Advanced Practice Registered Nurses / Physician Assistants
The Orthopedic Physician Assistant (PA's) functions within an interdisciplinary staff consisting of physicians, physician extenders, nursing staff, administrative and clerical staff. He/she is responsible and accountable for ensuring the provision of comprehensive medical services and complies with established policies within the Surgery Department at the VA North Texas VA Health Care System, Dallas, Texas. A Recruitment/Relocation Incentive may be authorized to a highly qualified candidate. The Physician Assistant(s) will provide direct clinical services for adult patients at the Dallas VA Surgical Clinics, Medical/Surgical/Psychiatric in-patient units/Day Surgery Unit/ Emergency Room, Forth Worth Outpatient Clinic and C&P examination clinics. Clinical responsibilities include, but may not be limited to: Function as an admitting provider proactively evaluating patients in the emergency room after either receiving voice communication or internal medicine consultation from the ED physicians requesting for evaluation for admission to the Surgical Services. The primary goal is to assist with facilitating deficient and effective patient movements from the ED to the hospital service(s) with a goal to reduce length of stay in the emergency room and to improve patient safety by ensuring that the patient moved to the appropriate level of care in a timely fashion when a decision has been made for admission. The overarching goal is to ensure that an admitting order is entered within 30 minutes of receiving request for admission. The PA will be responsible for dictating admitting H&P. Serve as a discharge provider assisting the hospital teams to facilitate the discharge process and ensure discharge smoothing throughout the day. The PA will be involved in the discharge process once an anticipated discharge date order is entered on any patient. The PA will assist to ensure that all the necessary regulatory and quality benchmark components of the discharge process is completed prior to discharge. The PA will not be required to dictate discharge summaries which will remain the responsibility of the attending hospitalist. The PA will also serve as a primary communicator with outside stake holders to ensure effective complication with community-based practices and hospitals. The PA will also assist with patient transfer process. The PA(s) is to provide medical service for inpatients in situations when the staffing level may require additional members of the team to perform rounds. This may arise in situations when emergency leave is requested thus creating a shortage of hospitalist, or in situations when there is a full census in the hospital is on diversion requiring the attending hospitalist to focus on patient discharge. To provide this care using evidence-based clinical practice standards and adhere to established protocols. Responsible for comprehensive assessments, making differential diagnoses, ordering appropriate testing, coordinating and plan the management of patients. Provide leadership and participates in the Departments development, evaluation and quality improvement. Participates in interdisciplinary collaboration in the provision of patient care. Work Schedule: Monday through Friday (7:30 a.m. - 4:00 p.m.) Financial Discloser Report: Not required Preferred Experience: Experience in evaluation of patients with musculo-skeletal problems both in the outpatient and inpatient setting. Experience in operating room as a first assist in Joint arthroplasty/arthroscopy. Experience in assessment of patients in the Emergency Room with fractures/joint infections/tendon injuries; closed reduction and splinting of fractures. Perform Joint injections/aspirations of knee/shoulder/elbow/hip/bursal injections in the clinic.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
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