When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The Lahey Clinic’s mission statement as approved by the Board of Governors and the Board of trustees is as follows:Job Description:
Principal Duties and Responsibilities:
Function
1. Receive and triage telephone request for information, appointments and/or medication renewals. Make
appropriate and timely decision regarding the patient's compliant and/or request utilizing clinical knowledge and
skill to extract pertinent data.
2. Identify, coordinate and delegate as necessary, appropriate health care professional to facilitate delivery of
care. Provide appropriate and timely communication with the attending physician.
3. Provides thorough and accurate documentation in the medical record by documentation of all pertinent data, therapeutic interventions, patient responses and any medical/surgical procedures.
4. Perform routine bedside procedures and order tests and procedures as indicated.
5. Communicate immediately to attending physicians any gross abnormalities in patient lab levels or test results.
6. Round on Hepatobiliary and Liver Transplant patients on a daily basis as assigned by the attending surgeons
and in coordination with the Transplant Fellow and Surgical resident.
7. Admission history and physical exams; discharge summaries
8. Manages and communicates information through various processes which include but are not limited to the use
of computers, telephone systems, direct and indirect observations and documents in the medical record.
9. Actively involve the patient and family as appropriate in implementing the plan of care. Prioritize care needs
and ensures the appropriate availability and accessibility of treatment for the patient.
10. Develop and initiate the plan of care by collaborating with physician, other health care professionals and
family members. Provides counseling and education to both the patient and the family. Ensures treatment plan
is individualized based on the patient and family’s level of understanding.
11. Participates in grand rounds as necessary to assure continuity of quality care.
12. Documents as indicated in the department database.
13. Complete history and physicals, daily notes and discharges summaries on assigned impatients. Differentiates
normal results from abnormal findings.
14. Obtain detailed history and performs baseline and interval health examinations. Completes medical histories,
physical assessment and differentiates normal results from abnormal findings. Identify wellness and risk
factors; communicating relevant data via dictation and/or provide complete, accurate written documentation in
the patient's medical record.
15. Collaboratively perform biopsies or line placements as indicated by the attending and the needs of the patients.
16. During the admissions process, develop and initiate the plan of care by collaborating with physicians and other
healthcare professionals and family members.
17. Complete history and physicals, daily notes and discharges summaries on assigned inpatients. Differentiates
normal results from abnormal findings.
18. Assist in the maintenance of the Cardiothoracic Computer Database by appropriate data entry.
19. Perform routine health examinatins through baseline histories, review of symptoms and complete medical
histories and physical examinatins. Differentiate normal results from abnormal findings.
20. Completes a quarterly review with the supervising physician on a timely basis.
21. Ensures summaries include complete examinations, office visits, telephone conversations and testing requests
22. Utilize physical assessment skills on an ongoing basis to identify, communicate and document patient
problems. Recognizes changes in mental and physical condition. Implement appropriate action based on
assessment to ensure patient safety, well being and satisfaction.
23. Formulates desired outcomes specific to the individual patient problem/diagnosis and specifies interventions as
appropriate. Prescribe, in collaboration with or at the direction of the attending physician, medications specific
to the patients' diagnosis and level of medication tolerance and in accordance with Lahey Clinic policies and
procedures.
24. Obtain detailed history and performs comprehensive physical examinations. Completes medical histories,
physical assessment and differentiates normal results from abnormal findings. Identify wellness and risk
factors: communicating relevent data via dictation and/or provide complete, accurate written documentation in
the patients medical record. Obtains consents for total joint surgery and implements the study materials.
25. Follow through on achievement or failure of obtaining the desired outcomes and provide timely communication
to attending physician.
26. Ensures treatment plan is individualized based on the patient and family needs.
27. Complies with all policies and procedures as set forth by Lahey Clinic and all state and federal regulations.
28. Ensures summaries include complete examinations, office visits, telephone conversations and testing request.
29. Assist in the operating room as requested.
30. Review of the plan of care on an ongoing basis and revise the plan as necessary per patients progress or lack
there of. In conjunction with the attending physician, research medical protocols to determine an appropriate
change in care plan.
31. Provides complete and accurate documentation in the patient's medical record.
32. Anticipates potential emergency situations and perform appropriate treatment/intervention measures.
Perform a variety of routine procedures to expedite patients' response to plan of care.
33. All documentation is completed in a timely manner per Lahey Clinic policy.
34. Determine and order necessary laboratory and diagnostic tests. Perform and interpret various diagnostic tests
including blood tests, MRI, CT scans, EKGs etc. Assists patients in areas other than the primary specialty including, but not limited to, recognizing the patients' mental and physical conditions and initiates appropriate assistance from other health care professionals.
35. Identify and manage specified acute illness i.e., URI, UTI, vaginitis, etc.
36. Operating room participation, including: saphenous vein harvesting; wound closure; first and second assisting
on cardiac; pulmonary; and esophageal procedures.
37. Determine and order necessary lab and diagnostic tests.
38. Formulates desired outcomes specific to the individual patient problem/diagnosis and specifies interventions as
appropriate.
39. Order and adjust medications in conjunction with attending physicians.
40. Manages and communicates information through various processes which include but are not limited to use of
computers, telephone systems, direct and indirect observation and documents in the medical record.
41. Anticipate and intervene potential problems/complications before they occur and initiates protocols and
therapeutic measures in collaboration with the physician and according to established standards of practice.
42. Identify and manage urgent care i.e., superficial wounds and laceratins, burns, sprains, minor fractures, etc.
43. Perioperative technical procedures, including but not limited to:changing of pulmonary artery, central venous
pressure, triple lumen, and double lumen catheters
b) removal of chest tubes
c) insertion and changing of arterial lines
d) removal of intra aortic balloon pumps
e) removal of temporary epicardial pacing wires
f) insertion of nasogastric tubes
g) emergency endotracheal intubation
44. Meets all guidelines for continuing educaton/recertification for continued practice in the Orthopaedic Surgery
Department.
45. Postoperative patient care (ICU, Step-down unit, and floor)
These duties would include, but are not limited to:
a) Recognition of disturbance in the normal postoperative course recovery following open heart, pulmonary,
and esophageal surgery
b) Recognition and management of postoperative hemodynamic abnormalities including hypertension and
hypotension. This would include the interpretation of hypodynamic data and the use of pressor and inotropic
agents.
c) Recognition and management of arrhythmias, including the use of anti-arrhythmic drugs and the use of an
external cardioverter/defibrillator.
d) The use of an external pacemaker and epicardial pacing wires.
e) Acquisition of information for daily rounds, as determined by the attending surgical staff, and presentation of
this data on each patient.
f) Writing of daily progress notes and orders, under supervision of Chief Resident and/or attending staff
g) Arrange inter service consultation
46. Review test results and act in an expedious manner to correct any abnor
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