Per Diem Physician Assistant - Surgical Services

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Per diem; varied schedule

Job Description:

Beth Israel Deaconess Hospital-Plymouth recognizes Integrity, Respect, Trust, Teamwork and Excellence as the Core Values of our organization.  It is the philosophy of BID-Plymouth to follow the LEAN methodology in order to provide the full continuum of health care services and the best quality patient centered care.

Duties/Responsibilities

The Physician Assistant (PA) may serve the patients of his/her supervising licensed physician (Supervising/Designee Physician) in all types of clinical care settings at the BIDH-Plymouth including but not limited to the operating room.

Under the supervision of the supervising physician or his/her designee Physician, the PA may perform any and all services which are:

(a). within the competence of the PA, as determined by the supervising physician’s and/or Chief PA assessment of his/her training and experience; and

(b). with the scope of services for which the supervising physician can provide adequate supervision to ensure that accepted standards of medical practice are followed.

Nothing contained here shall be construed to allow the PA to:

(a). give general anesthesia;

(b). perform any procedure involving ionizing radiation, except in an emergency situation where the procedure is performed under the direction and control of a    licensed physician; or

(c). render a formal medical opinion on procedures involving ionizing radiation.

 Where the PA is involved in the performance of major invasive procedures, such procedures shall be undertaken under specific written protocols, which have been developed between the supervising physician, Chief PA and the PA and which specify the level of supervision the service requires (refer to enclosed Procedural Competency Tier), e.g., Tier 1 (supervising physician/Chief PA in the room); Tier 2 (supervising physician/Chief PA in the building); or Tier 3 (supervising physician/Chief PA available by telephone).

Where the PA is involved in the performance of surgical consultations, such consultations shall be undertaken under specific written protocols, which have been developed between the supervising physician, Chief PA and PA which specify the level of supervision and communication such service requires (refer to enclosed Surgical Consultation Hierarchy), e.g. Tier 1 (all admission requests to surgical service), Tier 2 (all life threatening consults) and Tier 3 (PA discretion).

• Performs comprehensive and problem-focused histories and physical examinations
• Diagnoses and treats illnesses and injuries
• Orders and interprets laboratory and radiographic studies
• Educates and counsels patients
• Performs minor surgical procedures
• Performs First and Second Assist duties in surgery for all subspecialties
• Renders emergency care
• Facilitates patient referral to the appropriate physician or agency
• Prescribes medication in compliance with state and hospital guideline
• Performs first assist duties
• Assists with surgical procedures
• Conducts daily hospital rounds when required
• Write orders and progress notes when required
• Performs all admission history and physicals
• Orders appropriate laboratory and radiographic tests
• Performs appropriate laboratory and diagnostic studies
• Evaluates and clarifies clinical conditions
• Formulates and implements treatment and therapeutic plans for hospitalized patients
• Handles discharge planning and dictates discharge summaries when required

Hospital Care:

1st/2nd assistant in surgery: Performs first and second assistant duties. This includes and is not limited to suture and closure of wounds, placement of dressing, drains, Vac sponges, etc.  Pre-op:  Obtain consent and educate family and patient on proposed surgery. Perform and document surgical consultation and history and physical.  Review all pertinent laboratory and imaging study review prior to surgery. Order all preoperative labs, studies, medications and preps required. Post-op:  Written orders in the recovery room, talk with family, visits patients, and performs post-op procedures and notes. Surgical coverage of all postoperative patients on the general wards or in the critical care unit. Discharge planning:  Dictates discharge summaries, writes prescriptions, explain discharge instructions. Consults:  Remain available for all in hospital consultations (ED, ICU, Floor) and follow Surgical Consultation Hierarchy protocol.  Consults include request for invasive procedures in all clinical areas. Inpatients:  Remain available for coverage of all surgical subspecialty patients admitted at BIDP

Experience/Knowledge/skills Required

Current MA license

Education Required

Graduate of PA program

Registration/Certification

Physical/Environmental Requirements

This job requires frequent bending, carrying, pulling, pushing, reaching, standing, stooping, walking and lifting over 10 lbs. There will be occasional need for climbing stairs, lifting in excess of 50 – 100 lbs and sitting. Constant use of hearing, sight and speech. Frequent use of smell and touch. Frequent keyboard and telephone use. Constant concentration and problem solving.

Pay Range:

$64.00 - $103.37

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.  Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled