Brigham and Women's Hospital
Overview
The Physician Assistant (PA) is a licensed provider. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation.
Responsibilities
The PA nocturnist will be required to work nights (shifts 6 pm to 6 am), Monday through Sunday, on a rotating schedule covering inpatients on the Otolaryngology, Plastic Surgery and Urology services.
This position will also require coverage on Saturdays and Sundays 6 am to 6 pm on a rotating basis. This is a full-time position with variation of hours on site per week.
Receive patient sign outs from residents/PAs in a timely fashion, and care for inpatients during assigned shifts.
Create work lists for each service for the following day and provide sign out of overnight events to the resident/PA in the morning.
Evaluate patients on service with acute changes in clinical status.
Have basic surgical knowledge and skills in management of postoperative patients including removal of surgical drains, removal of central lines, removal and placement of urinary catheters, placement and removal of nasogastric tubes and basic suturing.
Help with patient throughput, including inpatients and patients admitted to the Extended Recovery and Post Anesthesia Care Units who will be discharged the following morning or admitted to the floor.
Assist in the operating room on cases that extend into the late evening or for emergency surgical procedures, with majority of time spent managing non-OR, floor issues.
Otolaryngology (ORL) Service Requirements The PA will be required to have or develop knowledge of basic ORL procedures including: total thyroidectomy, radical neck dissection, retropharyngeal abscess drainage and complex head and neck cancer resections and flaps. Training in epistaxis management with nasal packing and removal, tracheostomy tube changes, drainage of superficial abscesses and NG tube and small bore feeding tube placement in complex post-op patients.
Plastic Surgery Service Requirements The PA will be required to have or develop knowledge of basic plastic surgery procedures including: breast reconstruction (allograft, implants, tissue expanders), complex wound management, skin grafts and complex flap reconstruction. Maintain competency in: incision and drainage of superficial abscesses, suturing, removal of drains.
Urology Service Requirements The PA will be required to have or develop knowledge of basic urology procedures including: lithotripsy, transurethral resection of the prostate, penile implants, artificial urinary sphincter insertion, prostatectomy and cystectomy. Maintain competency in: placement of difficult urinary catheters, management of 3-way urinary catheters with and without irrigation, replacement/change of suprapubic tubes and bladder irrigation.
Essential Functions
Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting.
Performs complete histories and physical examinations.
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries.
Performs bedside procedures as appropriate to the patient population.
Education Master\'s Degree Physician Assistant required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials Physician Assistant [State License] - Generic - HR Only required
Experience Experience as a licensed Physician Assistant preferred
Knowledge, Skills and Abilities
Skilled in taking medical histories to assess medical condition and interpret findings.
Ability to maintain quality control standards.
Ability to react calmly and effectively in emergency situations.
Ability to interpret, adapt and apply guidelines and procedures.
Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.
Physical Requirements
Standing Frequently (34-66%)
Walking Frequently (34-66%)
Sitting Occasionally (3-33%)
Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
Carrying Frequently (34-66%) 20lbs - 35lbs
Pushing Occasionally (3-33%)
Pulling Occasionally (3-33%)
Climbing Rarely (Less than 2%)
Balancing Frequently (34-66%)
Stooping Occasionally (3-33%)
Kneeling Occasionally (3-33%)
Crouching Occasionally (3-33%)
Crawling Rarely (Less than 2%)
Reaching Frequently (34-66%)
Gross Manipulation (Handling) Frequently (34-66%)
Fine Manipulation (Fingering) Frequently (34-66%)
Feeling Constantly (67-100%)
Foot Use Rarely (Less than 2%)
Vision - Far Constantly (67-100%)
Vision - Near Constantly (67-100%)
Talking Constantly (67-100%)
Hearing Constantly (67-100%)
The Brigham and Women\'s Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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Responsibilities
The PA nocturnist will be required to work nights (shifts 6 pm to 6 am), Monday through Sunday, on a rotating schedule covering inpatients on the Otolaryngology, Plastic Surgery and Urology services.
This position will also require coverage on Saturdays and Sundays 6 am to 6 pm on a rotating basis. This is a full-time position with variation of hours on site per week.
Receive patient sign outs from residents/PAs in a timely fashion, and care for inpatients during assigned shifts.
Create work lists for each service for the following day and provide sign out of overnight events to the resident/PA in the morning.
Evaluate patients on service with acute changes in clinical status.
Have basic surgical knowledge and skills in management of postoperative patients including removal of surgical drains, removal of central lines, removal and placement of urinary catheters, placement and removal of nasogastric tubes and basic suturing.
Help with patient throughput, including inpatients and patients admitted to the Extended Recovery and Post Anesthesia Care Units who will be discharged the following morning or admitted to the floor.
Assist in the operating room on cases that extend into the late evening or for emergency surgical procedures, with majority of time spent managing non-OR, floor issues.
Otolaryngology (ORL) Service Requirements The PA will be required to have or develop knowledge of basic ORL procedures including: total thyroidectomy, radical neck dissection, retropharyngeal abscess drainage and complex head and neck cancer resections and flaps. Training in epistaxis management with nasal packing and removal, tracheostomy tube changes, drainage of superficial abscesses and NG tube and small bore feeding tube placement in complex post-op patients.
Plastic Surgery Service Requirements The PA will be required to have or develop knowledge of basic plastic surgery procedures including: breast reconstruction (allograft, implants, tissue expanders), complex wound management, skin grafts and complex flap reconstruction. Maintain competency in: incision and drainage of superficial abscesses, suturing, removal of drains.
Urology Service Requirements The PA will be required to have or develop knowledge of basic urology procedures including: lithotripsy, transurethral resection of the prostate, penile implants, artificial urinary sphincter insertion, prostatectomy and cystectomy. Maintain competency in: placement of difficult urinary catheters, management of 3-way urinary catheters with and without irrigation, replacement/change of suprapubic tubes and bladder irrigation.
Essential Functions
Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting.
Performs complete histories and physical examinations.
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries.
Performs bedside procedures as appropriate to the patient population.
Education Master\'s Degree Physician Assistant required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials Physician Assistant [State License] - Generic - HR Only required
Experience Experience as a licensed Physician Assistant preferred
Knowledge, Skills and Abilities
Skilled in taking medical histories to assess medical condition and interpret findings.
Ability to maintain quality control standards.
Ability to react calmly and effectively in emergency situations.
Ability to interpret, adapt and apply guidelines and procedures.
Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.
Physical Requirements
Standing Frequently (34-66%)
Walking Frequently (34-66%)
Sitting Occasionally (3-33%)
Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
Carrying Frequently (34-66%) 20lbs - 35lbs
Pushing Occasionally (3-33%)
Pulling Occasionally (3-33%)
Climbing Rarely (Less than 2%)
Balancing Frequently (34-66%)
Stooping Occasionally (3-33%)
Kneeling Occasionally (3-33%)
Crouching Occasionally (3-33%)
Crawling Rarely (Less than 2%)
Reaching Frequently (34-66%)
Gross Manipulation (Handling) Frequently (34-66%)
Fine Manipulation (Fingering) Frequently (34-66%)
Feeling Constantly (67-100%)
Foot Use Rarely (Less than 2%)
Vision - Far Constantly (67-100%)
Vision - Near Constantly (67-100%)
Talking Constantly (67-100%)
Hearing Constantly (67-100%)
The Brigham and Women\'s Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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