Physician Assistant CVT Surgery

SUMMARY:

Under the direction of the Director of the Cardiovascular Institute and the Lead Supervisor for Cardiac Surgery candidate works in the intensive care unit managing cardiac surgery patients to include in pre, intra and post-operative management. Primary responsibility is in the ICU and includes writing admission/pre-operative/post-operative orders, autonomous management of all aspects of postoperative critical care (including management of various mechanical support devices, ie: IABP/ECMO Impella/CVVHD and performing bedside medical procedures.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Brown University Health employees are expected to embrace Brown University Health's mission of "Delivering health with care" and successfully role model Brown University Health's values of Compassion, Accountability, Respect, and Excellence as these guides our everyday actions with patients, customers, and one another.
• Position includes days, evenings, nights, weekends and holidays providing comprehensive patient care in the pre-operative, intra-operative, and post-operative setting with primary focus being in the intensive care unit.
• Obtains and records detailed medical histories; performs and records complete and detailed physical examinations; records pertinent progress notes in the medical records; prepares discharge summaries.
• Prepares initial patient orders for admission, pre-and post-operative care including diet, fluids, activity, laboratory studies, diagnostic imaging, and medications as directed by the physician in accordance with hospital procedures.
• Intra-operative second assisting if needed. Writes operative procedure notes and assists in transport of the patient from the operating room to the intensive care unit.
• Inserts and removes chest tubes/pigtail catheters; removes temporary epicardial pacing wires; removes sutures and staples; performs arterial punctures for arterial blood gas specimens; performs thoracentesis, inserts nasogastric tubes, peripheral IV lines, central venous lines, arterial lines, catheterizes the bladder; cleans, debrides, dresses wounds; applies wound VAC dressings
• May perform other duties as requested by staff physicians or attending physicians, including care of selected patients on both the medical and surgical services and initiating consultative services on behalf of the CVT surgery service.

BASIC KNOWLEDGE:

An extremely high level of analytical ability to apply post-surgical training to the treatment of patients. Good interpersonal skills to deal effectively with patients and nursing personnel. Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

EXPERIENCE:

Ideal candidates would have some critical care management experience, preferably in cardiac surgery, but highly qualified new graduates will be considered. Three to six months on-the-job training and experience to become familiar with job responsibilities and work routines will be required. All applicants should possess a high level of ability to function with significant clinical autonomy.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Physician Assistants must be graduates of an accredited PA program with current NCCPA certification.

Nurse Practitioners must be graduates of a Nurse Practitioner program and certified by the ANCC or by the AANP.

Candidates should hold or be eligible for licensure in the state of Rhode Island as a Physician Assistant or Nurse Practitioner, eligible for licensure for Federal DEA certificate.

INDEPENDENT ACTION:

Performs independently within the departments policies and practices. Refers specific complex problems to the supervisor when clarification of the departmental policies and procedures are required.

SUPERVISORY RESPONSIBILITY:None.

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EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

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