Physician Assistant In-Patient Orthopedics

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Job Summary

The appropriate candidate will have successfully completed an accredited graduate level physician assistant or nurse practitioner program (Master's degree).

*Certification by the National Commission on Certification of Physician Assistants (NCCPA), r American Academy Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) ANA must be obtained prior to employment.

* Must hold a current valid MA license for PA or NP practice.

*Must have a current DEA registration and Massachusetts Controlled Substance Registration.

*Must complete all required CME according to national and state regulations for NPs and PAs.

*Qualified in all basic (BLS) and advanced cardiac life support (ACLS) standards.

Additional Job Details (if applicable)

• Provide direct care, counseling, and teaching to the orthopedic patient population in the inpatient, operative, and/or procedural setting.
• Act as responding clinician for an assigned daily patient census, average 10-12.
• Inpatient APPs will evaluate the daily census and provide cross coverage to support services with a high census and/or to cover for colleague vacations, FMLAs, sick calls.
• Perform history and physical examinations.
• Consistently provides high quality and timely documentation updating plan of care in the chart.
• Write admission notes for patients admitted via the ED, clinic or front door if not already done by a resident/fellow.
• Complete event notes when they occur.
• Write progress notes on non-operative patients and bills accordingly.
• Complete ortho pass postop note if First Assist in the OR.
• Complete discharge summaries in a timely manner and preps charts for weekend discharges.
• Order, interpret, and evaluate appropriate laboratory and diagnostic tests.
• Develop appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
• Order medications and write prescriptions according to organizational and regulatory policies and procedures.
• Respond to emergent patient issues (chest pain, SOB, wound dehiscence, syncope, falls, social-behavioral issues, codes)
• Perform bedside procedures as appropriate to the patient population.
• Function as first assist (PA or RNFA/NPFA) in the operating room or procedural areas only if truly first assist and all services have adequate coverage.
• Performs consults (ED and inpatient)
• Practice cost effective medicine in an efficient manner, maximizing available resources.
• Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting.
• Demonstrate expert clinical judgment skills to function in an independent role.
• Additional duties and responsibilities as required by the department/division in the environment of an ever-changing health care system.

• Demonstrate professional collaborative and interpersonal skills with inpatient Orthopedic APP colleagues to effectively function as a team.
• Demonstrate professional collaborative and interpersonal skills with consultative relationships and other multidisciplinary providers.
• Follow all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report.
• Participate in departmental (decrease LOS) and organizational committees and programs (HRO rounds) as appropriate and attend all required meetings, in-services, and professional annual trainings and vaccinations.
• Maintains superior interpersonal and communication skills as a member of the healthcare team to collaborate effectively with patients, families, staff, and community health workers.
• Remains actively involved in continuing education with a commitment to self and departmental growth.
• Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation.
• Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care.
• Discusses challenges/barriers to daily practice and creates innovative strategies to enhance patient discharge and or improve care through all phases of the patient's surgical journey.
• Contributes to Improving the quality of care of our orthopaedic population (innovative clinical practice ideas or with the work-organizational flow).
• The APP will be evaluated on an annual basis for merit raise per competency metrics set forth by the MGB APP infrastructure and APP compensation.Additional Job Description

Pay Range

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