An exempt position responsible for practicing medicine, including surgical services, and managing all aspects of in-patient medical care under the appropriate physician supervision as defined by New York State law. Within physician-physician assistant relationship, Physician Assistants exercise autonomy in medical decision making a broad range of diagnostic and therapeutic services. May include responsibilities involved with education, research, and administrative services.
Conducts physical exams, assesses health status, orders and interprets tests, prescribes medications, and treat illnesses. Consult with physicians as needed and refers to physicians for more complicated medical cases or cases that are not a routine part of a PA’s Scope of Practice. Facilitating care and management of patients admitted to the ICU. Consultation for potential ICU candidates from the ER, floor, or post-operative patients. Round on ICU/CCU inpatients and facilitate the appropriate care. Multi-disciplinary bedside rounds on each patient with the intensivist(s), nurse manager(s), bed-side nurse for each patient, clinical pharmacist, respiratory therapist, and nutritionist to determine a daily treatment plan or goal for each patient on the critical care service. Discussing daily treatment plans/goals and other pertinent issues with family members of critically ill patients as a facilitator of information on behalf of the critical care attending when unavailable. First responders to the bedside of any patient on the critical care service demonstrating an acute change in clinical status. Coordinating any treatments, interventions, testing or procedures that the patient may need. Arranging appropriate consultations on behalf of the intensivist(s). Performing emergent procedures when necessary and planned procedures determined by the intensivist. Throughout the day/evening provide updates to the on-call intensivist of any progress, acute change(s) or challenges encountered in a patient’s clinical status.
Consults: The APP role is patient evaluation, and to collect, analyze and assess clinical information and discuss this information with the critical care attending. A critical care acceptance or denial decision will then be made by the critical care attending and the APP will facilitate and expedite further care as a representative of the attending. Responding to calls and facilitating placement of non-emergent central lines when deemed appropriate by the critical care attending.
Counsels patient/family on health care matters Documents patient information and care in the medical record, in a confidential manner, and may maintain departmental statistical database for research and quality purposes. Familiar with anatomy, pharmacology, pathophysiology, clinical medicine and physical diagnosis Demonstrates skill in gathering and analyzing physiological, socioeconomic, and emotional patient data Demonstrates skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention, or referral Demonstrates ability to make responsible decisions within the scope of PA practice.
Current New York State Licensed Physician Assistant Current National Certification Strongly Preferred Current White Plains Hospital Physician Assistant Collaborative Practice Agreement Certified in Basic Life Support (BLS) and Advanced Life Support (ACLS) Proficiency in all procedures, techniques and skills approved in the delineation of privileges
Procedural Skill Requirements:
o Central-line(triple-lumen or introducer) & dialysis catheter insertion
o Arterial (radial, femoral, axillary) line insertion
o NGT/OGT placement
o Foley catheter insertion
o Removal of surgical drains/dressings/staples
Knowledge Base Requirements:
o Fluid resuscitation
o Vasopressor and inotrope therapy
o Hemodynamic monitoring (SVV and Flo-Trac, IVC evaluation, echo, ScvO2/SvO2, Swan, CVP)
o Intra-abdominal pressure (IAP) monitoring
o Intracranial pressure (ICP) monitoring
o Ventilator modes and settings: AC (VCV/PCV), SIMV, APRV, CPAP
o Ventilator alarms/troubleshooting: peak inspiratory pressure and plateau pressure
o Sedation agents, paralytic agents, train of four monitoring, and Richmond agitation assessment scale (RAAS)
o Daily sedation interruption and wean-screening evaluation
o Ventilator liberation and spontaneous breathing trials (SBTs): CPAP, T-Piece, PSV, SIMV
o CVVH and CVVHD
o Management of electrolyte and acid/base disorders
Location/Region: White Plains, NY (US)