Description

The Lemuel Shattuck Hospital under the Massachusetts Department of Public Health (DPH) is seeking caring, dynamic, and attentive applicants to provide an exceptional patient care experience that promotes healing and recovery in a compassionate public health hospital environment.

Orthopedic physician assistant (PA) provides primary patient services for Orthopedics, within the Department of Surgery.

These services are provided in the orthopedic clinics, Telemedicine Clinic, medical clinics, and on the patient floors. These clinical services are performed under the supervision of the Chief of Orthopedics and orthopedic attending staff.

The PA provides both preoperative and postoperative care to orthopedic patients, which include taking medical histories, performing physical examinations, ordering, and interpreting diagnostic tests, prescribing medication, and providing wound care.

Also, orthopedic PA assists surgeons during surgical clinics, provides inpatient direct care and assist with inpatient consultations.

The orthopedic PA also assists in the operating suite. The time devoted to these clinical settings varies from week to week.

Please note : The shift hours for this position are between 8 : 30 a.m. to 5 : 30 p.m. (40 hours per week). Days off are weekends, with other days off as assigned.

Duties and Responsibilities (these are a general summary and not all inclusive) :

• Assesses patient health by interviewing patients; performing physical examinations; obtaining, updating, and studying comprehensive medical histories.
• Orders, interprets, and correlates laboratory, radiology, and diagnostic procedures in order to formulate a differential diagnosis and treatment plan.
• Implements therapeutic intervention for specific conditions when appropriate in the clinics and inpatient settings (i.

e., administering injections; suturing; casting; managing wounds and infections).

• Exercises judgment on problems requiring consultation, referral, or evaluation by the supervising orthopedic surgeon or other health care professionals.
• Assists in gathering and completing pre-procedural paperwork (i.e., history / physical, informed consent, site verification).
• When needed, arranges preoperative consultation / education from appropriate clinical services.
• Completes hospital billing forms for orthopedic consults and telemedicine.
• Documents patient care services by charting in the electronic medical record (EMR) and department records (i.e., orders, progress notes, procedure notes, discharge summaries, histories and physicals, and transfer notes).
• Performs minor surgical procedures as well as, but not limited to, digital blocks, wound closure, wound management, wound debridement, incision and drainage, injection of local anesthetics, removal of sutures / staples, removal of PICC lines, and VAC dressing application, cast, and splint applications.
• Assists with after-hours telephone call. No call-back requirements. Rounds on acute inpatient orthopedic service every other weekend.
• Renders emergency care, when appropriate.
• Orders, prescribes, dispenses, and administers medication. Handles prescription refills.
• Conducts daily hospital rounds with supervising orthopedic surgeon.
• Provides assistance in the operating room suite as requested, including scrubbing in on cases.
• Sees new clinic patients as well as patients in follow-up.
• Triages and returns phone calls from patients and physicians under the direction of the supervising surgeon.
• Available to see patients requiring same-day clinic visits.
• Evaluates pre- and postoperative patients and performs follow-up visits.
• Provides continuity of care by developing and implementing patient management plans and implementing physician directives.
• Other duties as delegated

Required Qualifications :

• Understanding of the laws and rules governing practice as a PA in Massachusetts.
• Knowledge of the techniques of physical diagnosis, including those used in taking a medical history, performing a physical examination, and arriving at an accurate evaluation of the patient.
• Know how to interpret and maintain a confidential medical record.
• An understanding of the standard methods of medical report preparation.
• Need to know terminology and standard abbreviations used in the field of medicine (includes knowledge of banned abbreviations).
• Knowledge of safety practices and procedures followed in a medical facility.
• Ability to perform basic surgical procedures including suturing or OR techniques preferred.
• Understanding of health promotion and maintenance.

Preferred Qualifications :

Suboxone Waiver

Special Requirements :

Physician Assistant must be a graduate from a program for the education and training of Physician Assistants which has been approved by the Massachusetts Board of Approval and Certification of Physician Assistant Programs, Department of Public Health (M.

G.L. Chapter 112, ss. 9C-9H)

About the Shattuck Hospital :

Shattuck provides a safety net for patients referred by teaching and community hospitals that require extended care and is an essential health care provider for patients facing challenges accessing high quality healthcare.

The hospital is on the front lines of the opiate epidemic, leading in the innovative treatment of substance use disorders.

