Physician Assistant (PA)

JOB SUMMARY:

The general dutyof the Physician Assistant is to provide professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP).The Physician Assistant is an Advanced Practice Generalist who provides a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems; and comprehensive, integrated primary health care which addresses a majority of the client's health care needs on an ongoing basis. The Physician Assistant is knowledgeable in the assessment, treatment and evaluation of a comprehensive range of health care problems; emergency measures; preventive health; prescribing medications and other treatments; ordering, conducting, interpreting laboratory, diagnostic studies and procedures; and patient and family education utilizing community, social, and health resources.The Physician Assistant maintains knowledge of current practice, acts as role model and mentor to other PA's, acts as client advocate, and participates in professional activities at local and state level.

ESSENTIAL FUNCTIONS:

• 
  

  Providesprimary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training.

  
  

• 
  

  Providesmedical patient care to the scope and standards of practice established by a nationally recognized credentialing organization representing Physician Assistants.

  
  

• 
  

  Functionswithin the scope of practice of thestate Physician Assistant Practice Act, theJoint Commission standards, VA Medical Center guidelines, and Officer of the Inspector General.

  
  

• 
  

  Worksclosely withthePatient AlienedCareTeam(PACT)and extended support staff including daily huddles with the team.

  
  

• 
  

  Emphasizeswellness, prevention, and early detection.

  
  

• 
  

  Supervisessupport staff in delivery of care to patients.

  
  

• 
  

  Maintainsuniversal precautions and infection control practices.

  
  

• 
  

  Providessmooth and timely flow of patients in accordance with the VeteranAdministration's(VA)access standards and triage protocol.

  
  

• 
  

  Performscardiopulmonary resuscitation (CPR) and assists during respiratory and cardiac arrest procedures.

  
  

• 
  

  Investigates health problems or health needs by gathering and assessing historical information.

  
  

• 
  

  Performs a physical examination appropriate to the patient's history.

  
  

• 
  

  Diagnoses health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results.

  
  

• 
  

  Develops a treatment plan, tailored to the patient's needs, which includes health education, pharmacologic andnon-pharmacologictreatment.

  
  

• 
  

  Prescribes medications, as appropriate.

  
  

• 
  

  Evaluates the results of the treatment plan, modifying the plan as needed to achieve the treatment goals.

  
  

• 
  

  Makes referrals for specialty evaluation or treatment.

  
  

• 
  

  Directs and coordinates the provision of health care services for patients in primary care, i.e., walk in patients.

  
  

• 
  

  Provides a model for clinical practice within the clinic setting.

  
  

• 
  

  Sets up and operatestherapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED) and portable suction.

  
  

• 
  

  Obtainspatient history on new and follow-upand record appropriate findings according to VA standards.

  
  

• 
  

  Performsinitial and periodic physical examinations within limits of privileges and records findings.

  
  

• 
  

  Ordersdiagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms.

  
  

• 
  

  Demonstratesa knowledge of pharmacology.

  
  

• 
  

  Prescribes and administersmedication within limits of privileges and state and federal regulations.

  
  

• 
  

  Recommends and followsup on laboratory tests and specialized diagnostic procedures, as deemed necessary.

  
  

• 
  

  Documentsall pertinent patient information in the medical records and Veterans Health Information Systems and Technology Architecture (VISTA) to demonstrate quality care delivery and promote continuity of care.

  
  

• 
  

  Keepsthe VISTA clinic reminder tracking system current for each enrolledpatient.

  
  

• 
  

  Closespatient charts within 24-72 hours of encounter and placesReturn to Clinic(RTC)orders promptly.

  
  

• 
  

  Assistsin scheduling patients for initial and follow-up appointments in accordance with the VA's access standards and the patient's medical necessity.

  
  

• 
  

  Keepspatients informed of their plan of care, including lab and diagnostic test results as needed.

  
  

• 
  

  Provideshealth educational materials, resources and education to patients and their families for informational purposes and in accordance with their needs and learning capacity.

  
  

• 
  

  Assiststhe Registered Nurseto ensure all patient information on electronic encounter documentation is complete and accurate.

  
  

• 
  

  Complies with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards.

  
  

• 
  

  Participatesin the ongoing Performance Improvement Program betweenthe VAMC and STGi Performance Excellence program including regularly scheduled peer reviews.

  
  

• 
  

  Ensuresthat all required reports and clinical information is completed in an accurate, timely and complete fashion.

  
  

• Participatesin staff development programs.

• 
  

  Maintainsconfidentiality of all information and supports patients' privacy, rights, and safety.

  
  

• 
  

  Aidsin management/coordination of the CBOC's day-to-day activity.

  
  

• 
  

  Performsother clinical duties assigned within limits of privileges.

  
  

REQUIRED EXPERIENCE AND SKILLS:

• 
  

  A minimum of 2 years clinical experience as a PA in outpatient care in a Family Medicine or Internal Medicine Environment; 3-5 years is preferred.

  
  

• 
  

  PA must have a current and unrestricted DEA License (PAwill be required to obtain and maintain a Scope of Practice/Collaborative Agreement with a state licensed physician prior to delivery of health care).

  
  

• 
  

  Current and unrestricted New York license. Must comply will all state requirements and regulations.

  
  

• 
  

  Possess Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification from American Heart Association (AHA) or the Military Training Network (MTN).

  
  

• 
  

  Prescriptive authority in accordance with state rules and regulations.

  
  

• 
  

  Ability to set realistic,measurableeducation goals for patients, taking into consideration patient/family needs, level of understanding, and available local resources.

  
  

• 
  

  Ability to develop and provide individualized and group counseling, guidance, and health instruction with a focus on disease prevention and health maintenance.

  
  

• 
  

  Experience with safe and reasonable practices regardingopioidmedications for chronic pain.

  
  

• 
  

  Working knowledge of Microsoft Office Software andexcellent computermaneuverability.

  
  

• 
  

  Must have exceptional diplomatic communication skills and experience in handlingdifficult customer situations.

  
  

• 
  

  Must be detail orientedand have the ability to multi-task.

  
  

REQUIRED EDUCATION:

• 
  

  Must meet one of the three following educational criteria: a) a Bachelor's degree from a PA training program certified by the Committee on Allied Health Education and Accreditation (CAHEA); or b) graduation from a PA training program of at least 12 months duration, which is certified by the CAHEA and a Bachelor's degree in a health care occupation or health-related science; or c) graduation from a PA training program of at least 12 months duration which is certified by the CAHEA and a period of progressively responsible health care experience such as independent duty medical corpsman, license practical nurse, registered nurse, medical technologist or medical technician. The duration of approved academic training and health care experience must total at least five years.

  
  

• 
  

  Must maintain a full and current certification as a Physician Assistant from the NCCPA.

  
  

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

• 
  

  Moderate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day.

  
  

• 
  

  Work is normally performed in a typical interior/office work environment.

  
  

• 
  

  Required to respond to any medical emergency within the clinic, where a fast walk or job may be necessary to provide assistance.