Position Summary: We have an exciting opportunity to join our team as a Physician Assistant.
In this role, the successful candidate Vascular Surgery PA with floor and OR responsibilities.
Carries out patient care responsibilities with emphasis on nursing judgments for an assignedgroup of patients; integrates interpersonal skills and standards of patient care to attain an optimallevel of wellness; provides compassionate and goal-directed care with the support of other staffand nursing leadership; interventions are focused on effective delivery of care for patients andfamilies in collaboration with the interdisciplinary team
Cultural Competencies. Recognizes that all patients may not share the values and practices of the US health system. Develops questions and identifies resources to learn about patients values, beliefs and practices. Views patients/family as well as other employees as individuals with unique values, beliefs and practices. Identifies common health related views held by the majorcultural and religious groups served.Communicates with each patient and family in a culturally appropriate way.
Geriatric (65 + Older) Provides a safe environment, free of potentially hazardousconditions by reinforces maintenance of obstacle free patient rooms and corridors. Keeping call bell within reach.Ensuring adequate non-slip footwear. Reinforces maintenance of toileting program (as applicable) Assists with meeting nutritional needs related to difficulty chewing, decrease in taste sensation, loss of appetite anddecreased absorption of nutrients as applicable. Recognizes change in skin integrity and provide for increased protection. Adjusts pace of care/treatments in response to patients endurance ability.Assists in maintaining optimal activity level to prevent de- conditioning. Assists with meds and other activities (as assessed). Recognizes potential for altered medication absorption and administers and monitors medications accordingly. Allows patient to maintain control and provides adequate time for decision-making and problem-solving.Speaks distinctly at an appropriate volume and eliminates extraneous noise to ensure effective communication. Encourages to verbalize fears related to the aging process.Includes caregiver/family (where applicable) in decision-making. Adjusts teaching and explanations as needed in response to potential for decline in senses.Assesses by name in the manner preferred. Monitors for signs and/or increased risk for neglect or abuse.
Young & Middle Adult (19 64 years) Uses active discussion and other methods that capitalize on learning strengths of mature adults. Addresses by name in the manner preferred. Assesses need and level of family involvement. Administers and monitors medications as appropriateto weight and age. Supports need to retain a level of choice and control. Respect right to refuse treatment. Encourages verbalization of fears. Monitors for signs of and/or increased potential for neglector abuse.
Adolescents (13 18 years) Allows time for detailed explanations before procedures are performed. Uses adult vocabulary; does not talk down to patient. Involves in decision-making and planning. Allows time alone to foster independence. Provides for sense of control within the hospitalenvironment. Maintains privacy with awareness of self-consciousnessrelated to body changes. Remains aware of importance of peers and facilitates peer interaction whenever possible. Allows time to choose whether to have a support person present and maintains confidentiality and trust.
School Age (6 12 years) Provides methods for self control using counting, storytelling or relaxation for distraction.Allows control over privacy as much as possible. Allows adequate prep time for procedures. Explains procedures in correct terminology, includes child in conversation regarding care when they are present. Gives directions in familiar simple terms.
Pre-School Age (3-5 Years) Provides explanations of where parents are and when they will return. Gives short time frame to prepare for procedures. Explains procedures in simple terms. Enlists childs help with procedures and praises them for cooperation. Uses familiar characters in conversation and exploration. Identifies if shy or frightened and attempts explanations of procedures using demonstration on toys/dolls.
Toddler (1-3Years) Communicates in simple, familiar terms and gives directions one at a time. Explains steps of procedures immediately before starts and allow toddler to touch equipment (unless safety would becompromised), Uses a firm approach/distraction technique and recognizes that patient may not be cooperative. Avoids restriction of movement as much as possible. Allows possibility for mobility whenever possible. Allows choices when possible or applicable.
Young Infant (0 12 months) Protects from bright lights, loud noises and sudden environmental changes.Keeps siderails up at all times, keeps hand on baby when on surface without siderails. Keeps room temperature 75-78 degrees F, keeps baby away from drafts; ensures infant warmth during care.Uses sensory soothing measures (stroking skin, talking softly, giving pacifier, etc.) in stressful or painful situations. Places familiar objects with infants, especially when family is unavailable.
