Physician Assistant, Emergency Department

				Overview:

Performs direct patient care in the Emergency Department under the supervision of an Attending Physician. 

Responsibilities:

* Performs and documents physical examinations on all patients, neonate through the geriatric population, urgent and non-urgent in the Emergency Department.
* Obtains and documents patients' medical histories.
* Assesses and documents patients' and or families' psychosocial issues.
* Performs and/or orders diagnostic tests; radiology and laboratory.
* Interprets subjective and objective data to formulate a diagnosis.
* Interprets laboratory and diagnostic test results to formulate a diagnosis.
* Discusses patient's diagnosis and plan of care with ED physician before implementation of said plan of care.
* Documents physician's approval of plan of care and obtains necessary physician's signature on the patient's medical record and physician's order sheet.
* Evaluates the effectiveness of patients' plan of care and makes revisions as necessary always consulting the ED Attending Physician.
* Formulates diagnosis and treats illnesses within scope of practice.
* Formulates patient treatment plans within the PA's scope of practice.
* Implements therapeutic interventions when appropriate within scope of practice.
* Refers patients to other healthcare professionals as appropriate, i.e., psychiatry, physical therapy, social services.
* Provides counseling/education for patients and families on preventive healthcare, disease processes, potential medication side effects, etc. Advises patient of need to follow up with primary care physician.
* Always defers to the ED Attending Physician with difficult cases or when a case is out of the scope of practice for Physician Assistants.
* Orders, prescribes and administers drugs and medical devices within scope of practice. (see individual state laws).
* Able to manage patients on ventilators; endotracheal tubes, nasogastric tubes, performs venipuncture, venous cut down, inserts central venous lines, arterial punctures; administers parenteral fluids, blood/blood products; perform wound care, suturing, cast, application and removal; cares for soft tissue injuries; performs lumbar punctures and other procedures under the supervision of the ED Attending Physician.
* Able to perform minor surgical procedures.
* Writes history & physical, progress notes and ED specific notes i.e.: discharge, procedure, etc. 
* May prescribe medications per state law.
* Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
* Communicates appropriately and clearly to supervising physician, nurses, staff.
* Maintains good working relationship within the Emergency Department.
* Consults other health care professionals and facilities as appropriate to provide for an interdisciplinary approach to patient's needs.
* Treats patients and their families with respect and dignity.
* Demonstrates the ability to be flexible, organized and function under stressful situations.
* Teaches PA students, residents and interns Emergency Department specific procedures, techniques.
* Participates in Emergency Medicine research studies when appropriate. Reviews and compiles patient data for research studies and reports as requested.
* Attends all Emergency and medical staff meetings as appropriate to the facility's rules and regulations.
* Stays current with new developments in emergency medicine through continuing education, seminars and affiliations with professional societies.
* Performs other related duties as required.
* Supervised by a licensed Physician.

Qualifications:

Education:

* Bachelor's Degree, preferably in Health Sciences, required.
* Graduate of an accredited Physican Assistant program.

Experience:

* Minimum one (1) year of job related experience in emergeny medicine, preferred.

Knowledge and Skills:

* Proficient knowledge of Medical Terminology, preferred.
* Computer knowledge with Word and Excel Skills.
* Excellent verbal, written and oral communication skills.

Licenses, Certifications:

* Licensed and currently registered as a Physician Assistant in New York State.
* National Commission On Certification Of Physician Assistants (NCCPA) Certified (Must take recertification every six (6) years).
* Basic Life Support (BLS) certification.
* Advanced Cardiac Life Support (ACLS) certification.
* Pediatric Advanced Life Support (PALS) certification.
* Registered with the Drug Enforcement Admininstration (DEA), if applicable.
* Must Complete 100 hours of CME every two (2) years.

Physical Requirements:

* Involves standing, walking, sitting, lifting and talking. 
* May include some repetitive motions.
			

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The Brookdale Hospital Medical Center