PA/NP Critical Care

Job Description Summary

Under the general guidance of the MD Chair of critical care and the Executive Director, APC program, the NP/PA will evaluate, diagnose and treat patients following written guidelines approved by the Department of Critical Care.

Job Description

BASIC PURPOSE OF THE JOB

Work as part of a critical care team comprised of Intensivists/Internists and PA providers in a very active 24 bed combined medical/surgical/cardiac ICU.  Responsibilities include assessment, diagnosis and treatment of critically ill patients under the supervision of the intensivist as well as communication with consultants, patients and families. Other duties include admission of patients from the ER, daily progress note documentation, billing, ventilator management, laboratory interpretation. Capability of performing central venous line placement and arterial lines.  First responder to "Rapid Response" and codes.

JOB REQUIREMENTS

Minimum Education - Preferred

Graduate of accredited Physician Assistant Program

Minimum Work Experience

Prefer two or more years of practice, preferably in critical care.

Required Licenses / Registrations

PA - Physician Assistant

Required additional Knowledge, and Abilities

Must possess current PA- Physician Assistant license.
NCCPA certification & ACLS - Advanced Cardiac Life Support required.
Pediatric Life Support (PALS) preferred.
License, certification and required classes and skills will be monitored through the Medical Staff Services Department.
Demonstrates history of proficiency in the delivery of critical care medicine to patients of all ages.
Demonstrates history as a strong member of a Critical Care Team with successful completion of South Shore Hospital credentialing process.

1 - Performs evaluations, including: pertinent history and physical exam on patients assigned to Critical Care.  Institute a plan of care based on findings.  Inform the responsible Critical Care Physician of pertinent subjective and objective data and routine diagnostic and therapeutic measures initiated. 

   a - Documents clinical findings and impressions on the patients record.

   b - Consults MD when necessary, prior to proceeding with care.

   c - Orders diagnostic tests.

   d - Prescribes required medications and treatments.

   e - Coordinates subspecialty referrals in consultation with the responsible Critical Care physician.

   f - Provides follow-up instructions for patient and/or family.

2 - Performs special procedures after orientation and documentation of competency.  All procedures will be performed in accordance with approved protocols.

   a - Pelvic Exams

   b - Suturing

3 - Serves as clinical resource to nursing staff.

   a - Assists in the development of emergency nursing staff.

   b - Participates in Quality Monitoring activities.

   c - Assists in the development of treatment protocols.

4 - Evaluates patients in regard to discharge or admission in order to improve the flow of patients.