Serves as a role model for staff in considering needs and behaviors of specific patient age and cultural groups. All Children (0-18 Years) *Rate only if applicable. Allows patient to have some control by allowing choices as age appropriate. Praises childs efforts regardless of his/her reactions. Recognizes need for play/recreation and incorporates whenpossible. Provides an atmosphere of warmth and acceptance. Allows siblings to visit. Encourages parent/guardians to demonstrate affection. Encourages parent/caregiver to participate in care as much aspossible. Identifies abnormal physical assessment findings specific toage group. Carries out treatments with consideration of age specific needs. Identifies and/or seeks resources for average medication dosagesspecific for age & weight. Uses age-appropriate methods for administering medications. Remains with patient until medication administration is complete. Adapts equipment used in care for age and size of child. Keeps potentially hazardous articles out of reach.Maintains surveillance and prevents unsafe exploration. Transports in appropriate manner to prevent falls or injury. Performs painful procedures in area other than own room. Shows awareness of potential patient regression related to hospitalization.s. Monitors for signs of/and/or increased potential neglect or abuse.
Communications/Relationships with Others Respects and maintains the confidentiality of all patient, physician, and hospital related information.Cooperates and communicates effectively and hamoniously with own supervisor, management, peers, general staff, physicians, other Medical Center personnel, patients their families, and the general public in a courteous and professional manner. Communications (verbal and written) are well thought out, effective, and informative. Listens carefully to others in order to respond appropriately, answer questions, or obtain needed information.
Conferences.Participates in conferences and conducts lectures as assigned. Pursues a planned program of professional growth through continuing education conferences, etc. in order to maintain and upgrade clinical skills.
Patient Monitoring. Conducts daily rounds to observe and record pertinent progress of patients. Scrubs and assists in the main operating rooms and Day Surgery at the discretion of the Supervising Physician. Provides post-operative care by checking for signs of post-operative complications, changing dressings, and removing sutures and staples. Writes progress notes and iterim summaries clearly on a timely basis. Advises supervising Physician of any changes in the patients condition.Instructs and counsels patient as advised by the Supervising Physician regarding physical and mental health including Information relating to diets, medication, preventive care. Prescribed treatment plans, etc. in order to provide betterContinuity of care with an overall emphasis on preventionand a humanistic understanding of the patients problem.Assists and, when appropriate, initiates management of medical and surgical emergencies; performs emergency lifesaving procedures when a physician is not available.Maintains an up-to-date awareness of the communitys health facilities, agencies, and resources for the purpose of facilitating appropriate referrals for patients.
Orders appropriate tests and medications according to criteriapreviously established by the supervising physician. Explains the necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.Enters orders in H.I.S. system; all drug orders are countersigned on H.I.S. by the supervising physician within 24 hours. Performs the following procedures as instructed by supervisingphysician in accordance with standard medical practice draws blood both venous and arterial urinary bladder catherization nasogastric intubation nasotracheal aspiration starts and administers IV fluids institutes and monitors EKGs administers injections pulls drains out removes casts. Interprets test results and makes recommendation to Supervising Physician concerning further treatment for patient. Compiles data and statistics pertinent to the physicians derivation of a logical and systemic evaluation of the patientsproblems, a planned program of management and therapy appropriate to the patient and the actual implementation of the therapeutic plan.
Medical Histories. Elicits a detailed and accurate medical history from the patient and performs appropriate physical examinations.Records appropriate data in medical charts.Organizes and presents pertinent (both normal and abnormal) data in a manner meaningful to the physician for his/hermedical diagnosis and treatment.
Minimum Qualifications: To qualify you must have a Licensure: Current New York State Physician Assistant License. Education: Physician Assistant Bachelor's Degree (BA-PA). Certifications: NCCPA Board Certification ACLS, PALS, NRP Provider (Neonatal Resuscitation Program), NALS per delineation of privileges.Competence: At least 2 years of clinical rotation in various medical, surgical and other specialty areas. Evidence of excellent interpersonal skills, effective communication skills, creative problem solving and excellent critical thinking skills. Previously demonstrated ability to facilitate group processes and work cohesively and collaboratively as member of the interdisciplinary team. .
Required Licenses: Physician Assistant Lic-NYS, Ntl Com Cert Physician Asst
Preferred Qualifications: Previous experience as a physician assistant or physician assistant fellowship experience is preferred. Membership in professional specialty organizations desirable.
Qualified candidates must be able to effectively communicate with all levels of the organization.
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NYU Langone Health, a world-class patient-centered integrated academic medical center, is one of the nation's premier centers for excellence in clinical care, biomedical research, and medical education. Located in the heart of Manhattan, NYU Langone is composed of four hospitals – Tisch Hospital, its flagship acute care facility; Rusk Rehabilitation; the Hospital for Joint Diseases, one of only five hospitals in the nation dedicated to orthopaedics and rheumatology; and Hassenfeld Children's Hospital, a comprehensive pediatric hospital supporting a full array of children's health services across the medical center – plus the NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. The medical center's tri-fold mission to serve, teach, and discover is achieved 365 days a year through the seamless integration of a culture devoted to excellence in patient care, education and research. For more information, go to www.nyulangone.org.