Surgical PA Needed Job

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Post Date: Dec 23, 2023
Job Type: PA
Position Type: Permanent
Specialty: Surgery - Breast,Surgery - General,Surgery - Gynecological,Surgery - Orthopedics,Surgery - Plastic
Call Rotation: Yes
Location: California - Bay
Job Reference: PA - 1
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Position Description: Experienced Physician Assistant (Min. of 3 Years Inclusive of OR)
Optimal Qualities
•  loves being in the operating room
•  enthusiastic about learning surgical techniques and patient care
•  can thrive in a stressful, fast-paced, spontaneous environment
•  curious, and motivated by both procedural and intellectual growth
•  compassionate and has sincere desire to help a vulnerable, emotionally-rich patient population
•  enjoys working in small practice setting with a close-knit, supportive team
•  strives to be a team-player and a go-getter
•  assertive when needed/comfortable jumping head-on into challenging situations
•  respectful of authority
•  team player
•  comfortable working within a team of diverse people
•  able to tactfully negotiate conflict
•  flexible
•  independent
•  ethical
•  hard-working
•  able to anticipate and to take initiative without being asked
•  enjoys problem-solving
•  astute and accurate clinical judgment
•  able to handle constructive feedback, and eager to improve
•  requires at least 3 years of experience in a surgical environment
•  will split call evenly with our current PA (every other week), with frequency of call to decrease as more PA’s join the practice.
•  prior experience with transgender/nonbinary/gender diverse community is helpful, but not required
Round On Patients
•  Independently round on patients every day, including weekends, at multiple locations (SF & Marin)
•  Writing progress notes
•  Managing all medications and medical issues
•  Managing psychosocial issues
•  Adept at coordinating care with other services, as needed
•  Calling and coordinating consults independently, as needed
•  Adept at wound care
•  Placing and managing inpatient orders
•  Working with case management for disposition
•  Discharging patients
After Hours & Weekend Phone Call Responsibility
•  Call responsibility assigned to on-call PA
•  On call schedule occurs every other week. Frequency will decrease as we hire additional PAs
•  Available to answer patient-related questions and to speak to patients directly, as needed, after hours and on weekends
•  High level of clinical expertise, sensitivity, and independence when interacting with patients
•  Entering notes into EMR
•  Calling pharmacy for medications as needed
•  High level and accurate clinical judgment and knowledge to determine if patient should be admitted or brought back to the OR
Manage ED Admissions
•  Speaking with ED attending
•  Speaking with and coordinating care with consulting team
•  Admissions orders
•  Rounding on patients
•  Wound care
•  Discharging patients
OR Responsibilities
•  Expectation to operate and be available every day, Monday through Friday (as needed)
•  Ensuring appropriate reps have been notified for specific supplies/instruments
•  Working with Charge RN and SPD to ensure all instruments/supplies are available
•  Operating simultaneously with surgeon
•  Assisting in OR
•  Adept at moving case forward, particularly if supporting staff (circulator, surgical tech) is not strong
•  Ability to anticipate, and to be several steps ahead of surgeon
•  Managing all post-op dressings.
•  Ensuring patient is appropriately set up, prepped, and draped
•  Coordinating care with anesthesia and OR team.
•  Managing discharge medications/prescriptions, if needed.
•  Mastectomies:
o  Independently marking patient
o  Performing entire mastectomy from start to finish independently.
o  Suturing
o  Skin grafts
•  Vaginoplasties
o  Set up and local injections
o  Markings
o  Harvesting and preparing skin graft
o  Suturing
•  FFS
o  Dissection of flaps
o  Bone contouring
o  Liposuction and fat grafting
o  Adept at bone contouring, and use of burrs/saws, and bone fixation (selecting and placing screws/plates)
•  Phalloplasty
o  Assist with dissection under loupes
o  Adept at assisting under microscope
o  Very astute and independent management of post-op free flaps

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