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Under the medical direction of the MD Chair of Orthopedics as well as the Executive Director of APCs, the PA will evaluate, treat and manage patients with orthopedic conditions. 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.
Job Responsibility:
Evaluate, treat and manage patients with orthopedic conditions
Assess, diagnose and treat health problems of patients who suffer from a range of musculoskeletal conditions from time of admission to discharge
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
Provides direct care to orthopedic patients in collaboration with the Orthopedic Attending Physician
Obtains a detailed and accurate medical history and performs a comprehensive physical exam
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
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
Actively participates in meetings
Participate in continuing education activities to maintain or enhance knowledge and skills
Ensures that patient billing is submitted accurately and consistent with Hospital policy
Other duties and projects as assigned
Requirements:
Bachelor’s degree
Completion of Advanced Physician Assistant training program from an accredited institution approved by the AMA
Recertification, as required, to maintain licensure
PA - Physician Assistant license
ACLS - Advanced Cardiac Life Support certification
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
Flexibility to handle multiple tasks and deadline pressures
Quality Improvement: Skills to work efficiently and effectively
Knowledge and competence of basic radiation safety during fluoroscopic procedures
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
Nice to have:
Acute Medicine and/or Orthopedic experience preferred