Advanced Practice Registered Nurses / Physician Assistants
General Description: The Primary Care Service Line Physician Assistant practices general internal and/or family medicine. This provider will provide comprehensive primary care for patients in our Immediate Access clinic and in the Primary Care clinics filling in for Primary Care providers on leave. Services will be needed from 8:00 a.m. to 4:30 p.m. Monday through Friday; excluding Federal holidays but include some weekends. General Description: Services offered will include the provision of appropriate medical treatment and management of general medical problems of adult patients in primary care setting. Patients assigned to primary care clinics will be seen on an outpatient basis. Conditions requiring specialty care will be referred to specialty clinics within the VA system. Physician Assistant will not refer the patient to outside providers unless reviewed for eligibility by HAS staff and appropriately authorized. Duties and Responsibilities: 1. Treatment and professional directives as outlines in the privileges, as noted in our credentialing process; some of which are listed below: a. Primary evaluation of applicants for care at the medical center including history and physical examination, ordering of pertinent laboratory and radiology tests, and initial diagnosis and disposition of these patients. b. Obtain appropriate consultation from on-call specialists and communicate pertinent medical information to other health care providers/institutions. c. Enter all reports for incorporation into the computer patient record system (CPRS) on the day of the visit and will satisfy VHA and medical center policies and JCAHO requirement for documentation. The physician assistant must possess computer skills to access the computer patient record system (CPRS) utilized by the VA. Orientation to CPRS will be provided by the VA. d. Prescribe medications for patients according to the established drug formulary at this facility. Variance from the formulary should occur only when clinically indicated and in compliance with the procedures established. e. Any administrative requirement for referral and/or transfer to another medical facility will be completed by VA personnel and approved by the ACOS/Primary Care, Chief of Staff or designee prior to transfer. f. Perform services within VA policies and procedures and the regulations of the medical staff by-laws of the VA facility. g. Professional Tour of Duty for Primary Care - Regular tour of duty is 8:00 a.m. to 4:30 p.m. Occasional weekend or evening hours may be required to meet patient care requirements of the Primary Care Service Line. h. The PA will also perform administrative duties such as quality assurance, peer reviews, serving on various committees as may be directed by the ACOS/PC or Administration. The PA may also participate in the instruction of medical and allied health care students assigned to Primary Care. The PA will also perform other related duties as assigned. The physician assistant will be in daily contact with his supervising physician or covering physician when his supervising physician is on leave with regard to patient care activities. No patient care will be rendered by the physician assistant in the event that no supervising physician is available. 2. The ACOS/Primary Care Service is responsible for the overall clinical and administrative function of the Primary Care Service Line. 3. Additional Functions a. Staff Physician Assistants provide or assist other specialist in the process of evaluation and treatment of the psychiatric patient, and actively participate in corrective actions against untoward responses to psychiatric interventions. b. Staff Physician Assistants evaluate the patient to assess changes in the physical and mental status. A progress note is written in the patient's chart. c. Staff Physician Assistants are appropriately credentialed and privileged. They may participate in various hospital committees, departmental and hospital in-service programs, and education programs of the department and the hospital. d. The PA may initiate Advanced Cardiac Life Support in accordance with current ACLS protocols, to include defibrillation/cardioversion in life threatening situations, if ACLS certified. 4. Supervisory Controls: The individual is administratively and clinically responsible to the Chief, Primary Care Service Line. Work Schedule: 8:00 a.m. to 4:30 p.m. Monday through Friday Financial Discloser Report: Not required
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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