Shattuck provides a full range of services including acute care supported by a Medical Intermediate Care Unit, surgical services, telemetry, anesthesiology, pulmonary services, orthopedics, rehabilitative medicine, PICC / central line placement, advanced wound care, chemotherapy, and telemedicine.

Comprehensive ancillaries and procedures include full clinical lab / pathology, CT and MRI, on-site pharmacy, sleep studies, EKG / ECHO and EEG.

In addition to the main hospital, 25 outpatient clinics coordinate one-stop medical and mental health care and offer the only ambulatory surgical service among the state hospitals.

The clinical environment is strictly governed by regulatory standards that mandate day to day interventions and services

Barton has your next locum job! Our client, a hospital located in Massachusetts needs a locum tenens Physician Assistant Hospitalist for 30 days of coverage.

The ideal candidate will be able to start as soon as possible. Our client is requesting coverage 7am-5pm or 8am-5pm, 8-10 hour shifts / day totaling 40 hours / week.

Applicants should be comfortable with full joint replacement ortho cases including but not limited to : hips, knees, shoulders, elbows, & spines including medication management for post-op patients.

There is a chance for extension with this job. To learn more, apply now!

Job Description

Description

Home Hospital Advanced Practice Provider (NP or PA) full time 40 hour Days

Job Title : Home Hospital Advanced Practice Provider

General Overview

The Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home.

The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care.

The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (, physical therapist).

Upon admission to Home Hospital a patient will have an in-person visit (this can be done in the hospital or in the home).

Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below).

The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.

The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine.

The role offers the potential to grow into a managerial / leadership position and / or the opportunity to broaden clinical duties.

Principle Roles / Responsibilities :

Provides acute-level care in the home setting (in-person and / or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his / her / their home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care).

Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.

Collaborates with multidisciplinary Home Hospital team members and patients’ longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.

Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care.

Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.

Attends relevant team and other meetings related to Home Hospital and related work.

Participates with quality measurement and / or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.

Qualifications

Qualifications

At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting;

academic medical center experience a plus.

Current Massachusetts Licensure as a NP or PA with a Masters Degree required.

MGB institutional knowledge a plus.

Advanced Cardiac Life Support (ACLS) certification is required.

Flexible and comfortable with a fast-paced, evolving clinical environment.

Motivated, collaborative team player who also works well independently.

Creative problem solver with the ability to think innovatively.

Excellent oral and written communication skills.

Demonstrated knowledge of quality measurement and quality improvement.

Track record of proficiency in managing relationships and building networks.

Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.

Role is Full-time, 36 to 40-hours / week and will include rotations for days, weekends, and holidays. There may also be a rotating overnight on-call responsibility.

Local travel between patient homes within a defined 10-20 mile radius required.

Job Description

Minimum Qualifications :

1.Bachelor’s degree.

2.Graduate of an approved Physician Assistant Program

3.Certified by the National Commission on Certification of Physician Assistants within one year of hire.

4. Basic Life Support (BLS) certification.

5. One (1) year of Physician Assistant experience.

6. Eligible for state and federal controlled substances registration.

Preferred Qualifications :

1.Two (2) years of Physician Assistant experience.

2. Bilingual.

Duties and Responsibilities : The duties and responsibilities listedbelow are intended to describe the general nature of work and are not intended to be an all-inclusive list.

Other duties and responsibilities may be assigned.

1.Obtains a detailed medical history and performs a comprehensive physical examination of all patients admitted to the Surgical ICU.

2.Performs preoperative preparation and postoperative care of patients and reinforces information presented by the attending physician to the patient and / or family as necessary.

Obtains informed consent for critical care procedures. Coordinates care of various general surgical services, orders necessary diagnostic tests, consultations, and procedures as indicated or requested by the attending physician.

3.Performs postoperative management of critically ill surgical patients. Manages patients on ventilators and on dialysis, and patients with Swan-Gins catheters.

4.Performs bedside diagnostic and therapeutic invasive procedures on critically ill patients as indicated or directed by the attending physician, including but not limited to, management of A-V fistulae, insertion of arterial, central venous lines, and Swan-Ganz catheters, wound debridement, and endotracheal intubation.

5.Performs basic and advanced cardiac life support procedures as necessary and directs these efforts until the arrival of a senior physician.

6.Prepares ICU patients for transfer or discharge, including patient and family teaching, continuing care and rehabilitation arrangements, writes discharge prescriptions, and confirms primary care or referring physician follow-up.

