INACTIVE Physician Assistant-Trauma Nocturnist

Position Purpose

This position performs the functions of examining, planning and implementing the health care of assigned patients under a licensed physician’s supervision and direction. The PA secures patient histories, performs physical examinations, orders laboratory tests, develops and implements treatment plans, performs diagnostic and treatment procedures, records findings, and provides patient education and counseling to enhance our effectiveness in providing routine therapeutic health care.

Nature and Scope

The Physician Assistant (PA) may perform the following functions:

Shift 7PM to 7AM:

1. Night PA will carry pager and evaluate trauma greens patients as directed by Trauma Physician.

2. Pre-specified Trauma Greens Activations to be seen by PA within 30 mins. of arrival

• Transfers

• Following PT. evaluation, the PA will communicate with Trauma Physician

3. Primary activations:

• Evaluation and admission of Trauma Consult as directed by the Trauma Surgeon

• Bedside procedures under the guidance and at the discretion of the Trauma Surgeon

• Following Pt. evaluation PA will communicate with Trauma Physician

4. Attend Trauma Red and Yellow activations along with the Trauma Physician

• PA to place admitting orders/completed problem list and H&P directed by Trauma Physician

5. Assist trauma surgeon with follow up labs and imaging studies. Including Tegs

6. PA to facilitate workup process of trauma pts.

7. Assist trauma surgeon with notification and care plan of consultants.

8. Communicate with ER Trauma physician concerning evaluation and disposition for trauma Pts

9. Provide assistance intra-op for trauma pts requiring surgery. Complete Post Op orders

10. Evaluation of pts in the ICU as directed by the Trauma Physician or Critical care physician.

• Orders/intervention/procedures only at the approval of the Trauma Physician.

11. Coverage of calls from floors

• Focused on pts with potential for decompensation as highlighted by the Day shift PA sign out.

• Respond to appropriate floor calls in person.

12. Facilitate early discharge and transfer of floor patients.

13. Completed an ICU resuscitation note, on all new trauma admits being resuscitated

KNOWLEDGE, SKILLS & ABILITIES:

1. Adopts a philosophy consistent with the Renown Health Purpose Statement and models “Standards of Conduct” concepts.

2. Effective communication skills – written and verbal.

3. Ability to establish positive working relations with Provider Staff.

4. Work efficiently and cooperatively in a multi-physician/provider office setting.

5. Work as part of a team toward clinic goals.

6. Maintains accurate, legible, and confidential records.

7. Actively participate in quality assurance, peer review programs, and health care outcome evaluations.

8. Direct nursing and/or medical assistant duties consistent with clinic protocols.

9. Ensures the highest quality of care requiring a code of ethical practice, evidence of continuing professional development, and maintenance of clinical skills.

10. Patient advocate through ethical and legal standards.

11. Combines the roles of provider, mentor, educator, researcher, manager, and consultant, as applicable

12. Interprets the role of the nurse practitioner to individuals, families, and other professionals.

13. Works efficiently, cooperatively, and autonomously in long-term and acute care facilities, as applicable

14. The Nurse Practitioner shall at all times comply with the provisions of NRS 632 and Regulations of the Nevada State Board of Nursing.

15. The Collaborating physician is responsible for the action of the Nurse Practitioner at all times.

16. Will attain sufficient knowledge in the specialty and assure appropriate on-going education, such as knowledge of all core APHON educational programs, as applicable.

17. Attend and participate in departmental and Renown Health meetings consistently

SUPERVISION:

1. All entries in the medical record (with the exception of the Discharge Summary) as permitted under Nature and Scope, or in the specific Appendix, must be co-signed by the supervising physician within the next calendar day. The Discharge Summary must be co-signed by the supervising physician in the time frame specified by the Medical Staff Rules and Regulations.

2. Patient rounds made by a PA shall not be considered as fulfilling requirements for Medical Staff member daily patient rounds.

3. The Physician Assistant must at all times comply with the provisions of Nevada Revised Statue and other regulations that set forth the practice of a Physician Assistant in the State of Nevada.

4. The supervising physician(s) is/are responsible for the actions of the Physician Assistant at all times.

The first 20 charts will be reviewed by the Department Chief or his designee for compliance with this Scope of Practice, hospital policies and the community standard of care.

This position does provide patient care.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Minimum Qualifications

Requirements - Required and/or Preferred