Under the supervision and direction of the Physician Director, Department of Emergency Medicine, the Physician Assistant (PA) is responsible for the care of emergency department patients under the direction of the attending physicians and in accordance with the rules and regulations of Massachusetts governing Physician Assistant practice. The PA will obtain patient histories, perform comprehensive physical examinations to evaluate patients for admission, perform bedside diagnostic and therapeutic procedures, coordinate tests and consultations, implement treatment plans, communicate with referring and consulting physicians, perform patient education, and prepare patients for discharge. The PA assumes responsibility for adult and pediatric patients in accordance with service policies and protocols. Primary management of adult and pediatric emergency patients in the emergency department, in conjunction with emergency medicine staff. Includes ongoing evaluation and care of patients, rounds with staff, and sign-out of patients at shift change.
1. Obtains a detailed, accurate medical history and performs a comprehensive physical examination on adult and pediatric patients.
2. Performs examination and evaluation of adult and pediatric emergency patients and reinforces information presented by the attending physician to the patient and/or family as necessary. Orders necessary diagnostic tests, consultations, and procedures as indicated or requested by the attending physician. Prescribes medications as necessary.
3. Performs or assists in routine and complex adult and pediatric procedures as necessary, including but not limited to splinting, arthrocentesis, relocation of joint dislocations, laceration repairs, abscess incision and drainage, orogastric and nasogastric intubation, nail trephination, insertion of urethral catheters, collection of arterial blood samples, removal of nasal, ear and wound foreign bodies, anterior nasal packing, slit lamp examination, local nerve anesthesia and nerve blocks.
4. Writes notes on all patients and discusses the care of each patient with the attending physician and other consult services that are involved with the care of that patient. Maintains communications with referring physicians.
5. Performs basic and advanced cardiac life support procedures as necessary and directs these efforts until the arrival of an attending physician.
6. Prepares adult and pediatric emergency patients for discharge, including patient and family discharge teaching, continuing care and rehabilitation arrangements in conjunction with nursing, writing discharge prescriptions, and confirming primary care or referring physician follow-up.
7. Prescribes medications for adult and pediatric emergency patients in accordance with service polices and/or attending physician’s instructions.
8. Under the direction of the attending physicians, executes a wide range of management plans for adult and pediatric emergency patients.
9. Writes formal discharge summaries of adult and pediatric emergency patients.
10. Participates in the Department of Emergency Medicine educational meetings with students and residents assigned to the service.
11. Rotating schedule requiring periodic night, weekend and holiday shift coverage.
Graduate of an accredited American Medical Association-approved Physician Assistant training program.
A college degree is required.
Must be certified by the National Commission on Certification of Physician Assistants within one year of hire;
Must maintain this certification by completing required 100 hours of Continuing Medical Education credits every two years. In addition PA must demonstrate continued competence by passing a re-certification exam every six years. Qualified in all basic and advanced cardiac life support standards as established by the American Heart Association.
Qualified in all basic and advanced pediatric life support standards as established by the American Heart Association.
Possess the ability to care for critically ill adult and pediatric patients with a broad range of medical problems.
Possess the maturity, self-confidence, and ability to follow complex patient management plans as directed by the attending physician.
Eligible for state and federally controlled substances registration.
This position reports directly to the Medical Director of the PA Program and has a relationship with both the Nursing Director and Administrative Director of the Emergency Department. Works closely with adult and pediatric emergency patients and their families. Works as a member of the emergency team including attending physicians, residents, nurses, students, and ancillary personnel.
Well ventilated, well-lit clinical treatment rooms. The work may require the lifting of heavy objects and patients, as well as exposure to potentially infectious material. Work requires contact with needles and other sharp instruments, electric-cautery devices, monitoring devices, and other state-of-the-art equipment. Prolonged standing can be expected. Walking to and from the patient care units can be expected.
No direct supervisory responsibilities. Play a role in the education of medical students in the Emergency Department. Assist the nursing and house staff in patient education. Teach and assist other members of the ED team in performance of specialized diagnostic procedures. Teach and assist technicians who operate and maintain monitoring equipment.
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