Top Reasons to Work at AdventHealth

•                 Rollover PDO with service year increases in accrual.

•                 Comprehensive benefits package; including tuition reimbursement and matching 403b plan.

•                 Patient facing positions receiving company paid initial sets of scrubs.

•                 Company Discount programs

•                 Growing Organization

 

Work Hours/Shift:

Full Time

 

KNOWLEDGE AND SKILLS REQUIRED:

Participation in daily inpatient rounding by taking patient history, conducting physical exam, reviewing laboratory and

diagnostic data, performing medication reconciliation, procedures, and computer order entry as appropriate. • Participation

in daily multidisciplinary round by contributing specific surgical perspective and promoting integrated comprehensive

patient care

•Active team participant in mentoring and educating other team members

•Inpatient consultation and admission at the direction of the collaborating physician.

•Documentation of all patient encounters by computerized progress notes, brief operative note, procedural notes or

admission/consultation/discharge summary dictation

•Pre-operative patient evaluation and medical optimization• Evaluates and treats patients with acute, chronic, and

surgical concerns which include the following:

Admission/consultation of patients at the direction of the collaborating physician

Conduct medical history; performance of physical examination

Collection, interpretation & recording of diagnostic clinical laboratory data

Ordering, specimen collection & interpretation of all relevant laboratory/microbiological tests

Ordering & interpretation of all relevant radiologic/US/MRI/NM studies

Ordering, performance & interrelation of cardiac diagnostic testing

Diagnosis of acute and chronic conditions affecting all organs systems

Development of treatment plans

Ordering medications

Address the pharmacologic needs of patients by CPOE/written/oral methods

Dispense & Administration of medications

Performance medication reconciliation

Formulating interventions and performing therapeutic measures to ensure the appropriate individualized plan of care is

implemented.

Applying knowledge of age specific needs, (pediatric, adolescents, adult and geriatric) to plan of care interventions and

patients' responses to care

Activity & diet level designation

Ordering/renewal of restraints

Performance of rounds & recording of computerized written and/or dictated documentation of all patient encounters by

computerized progress notes, brief operative note, procedural notes or admission/consultation/discharge summary

dictation

Pre-operative patient evaluation and medical optimization

Post-operative patient ICU and floor management

Coordinating information flow among medical, ancillary, nursing, financial and insurance personnel

Facilitate and direct BLS/ACLS measures as necessary

Participation in Clinical & multidisciplinary rounds by contributing specific surgical perspective & promoting

integrated comprehensive patient care, & assisting with discharge planning

Provide relevant patient education and counseling regarding heath status/test results/disease process & discharge

planning

Address patient psychosocial needs by assessing patient's functional status & evaluating patient's mental status by

Consultation/Referral to other health professionals & community agencies

Assessing clinical factors including, but not limited to, immunosuppression complications, drug toxicity, infections

complications and risk rejection

Coordinating care of recipient and/or living donor as needed

Communicating frequently with referring physicians regarding the patient's status

Perform any other clinical responsibility within the PA's level of training and scope of practice

Assist the collaborating physician in any intervention in the interest of patient care/safety

Functions fully within the Outpatient and Inpatient setting

Providing on-call coverage for medical triage for outpatients in collaboration with the physician on-call

Perform First/Second Surgical Assist duties within the OR setting and/or at bedside as program and surgeon direct

which may include but is not limited to:

First & 2nd Operative assistant on cardiothoracic surgical and transplant patients

Assist with Heart Transplantation, Lung Transplantation & Ventricular Assist Device surgeries

Assist with Cardiothoracic Surgery including CABG, Valve Repair and Replacement, Aortic Procedures,

Thoracotomy, Lung Resections, and Central/Peripheral Vascular repair.

Conduit Harvest, including greater and lesser saphenous veins and radial artery o Sternotomy & Sternal closure o

ECMO initiation/weaning and cannulation/decannulation techniques

Obtainment of informed consent for procedures performed by the PA

Insertion of percutaneous/open chest tubes, arterial lines & femoral/axillary IABP, Fem/SC/IJ Central venous access,

PA catheter placement, transvenous pacer wires, and dialysis catheters

Documenting, coding and completing diagnosis of patient's condition to facilitate appropriate insurance

reimbursement.

Post-operative patient ICU and floor management

Call requirements will be rotational to include a 24-hour/7-day coverage system. Out-Of-House SICU & Floor call

responsibilities, Donor call organ assessment & OR call responsibilities

Attends and participates in transplant team meetings including Patient Review Committee, hospital interdisciplinary

rounds, discharge planning and QAPI. Communicates with the transplant team in a professional and effective manner.

Participation in database & clinical research

Participation in clinical research & actively participates in regulatory-related data collection and surveys agencies

including but not limited to:

Oversight and participation of regulated data reporting for regulatory agencies i.e. DNV, United Network for Organ

Sharing (UNOS), Centers for Medicare and Medicaid Services (CMS), and Interagency Registry for Mechanically

Assisted Circulatory Support (INTRAMACS).

Maintaining a current understanding of changes in respect to accrediting bodies

Participating in preparation for regulatory surveys, such as UNOS, Medicare, and DNV

Serving as an expert resource and point-of-contact on clinical and protocol-related issues

Participating in the preparation of action plans in response to recommendations for improvement and deficiencies

identified by regulatory agencies

Participating in mock surveys and self-assessments, focusing on continual readiness

Providing in-service and continuing education for staff within the scope of the Transplant Program

Performs additional miscellaneous duties and responsibilities as may be assigned from time to time by Assistant

Director or physician team

 

Qualifications

·       EDUCATION AND EXPERIENCE REQUIRED:

·       Masters and 2 years experience

·

·       EDUCATION AND EXPERIENCE PREFERRED:

·       REQUIRED:

·       •Graduate of a physician assistant program approved by the Accreditation Review Commission on Education

·       for the Physician Assistant (ARC-PA)

·       •Minimum of two years post-graduation clinical experience or one-year post-graduate surgical residency

·       training experience

·       •Minimum of one year of cardiothoracic specialty specific experience

·       •Pre-Operative, Intra-Operative, Post-operative Surgical patient care experience

·       •Critical care experience

·        PREFERRED:

·       •Teaching/preceptor experience

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

• Advanced Cardiac LIfe Support Cert

• Cardio Pulmonary Resuscitation

• Physician Assistant

State of Florida physician assistance license

•National Commission Certification of Physician Assistant (NCCPA) Certification

•Health Care Provider BLS(CPR)

•ACLS

 PREFERRED:

•Cardiothoracic Surgery Certificate of Added Qualification (CTS CAQ)

•Fellow of the Association of Physician Assistants in Cardiovascular Surgery (FAPACVS)

•Cardiac Surgical Unit Advanced Life Support Certification (CSU ALS)

•Certified Clinical Transplant Coordinator (CCTC) by the American Board of Transplant Certification (ABTC

 

 

Job Summary

The Physician Assistant (PA) supports the clinical operation of AdventHealth with primary focus on clinical services in

the inpatient and outpatient setting. Inpatient Responsibilities include: pre-operative admission, consultation, evaluation

and medical optimization; intra-operative 1st and 2nd assistance; post-operative ICU and floor patient care and discharge.

Outpatient Responsibilities include: pre & post Operative clinic; out-of-hospital patient clinical phone call management &

out-of-hospital operative call-in. Delivery of patient care will be conducted in collaboration with faculty surgeons and

physicians.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

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