NP/PA - Pre-Operative Assessment Clinic | Anesthesiology Administrative
Job Title: NP/PA - Pre-Operative Assessment Clinic
Job ID: 1463
Full/Part Time: Full-Time
Job Category: FAC
Midlevel Providers Description of Duties
PHYSICIAN ASSISTANT OR NURSE PRACTITIONER IN THE PREOPERATIVE ASSESSMENT CLINIC
Augment the preoperative physician''s ability to provide patient care services by independently and interdependently performing history and physical examinations on patients scheduled for surgery. This involves scheduling, and/or ordering complex diagnostic procedures. The midlevel provider is expected to independently participate in the delivery of direct patient care as it applies to the Preoperative Assessment Clinic and review all labs, ancillary study results, and information provided from the patient''s primary physicians. The midlevel provider will perform a complete preoperative history and physical examination on patients who are scheduled for a variety of surgical procedures, formulate a plan as it relates to the patients comorbidities and potential anesthetic, and perform preoperative chart reviews to evaluate prior anesthetic records. The midlevel provider will also be responsible for reviewing faxed reports from outside physicians and reviewing pertinent studies for risk factors of postop complications and communicating any pertinent findings to the preop assessment attending. They will review all labs and studies ordered as a result of findings during the history and physical examination and integrate these results into the final assessment. The midlevel provider will follow their patients through the preoperative continuum of care to ensure all details are addressed and patient is medically optimized to minimize the risks of surgery and anesthesia.
Coordinating and scheduling preoperative laboratory studies and diagnostic procedures while explaining the necessity and anticipated effects of anesthetic related procedures to the patient as well as arrange preoperative consultations with specialists as needed. The midlevel will coordinate and communicate with the PAC attending regarding the results of studies that may change the course of surgery or anesthetic and arrange for follow-up if cancellation or surgery necessary.
Communicate directly with anesthesiologists and surgeons regarding the results and recommendations arising from the preoperative assessment through the use of the EMR applications. Assist in determining optimal timing for surgery and medically optimizing patients prior to surgery. It will be a critical duty to carefully identify and minimize patients with risk factors for perioperative complications and discuss final disposition and concerning findings with the preoperative assessment clinic attending.
Familiarity with computer systems for the acquisition of patient information from outside sources and remaining current with evidenced based medicine to minimize risk factors and optimize patients preoperatively will be necessary. Maintaining competency standards as set forth by the medical director of the preoperative assessment clinic will be required. Adaptability in terms of assessing a variety patients (Pediatric and Adult) will be required.
PHYSICIAN ASSISTANT II 6631
FUNCTION OF JOB
Augment a physician''s ability to provide patient care services by independently and interdependently scheduling, supervising, and/or conducting complex diagnostic and therapeutic procedures; independently participate in the delivery of direct patient care within the scope of individual authority granted by the North Carolina State Board of Medical Examiners.
1. Perform complex diagnostic and therapeutic procedures in diagnosing medical and surgical problems and prescribing necessary treatment and service for quality patient care; record data and tentative conclusions for review by the physician.
2. Assist in surgeries; provide pre- and post-operative care.
3. Coordinate and schedule laboratory studies and diagnostic procedures; explain the necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
4. Carry out patient care services under indirect physician supervision such as cast application and removal, wound suturing and dressing changes; monitor progress of patients, maintain a record of the patient''s progress, and consult with supervising physician when patient''s progress does not meet anticipated and/or predetermined criteria.
5. Plan and schedule work for the physician''s team ensuring proper distribution of assignments and adequate manning, space and facilities for subsequent performance of assigned duties.
6. Participate in basic science and clinical research projects conducted by supervising physician; prepare statistical reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions.
7. Assist in teaching students, residents and interns in complex techniques and procedures which are unique to specific clinical setting.
8. Perform other related duties incidental to the work described herein.
SUPERVISION RECEIVED AND GIVEN
Oral and/or written instructions are received from supervision. Provide direction and guidance to support personnel.
MINIMUM ACCEPTABLE QUALIFICATIONS
1. Graduation from an accredited Physician Assistant Program.
2. Approved as physician assistant by the State of North Carolina Board of Medical Examiners.
3. One year of experience as a physician assistant or previous experience in the particular medical specialty.
4. Excellent interpersonal skills.
5. Excellent oral and written communications skills.
ADDITIONAL DESIRABLE QUALIFICATIONS
1. Experience beyond the minimum qualifications.
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