Laborist PA

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion must guide what we do, as individuals and professionals, every day.

SUMMARY

The Physician Assistant is a licensed professional provider who functions in collaboration with an attending with an attending physician in a variety of practice settings at YNHHS. Provides exceptional direct diagnostic and therapeutic patient care to the highest standards of the organization as part of a multidisciplinary team. Cultivates a patient centric environment which focuses on the whole individual inclusive of physical, psychosocial, spiritual and functional needs of the patient, family, and significant others. Serves as the focal professional for the continuity of care in patient care within scope of practice standards, as well as specialty specific standards to address and resolve problems that may arise. EEO/AA/Disability/Veteran.

1. Clinical Care

The Physician Assistant (PA) provides assessment, triage, and therapeutic management of patient/family needs throughout the disease process as an integral part of an interdisciplinary team. The PA, whether the practice setting is the inpatient, ambulatory, or outpatient settings, provides optimal patient care, from diagnostic to prognostic matters. This individual works in collaboration with the attending supervising/collaborating physician(s) in accordance with state law and hospital regulations, hospital policy , protocols and clinical pathways and may provide autonomous team based care.

Obtains medical histories, performs physical examinations, reviews/orders diagnostic/therapeutic tests and radiologic results, formulates and manages patient treatment plans. The PA may perform procedures , prescribes treatment and medications in accordance with institutional and state guidelines, as well as, when necessary for scope within specialty or professional competency standards. In some clinical specialties, the NP/PA may have autonomous or independent practice managing certain patient populations .

The PA may also function as first or second assistant on operative cases (as long as within position scope and job educational prerequisites are in place), using fine motor skills and manual dexterity.

Other clinical job duties may be applied in accordance with departmental and operational goals, training related to profession and practice necessitated guidelines and responsibilities, inclusive but not limited to responding to emergency situations within the YNHHS parameters

1. Patient Education & Psychosocial Support

* The PA will educate patients/families on care and recommended or available resources. In collaboration with the supervising/collaborating MD, this may be inclusive of admitting instructions, treatment plan, actual and potential side effects of treatments/medications, and discharge plan.

The PA, as part of a multidisciplinary team, provides psychosocial support to patients, their family members, and significant others in a caring, ethical, and professional manner.

1. Information Management

The PA ensures appropriate documentation within the accordance of hospital and regulatory requirements and protects information of all forms, whether computer-based, paper, film, voice, or other media from unauthorized access modification, destruction, or intentional or accidental disclosure.

1. Quality Management

The PA is expected to demonstrate a high standard of moral and ethical behavior, professionalism, compassion, and commitment to patient care.

Ensures compliance with patient related healthcare regulatory requirements, standards and recommendations.

1. Professional Development
   • The PA continuously engages in projects that maintain and advance professional competency .

The PA serves as a clinical resource for new house staff and may provide service specific orientation pertinent to clinical education

Consistent]y demonstrates high reliability organizational behaviors through reporting safety events as well as near misses.

1. • The PA continuously engages in projects that maintain and advance professional competency * Maintains atl employee requirements determined by hospital policy.
   • The PA may serve as a clinical preceptor for PA students and other health care professionals and may serve as a mentor to pre-PA candidates.

The PA may collaborate on research, quality assurance projects, and assist with the formation of protocols that will be applied to clinical practice or further their educational and clinical expertise.

1. Triage of obstetric patients to include history taking, physical exam, review of fetal monitoring, order and review of laboratory, radiologic testing. Review with physician as appropriate.

7 Admission of patients for induction of labor and cesarean birth.

1. Admit antepartum patients with pregnancy complications to include suspected preterm labor, PPROM, and preeclampsia. Collaborate with Laborist and MFM service.
2. Admission of postpartum patients with postpartum hypertensive complications in collaboration with Laborist.
3. Assessment and care of antepartum and postpartum patients with complications to include severe hypertension, postpartum hemorrhage and other 0B emergencies.

1 1 . Round on postpartum patients to include coordination of care and discharge planning.

1. Attend safety huddles and debriefs for L&D and postpartum.
2. Assess fetal monitoring and review plan of care with nursing and obstetrician.
3. Triage obstetric and gynecologic patients presenting to emergency department.
4. Attend Cesarean section as first assist.

REQUIREMENTS

EDUCATION (number of years and type required to perform the position duties):

Graduate from an accredited Physician Assistant Program

EXPERIENCE (number of years and type required to meet an acceptable level of performance):

Prefer clinical working experience as an PA within the given specialty/service line recommended, but none required. APRNs, PAS, CRNAs and CNMs are required to be appointed to the Affiliated Medical Staff of a YNHHS Hospital and credentialed through the Medical Staff process. Evidence of current competence to practice as {an APRN, PA CRNA, CNM} via appropriate reference letters from physicians and other practitioners must be able to be obtained during the Medical Staff appointment process in order to be eligible .

SPECIAL SKILLS:

ACCOUNTABILITY (how this position is held accountable for such as goals achievement, budget adherence, or other areas of accountability):

Responsible, in collaboration with the attending physician, for medical management of the patient. PA are licensed health professionals, and accountable for their practice within their scope of licensures, as well as, within scope of the collaborative practice arrangements.

Accountable to patients, families, peers, colleagues for clinical practice that upholds the mission, philosophy, objectives and policies of Patient Care Services and Yale New Haven Hospital. Consistently demonstrates the values of integrity, patient centered, respect, accountability, and compassion

In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing alt differences), accountability (being responsible and taking action), and compassion (being empathetic).

COMPLEXITY (describe planning, problem solving, decision making, creative activity, or other special factors inherent in the responsibilities of this position):

The ability to solve complex problems is typically a valued skill for PAS, as are critical -thinking and the ability to react quickly when a patient's condition changes. Considerable independent judgment utilized within scope of practice parameters.

LICENSURE/CERTIFICATION:

Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA)

Connecticut State Physician Assistant License

ACLS/BLS/NRP Fetal monitoring certification

To learn more, please email our In-House Physician Recruiter

Nathalie Martinez at Nathalie.Martinez@YNHH.org

Websites: www.northeastmedicalgroup.org/careers www.ynhhs.org