Classified Title: Physician Assistant Role/Level/Range: ACRP/04/MG Starting Salary Range: Competitive; Commensurate with experience Employee Group: Full Time Schedule: Monday - Friday, 8:30am - 5:00pm Exempt Status: Exempt Location: East Baltimore Campus Department Name: Oncology Personnel Area: School of Medicine
The Department of Oncology is seeking a Physician Assistant to work collaboratively within a multi-disciplinary health team and is responsible for providing comprehensive and age appropriate care to both well and ill patients. Working under the supervision of a physician, assist with inpatient/outpatient care and administration of chemotherapy to patients, assures treatment protocol compliance, monitors patients for drug toxicities, performs diagnostic tests and procedures. Provides outpatient follow-up of oncology patients, assists with the training of house staff members, medical students and nursing staff. Coordinates inpatient care of bone marrow transplant patients. Educates patients and families and intervenes in acute or chronic illness. Coordinates and participates in various clinical research projects.
DUTIES AND RESPONSIBILITIES
Provides comprehensive, age appropriate, and episodic care to patients as a member of the multi-disciplinary health care team
Obtains patient history; Performs patient care and physical examinations; Prepares patient summaries; Develops care/treatment plan; Attends out-patient clinics and assists with patient management.
Develops care/treatment plan.
Provides information to staff regarding patient's care plan and condition.
Consistently develops effective care/treatment plan for assigned patients according to established protocols and procedures.
Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age.
Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
Follows daily progress of post-transplant patients in the immediate transplant phase, including history and physical exam, ordering, performing, and interpreting laboratory and radiological data and establishing and implementing a plan of care based on those interpretations and observations. Makes referrals to appropriate specialties.
Follows long term progress of transplant patients including history and physical examination, orders and interprets re-staging tests, and assesses status.
Observes for evidence of long term effects of transplantation including infection, toxicity, engraftment, Graft-Versus-Host Disease.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Procedures: Performs, but is not limited to the following advance procedures:
Routine laboratory procedures such as cultures, smears, venipuncture, electrocardiograms.
Performs advanced procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, and other procedures as necessary, including paracentesis and thoracentesis.
Provides Emergency Care:
Maintains CPR certification
Maintains airway, breathing, circulation
Starts and provides basic CPR
Orders and administers anti-anaphylactic and supportive medications
Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
Prescribes Schedule 2, 2N, 3, 3N, 4,5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.
Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms.
Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment.
Works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.
Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in rounds and meetings for consultation
Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
Performs oncology related procedures, such as bone marrow aspiration and biopsy, lumbar puncture, bone marrow harvest, and other procedures as called upon within the scope of practice.
Assumes fiscal responsibility with working knowledge of evidence based medical model.
Effectively uses resources of the patient and the institution.
Is aware of and adheres to specific capitations and limitations of the patient's insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
Has knowledge of and utilizes all available resources in the event that the patient's resources are limited or unavailable in order to provide medical care and social well-being.
Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.
Assists with formulation of P.A. policies within department regarding utilization of P.A.s, CME requirements, and other administrative matters
Bachelor's degree; Certification by the NCCPA or similar national certifying body; Completion of a CAAHEP certified Physician Assistant program. Must be licensed as PA in State of Maryland or other state where practicing. Three years' experience as a certified Physician Assistant with a team of attending and resident physicians, in an oncology related clinical area. Experience may be considered in lieu of bachelor's degree, as permitted by the JHU equivalency formula. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
Additional Knowledge, Skills, or Abilities / Competencies:
Advanced clinical skills in specialty area or equivalent
Research knowledge, including interpretation, utilization, and conduct
General computer knowledge and capability to use computer
Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members
Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care
Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem solving
Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel
Ability to function effectively in a fluid, dynamic, and rapidly changing environment
Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
The successful candidate(s) for this position will be subject to a pre-employment background check.
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During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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