Participate in patient care in the hospital setting.
Contribute to the effective management of the neurosurgery service in the Hospital.
Develop and meet goals and objectives which support the division of neurosurgery and the department of surgery.
Actively participate in departmental performance improvement activities. Collaborate in assessing, developing and implementing policies and procedures as it relates to neurosurgery. Collaborate to develop clinical pathways for the neurosurgery patient.
Provide assistance in establishing the curriculum appropriate for physician assistant students and junior physician assistants as it pertains to the field of neurosurgery.
Monitor the needs of the equipment and supplies specific to neurosurgery.
Participate in the training and assessment of personnel (e.g., physician assistants, medical assistants) in neurosurgery. You will be expected to collaborate as needed with other departments.
Participate in regular surgery and Neurosurgery surgery multidisciplinary activities.
Participate in, and contribute to, regular neurosurgery meetings, tumor boards, as well as surgery conferences as appropriate.
Participate in neurosurgery marketing and education activities.
Participate in clinical research in surgery as delegated by the Director, Neurourgery (e.g., participation in clinical trials, prospective and retrospective studies).
Perform other reasonable duties as designated by the division director, department chairman, supervising physician and chief physician assistant.
Continue to seek credentialing in Advanced Core Procedures as listed below.
Position Specific Advanced Core Procedures
- Critical care transport.
- Abscess drainage.
- Small bore feeding tube insertion.
- Removal of JP drain.
- Foley catheter irrigation.
- Skin biopsy.
- Endotracheal intubation.
- Tracheostomy tube exchange.
- Subclavin central line placement
- Sonographic internal jugular line placement
- Ventriculostomy placement
- Camino Monitor placement
- Femoral Arterial Line
- Femoral Venous Line
- Radial Arterial Line
- Lumbar Puncture
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