Physician Assistant Urology
Spaulding Rehabilitation
Site: The Brigham and Women's Hospital, Inc.
Non-Clinical Duties:
1. Team Work, Interpersonal & Communication Skills
2. Professionalism/Professional Development
a. Continuing Education
b. Professional behavior
c. Course attendance
d. Growth of self, growth of department
PRINCIPAL DUTIES AND RESPONSIBILITIES: PERIOPERATIVE CARE
1) Perioperatively
Prior to the operation, the PA serves to assist with a wide variety of preparations including but not limited to:
a. Assist with placing appropriate perioperative order sets and required pre-op checklist.
b. Verify correct patient information, operative procedure and surgical site and check the patient’s chart for any abnormalities
c. Verify that the correct equipment and instrumentation is prepared and ready to use.
d. Carry out the surgeon’s request for exact positioning for surgical procedure.
e. Assist with patient positioning, including helping transfer of patients from stretcher/bed to OR table, ensuring that the bed is locked and secure during transfer, and application of patient safety measures, i.e., safety strap application, protective padding and arm board placement
f. Assists circulator and anesthesia provider in preparation of patient to include but not limited to foley catheter placement, tourniquet application, placement of IVs, cricoid pressure application, sterile prep and drape, and other procedures as needed.
g. Check availability of imaging studies
h. Work with director of robotic surgery to ensure availability of robotic instruments for current and upcoming case
2) Intraoperatively:
During the operation, at certain points of the procedure the PA may be scrubbed at the bedside with the attending surgeon. During much of the procedure, the PA may be scrubbed alone at the bedside as the attending surgeon performs the procedure on the robotic console. Roles include the following: a. Make incisions and place ports at discretion of attending surgeon
b. Visualization of the operative site by digitally manipulating tissue, suctioning, irrigating, or placing sponges
c. Manipulating suture materials
d. Placement of surgical clips and/or utilization of the stapler as directed by the surgeon
e. Change robotic instruments (remove and reintroduce instruments)
f. Administering subcutaneous postoperative injections of local anesthetics when directed by the surgeon
3) Postoperatively
a. Closing skin incisions, secure drains, and apply wound dressings
b. Handles all surgical specimens according to procedure, assist with specimen reconciliation as needed
c. Transfer patient to stretcher
d. Accompany patient to recovery room to assist with report to staff in post-anesthesia care unit (PACU)
e. Ensures the appropriate post-op order sets are in place, communicates post-op plan with team and ensures the ambulatory follow-up is scheduled correctly.
4.) Professional Development:
This individual must become familiar with mechanics of the DaVinci system including details of port placement, camera targeting, robotic docking, emergency undocking and troubleshooting procedures
In addition:
a. Works with Lead Surgeons, other PAs, and OR leadership to help grow and develop the Robotic Surgery and Robotic PA programs
b. Trains bedside personnel (residents, fellows, and other PAs) in robotic procedures
c. Keeps current regarding developments in technical instrumentation, trends and techniques through internal and external programs, particularly regarding the DaVinci Surgical System.
d. Serves on appropriate nursing and hospital committees as requested.
e. Works closely with OR Nursing to ensure best practices in perioperative patient care.
f. Participates in staff meetings.
g. Assists with quality improvement projects as applicable
h. Assists in evaluation of products, equipment and systems which may have an impact on planning and implementing the budget.
i. Keeps informed of personnel policies and incorporates them in behavior as indicated.
j. Seek out new learning experiences as staffing numbers allow.
PRINCIPAL DUTIES AND RESPONSIBILITIES: NON-OPERATIVE DUTIES
On certain occasions, if there are no robotic cases scheduled for a particular day, then this PA will be assigned alternative clinical duties which could include but is not limited to: assist with non-robotic surgical cases, floating to BWF to assist with OR cases there, support ambulatory PA team with in-basket coverage and patient triage, support inpatient PA team with floor coverage and/or consults.
The Physician Assistant (PA) is a licensed provider. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation.
Does this position require Patient Care? Yes
Essential Functions: Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting.
-Performs complete histories and physical examinations.
-Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
-Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
-Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
-Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries.
