Physician Assistant or NP
GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Physician Assistant or Nurse Practitioner for the Electrophysiology Service is responsible for assisting the attending physicians and Electrophysiology team in the medical management of the patients cared for by the Electrophysiology and Pacemaker Service, primarily on the inpatient service. The PA works closely with the physician and nursing staff in developing and coordinating a plan of care designed to meet the physical, psychological and social needs of patients and their families. Strong interpersonal, organizational and communication skills are required. Knowledge of current literature and a commitment to continued learning are also required. Prior electrophysiology experience is favored. The mission, vision and core values of the Arizona Heart Rhythm Center are incorporated into all areas of practice.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
A. Pre-procedure Patient Care: The physician assistant will be responsible for obtaining and coordinating the following general items: history and physical, laboratory results, charting of clinical findings, admission orders, nursing instructions and other required elements. The physician assistant, in collaboration with the Laboratory Flow Managers, will coordinate admissions and transfers to the hospital, and ensure that informed consent for procedures are obtained. The physician assistant will perform pre-procedure assessments in the Pre-admission testing center, Recovery room/holding area or outpatient setting as needed.
B. Interface between Cardiac Electrophysiology and Recovery Area: The physician assistant will be knowledgeable about the Cardiac Electrophysiology Laboratory scheduling, procedure room turnover and availability of resources. He/she will be called upon to manage patients after their procedures and while they await transfer to patient floor, and will assure availability of equipment for special procedures. The physician assistant will ensure blood bank preparation and formal or standing surgical backup, when required for patient care. The physician assistant will assist in family liaison.
C. Medical Treatment and Post-procedure Care: The physician assistant will be responsible for many aspects of care under the supervision of the attending physician, including but not limited to: fluid and electrolyte management, nutrition, pain management, transfusion therapy, anticoagulation management, education, and post-discharge planning. Following procedures, the physician assistant will manage vascular access, monitor and manage arrhythmias, pacing, drug therapy, O2 therapy, and other non-cardiac medications, under the supervision of the attending physician. The physician assistant will assist in the evaluation and management of clinical events such as fever, altered hemodynamics, CHF, pulmonary complications, abrupt vessel closure, arrhythmias, access site complications and others. The physician assistant will assist in transfers to and from the intensive care units.
D. Discharge Planning: The physician assistant will perform patient education regarding discharge including preventive care and risk factor reduction. He/she will write discharge orders, prescriptions and dictate discharge summaries in collaboration with the attending physician. The physician assistant may act as a liaison between the attending cardiologist and family members, and will schedule follow-up care as necessary, including VNA if needed.
E. Outpatient Clinical Duties:
· Collaborates with inpatient team in preparing patients for admission.
· Works collaboratively with nursing staff to assist in the care of patients.
· This includes but is not limited to:
· Symptom management
· Evaluation and management
· Prescription writing
· Ordering and interpreting diagnostic studies for review by supervising MD.
· Performs procedures in accordance with PA scope of practice, including but not limited to:
§ Electrophysiology and Pacemaker Service Scope of practice guidelines
§ Assists Electrophysiology attending with clinic visits of patients and in monitoring patient care and formulating treatment plans.
F. Professional Development:
· Identifies areas for professional growth.
· Formulates professional goals, objectives and methods for accomplishing these.
· Must have successfully completed a Graduate Level, accredited Physician Assistant Program approved by AMA Board of Approval and Certification of PA programs.
· Must have 4 years of college level education and Bachelor’s degree or equivalent. (BS/MS joint programs are also acceptable).
· Board Certification by the National Commission on Certification of PAs is required.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:
· Must have broad knowledge of, and experience in, the medical environment, medical practices and performance goals of the Cardiac Electrophysiology Department
· Must exercise the highest degree of professional judgment 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
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