group
Category
Specialists (Clinical and Non-Clinical)
business
Department
Cardiac Surgery Admin
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA
info
Job #
R0252682




  • Job Objective: A brief overview of the position.



    • The Physician Assistant (PA) assists in OR and is responsible for the management of care of the cardiac surgery patient across inpatient healthcare Continuum.


  • Reports to



    • Administrative Director, Surgical Services and Supervising Cardiac Surgeon


  • Supervises



    • N/A


  • Ages of Patients



    • Adult


    • Geriatric


  • Blood Borne Pathogens



    • High Potential


  • Qualifications



    • Education


    • Licensure/Certification



      • Required: Physician Assistant license by PA’s Examining Committee of the Medical Board of California; and American Heart Association BLS and ACLS.


    • Experience



      • Preferred: Acute cardiac pre to post-op management.


  • Essential Responsibilities



    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.


    • Utilizes the medical model to manage patient care. Completes management of care by:



      • Providing evaluation, diagnosis and treatment.


      • Health promotion and disease prevention-based goals for self-care skills.


      • Provide counseling and education Offer collaborative practice-based setting.


      • Provide risk assessment to families and community.


      • Primary and acute care level of intervention.


    • Assesses the health status of patients by completing the following:



      • Obtains a relevant health and medical history


      • Performs a physical examination based on age and history.


      • Performs or orders diagnostic procedures based on the client’s needs.


      • Identifies health and medical risk factors.


    • Makes accurate diagnosis by:



      • Utilizing critical thinking in the diagnostic process.


      • Synthesizing and analyzing the collected data.


      • Formulating a differential diagnosis based on the history, physical examination, and diagnostic test results.


      • Establishing priorities to meet the health and medical needs of the client.


    • Develops a treatment plan under the supervising physician to maximize health potential.



      • Selecting appropriate pharmacologic and non-pharmacologic interventions.


      • Developing a patient education plan and providing patient teaching.


      • Appropriate consultation/referral.


    • Interventions are based on priorities and are individualized and consistent with plan of care.


    • Evaluates and follows up on patient status making modifications in the treatment plan as necessary based on reassessment.


    • Recognizes priorities in critical situations and acts in a timely manner.


    • Demonstrates knowledge of surgical anatomy, physiology, and operative techniques.


    • Provides intra-operative exposure and retraction.



      • Retracts tissues or organs by use of the hand.


      • Places and holds surgical retractors.


      • Packs sponges or laparotomy pads into body cavities to hold tissues or organs out of the operative field.


      • Manages all instruments in the operative field to prevent obstruction of the surgeon’s view.


    • Sutures tissue, using instruments and suture material.



      • Correctly approximates tissue layers.


      • Approximates tissue appropriately to avoid excess tension and tissue necrosis.


      • Ties knots firmly to avoid slipping.


      • Uses staples, clips or other devices to approximate tissue.


    • Handles tissues and manipulates instruments to perform:



      • Superficial dissection.


      • Harvesting of saphenousvein 1. open 2. bridging 3. endoscopic Provides hemostasis by:


      • Aspirating and sponging of blood and other fluids from the operative site.


      • Applying clamps on superficial vessels and typing them or electrocoagulation of them as directed.


      • Placing suture ligatures in the muscle, subcutaneous and skin layers.


      • Placing hemoclips or other ligating devices on bleeders.


    • Facilitates patient participation in health and medical care by providing education needed to make decisions and choices about:



      • Promotion, maintenance and restoration of health.


      • Consultation with other appropriate health care personnel.


      • Appropriate utilization of health care resources.


      • Facilitation of entry into the healthcare system; admission to facility under direction of Supervising Physician.


      • The promotion of a safe, realistic discharge plan.


    • Completes patient rounds on all Cardiovascular Surgery inpatients.

    • Performs other duties as assigned.

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