-Performs bedside procedures as are appropriate to the patient population.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Non-Clinical Duties:
1. Team Work, Interpersonal & Communication Skills
2. Professionalism/Professional Development
a. Continuing Education
b. Professional behavior
c. Course attendance
d. Growth of self, growth of department
PRINCIPAL DUTIES AND RESPONSIBILITIES: PERIOPERATIVE CARE
1) Perioperatively
Prior to the operation, the PA serves to assist with a wide variety of preparations including but not limited to:
a. Assist with placing appropriate perioperative order sets and required pre-op checklist.
b. Verify correct patient information, operative procedure and surgical site and check the patient’s chart for any abnormalities
c. Verify that the correct equipment and instrumentation is prepared and ready to use.
d. Carry out the surgeon’s request for exact positioning for surgical procedure.
e. Assist with patient positioning, including helping transfer of patients from stretcher/bed to OR table, ensuring that the bed is locked and secure during transfer, and application of patient safety measures, i.e., safety strap application, protective padding and arm board placement
f. Assists circulator and anesthesia provider in preparation of patient to include but not limited to foley catheter placement, tourniquet application, placement of IVs, cricoid pressure application, sterile prep and drape, and other procedures as needed.
g. Check availability of imaging studies
h. Work with director of robotic surgery to ensure availability of robotic instruments for current and upcoming case
2) Intraoperatively:
During the operation, at certain points of the procedure the PA may be scrubbed at the bedside with the attending surgeon. During much of the procedure, the PA may be scrubbed alone at the bedside as the attending surgeon performs the procedure on the robotic console. Roles include the following: a. Make incisions and place ports at discretion of attending surgeon
b. Visualization of the operative site by digitally manipulating tissue, suctioning, irrigating, or placing sponges
c. Manipulating suture materials
d. Placement of surgical clips and/or utilization of the stapler as directed by the surgeon
e. Change robotic instruments (remove and reintroduce instruments)
f. Administering subcutaneous postoperative injections of local anesthetics when directed by the surgeon
3) Postoperatively
a. Closing skin incisions, secure drains, and apply wound dressings
b. Handles all surgical specimens according to procedure, assist with specimen reconciliation as needed
c. Transfer patient to stretcher
d. Accompany patient to recovery room to assist with report to staff in post-anesthesia care unit (PACU)
e. Ensures the appropriate post-op order sets are in place, communicates post-op plan with team and ensures the ambulatory follow-up is scheduled correctly.
4.) Professional Development:
This individual must become familiar with mechanics of the DaVinci system including details of port placement, camera targeting, robotic docking, emergency undocking and troubleshooting procedures
In addition:
a. Works with Lead Surgeons, other PAs, and OR leadership to help grow and develop the Robotic Surgery and Robotic PA programs
b. Trains bedside personnel (residents, fellows, and other PAs) in robotic procedures
c. Keeps current regarding developments in technical instrumentation, trends and techniques through internal and external programs, particularly regarding the DaVinci Surgical System.
d. Serves on appropriate nursing and hospital committees as requested.
e. Works closely with OR Nursing to ensure best practices in perioperative patient care.
f. Participates in staff meetings.
g. Assists with quality improvement projects as applicable
h. Assists in evaluation of products, equipment and systems which may have an impact on planning and implementing the budget.
i. Keeps informed of personnel policies and incorporates them in behavior as indicated.
j. Seek out new learning experiences as staffing numbers allow.
PRINCIPAL DUTIES AND RESPONSIBILITIES: NON-OPERATIVE DUTIES
On certain occasions, if there are no robotic cases scheduled for a particular day, then this PA will be assigned alternative clinical duties which could include but is not limited to: assist with non-robotic surgical cases, floating to BWF to assist with OR cases there, support ambulatory PA team with in-basket coverage and patient triage, support inpatient PA team with floor coverage and/or consults.
Job Summary
Summary:The Physician Assistant (PA) is a licensed provider. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation.
Does this position require Patient Care? Yes
Essential Functions: Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting.
-Performs complete histories and physical examinations.
-Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
-Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings.
-Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.
-Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries.
-Performs bedside procedures as are appropriate to the patient population.
Qualifications
Education
Master's Degree Physician Assistant required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Physician Assistant [State License] - required
Experience
2 years of experience as a PA required.
Knowledge, Skills and Abilities
- Skilled in taking medical histories to assess medical condition and interpret findings.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.
Additional Job Details (if applicable)
Remote Type
Onsite
Work Location
75 Francis Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$120,390.40 - $170,456.00/Annual
Grade
7
EEO Statement:
2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
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