Physician Asst-EVH

The Physician Assistant " EVH is a surgical first assist provides billable surgical first assist services. They have additional specialized training in endoscopic vein harvesting. They spend a minimum of 40% of work time providing surgical assist services. The rest of the time is spent working with patients doing pre-surgical assessments, rounding post surgery and providing post surgical assessment and care. This role includes responsibility for identifying the patient's health status through taking of health histories; performing physical examinations; initiating screening and diagnostic procedures; management of minor trauma and acute health problems; health maintenance and clinical management of stable or chronically ill patients. May see a large volume of patients per workday.

• Assists the surgeon in the preoperative care and workup of patients to include outpatient and inpatient consultations, emergency room evaluations, and follow-up visits. Explains necessity, preparation, nature and the anticipated effect of surgical procedure to a patient. Obtains comprehensive health history.
• Discriminates between normal and abnormal physical, psychological and developmental findings and appropriately determines when to consult and/or refer the patient to other members of the health care team.
• Performs or requests laboratory/radiology procedures and screening tests. Analyzes and interprets these and other health data.
• Assesses, diagnoses, and manages selected acute and chronic illnesses and conditions.
• Able to utilize automated computer systems, including electronic medical records.
• Administers medications and injections as needed. Performs AHA BLS-HCP and ACLS and/or assist medical staff with acute resuscitation efforts as situation arises.
• Coordinates necessary appointments and referrals, including hospital admissions and/or the use of community resources, as the patient's health status dictates.
• Consults with physician, as appropriate, keeping physician informed of needs and problems related to patient care.
• Provides patient/family education needs are identified in a timely manner. Teaches, discusses and plans with patient and family for continued health management.
• Discharges including discharge teaching as necessary, dictation of discharge summaries and related correspondence, completion of insurance forms, arrange outpatient follow-up consultations.
• Prepares patients for surgery, including education, positioning, skin preparation and administration of local anesthetic, and preparation of equipment
• Functions as first or second assistant in the operating room including performing surgical exposure, surgical dissections, layer closure of wounds, harvesting of autologous graft materials, application of immobilization devices.
• Assists with use of monitoring devices, including radiographic equipment.
• Completes individual daily rounds on all inpatients and documentation of medical plan.
• Conducts procedures (under direction and appropriate level of supervision of the Attending Physician), including but not limited to: placement of indwelling lines and catheters , placement of skeletal hardware, management of closed fractures, aspiration/injection of bursae, joints, tenosynovia, anatomic compartments, cysts, insertion of Foley catheters, venipuncture, arterial blood gas sampling, and insertion of IV lines.
• In Cardiac area: Performs endoscopic vein harvesting procedures upon physician request.