7.Prescribes medications for patients in accordance with service policies and / or attending physician's instructions.

8.Under the direction of the surgical intensivist and the attending surgeon, executes a wide range of management plans for Surgical ICU patients.

9.Dictates formal discharge, transfer, and death summaries for Surgical ICU patients for the attending physician's review and signature.

10.Participates in the education of students and residents assigned to the surgical services.

11.Performs clinical data collection and analysis, and participates in clinical research supervised by the Director of Maintain a collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment.

12.This position reports administratively to the Senior Physician Assistant of the Department of Surgery and the Administrative Manager of the Department.

13.This position reports clinically to the Director of the Surgical Intensive Care Unit.

14.Works closely with Surgical ICU patients and their families.

15.Works as a member of the surgical team including attending surgeons, physicians, residents, nurses, and ancillary personnel.

16. Participates as an integral member of the Surgical ICU multidisciplinary team.

Physical Requirements :

1. Ability to work within the semi-restricted and restricted environment of the Operating Room and other Perioperative support areas.

2. Stands under hot surgical lights for prolonged periods of time.

3. Possibility of muscle strain from lifting patients and heavy equipment, shocks and burns from cautery units and autoclaves.

Possibility of cuts from sharp instruments.

4. Frequent exposure to hazardous chemicals, blood and bodily fluids, extreme noise levels, radiation, lasers, drastic fluctuations in ambient temperature, etc.

5. Ability to wear a protective lead apron for extended periods of time and exposure to radioactivity, harmful anesthesia gases and septic infections.

6. Requires frequent lifting and positioning of patients, materials, equipment, power tools, instruments, etc.

7. Frequent contacts with patients, physicians and nursing staff in Operating Room.

Skills & Abilities :

1. Expert knowledge of aseptic technique and infection prevention practices.

2. Expert knowledge of anatomy and physiology, medical terminology, microbiology and pharmacology to ensure that optimal patient care is provided.

3. Advanced knowledge of computers, surgical equipment and department infrastructure.

4. Possess the ability to care for critically ill adult and pediatric patients with a broad range of medical and surgical problems.

5. Expert knowledge of surgical subspecialty equipment, supplies and instrumentation.

6. Advanced knowledge and skills necessary to provide care to patients throughout the life span.

7. Qualified in all basic and advanced cardiac life support standards as set by the American Heart Association.

8. Possessthe maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.

Summary

Responsible for the assessment, diagnosis and treatment of patients through collaboration with a designated physician.

Essential Duties and Responsibilities

• Assess and treat patients with common acute conditions, illnesses, or minor trauma in collaboration with a physician
• Collaborate with the physician in the health care of patients with chronic illnesses.
• Responsible for the diagnosis and treatments of acute, chronic, and long-term healthcare issues.
• Educate patients and / or families about preventive care, positive behaviors, medical issues, and use of prescribed medical treatments and / or medications.
• Maintain legible, accurate, and confidential medical records.
• Document all medical evaluations, diagnoses, procedures, treatment, outcomes, education, and referrals.
• Serve as Medical Examiner and perform Department of Transportation (DOT) physical examinations.
• Order diagnostic tests as appropriate.
• Prescribe medications within scope of license.
• Facilitate evaluation of records by physician(s), peers, for quality and standards according to protocols and receive and implement constructive directives.
• Promote preventive and health maintenance care, including annual physicals, positive health behaviors, self-care skills, and use of prescribed medical treatments and medications through education and counseling.
• Analyze new knowledge gained from conferences, workshops, professional literature, or hands on training and assimilates this knowledge into clinical practice.
• Regular attendance to ensure efficient operations

Other Duties and Responsibilities

• Assist in patient flow through patient triage and other nursing duties as needed
• Other duties and responsibilities as assigned

Qualifications

• Ability to learn and utilize Electronic Medical Records system
• Ability and willingness to work weekend and holiday work as required
• Flexible, self-motivated individual who is dedicated to quality patient care and customer satisfaction
• Excellent communication skills
• Works effectively in a team environment. Willing to work with multiple covering physicians in addition to collaborating physician.
• Projects a positive image and has a Patients First attitude
• Prior experience in primary / urgent care or internal medicine practice is desirable

Education and Experience

Current licensure as a Certified Registered Family Nurse Practitioner (ANCC or AANP) in a Family or Current Licensure as a Physician Assistant (PANCE)

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If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides.

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