Wake Forest Baptist Health
Job Title: NP/PA - Preoperative Assessment Clinic
Job ID: 2997
Full/Part Time: Full-Time
Job Category: Physician and FacultyWinston-Salem, NCPhysician and Faculty, Medical, Healthcare6/11/2013Midlevel Providers Description of DutiesIN 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...http://www.wakehealth.edu/HR/Faculty/Physician-Assistant-II-Preoperative-Assessment-Clinic-2997.htm
Midlevel Providers Description of Duties
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 of 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.
Variable rotations are available within the Section on Perioperative Medicine (both 8 & 10 hour shifts). Our midlevel providers have the option of conducting inpatient assessments (our inpatient service) and/or clinic-based assessments. Our inpatient preoperative service functions similar to an inpatient hospitalist preoperative service.
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Computers are available for applying within the lobby of the Human Resources Department located at 1920 West First Street, (on the corner of Miller and First Street) Winston-Salem, North Carolina 27104. You may also call our office for assistance at (336) 716-7580. Office hours are Monday-Friday, 8:00am-5:00pm.
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