Physician Assistant I Neuroscience ICU

Site: The Brigham and Women's Hospital, Inc.

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

Brigham and Women’s Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research. ADDENDUM: The Neurocritical Care PA I will participate in patient care as part of the neurocritical care team caring for neurology and neurosurgery patients in the Neurosciences ICU. All patient responsibilities as outlined above are expected and may also include: - Rounding with critical care team composed of attending physicians, fellows, residents, and APPs - Obtaining patient histories, performing comprehensive physical examinations, coordinating tests and consultations, implementing treatment plans, communicating with patients and families - Performing inpatient consultation and follow-up - Performing procedures that may include, but are not limited to: - Staple/suture removal/placement - Wound care/packing - Lumbar punctures - NGT placement - Central line placement - Arterial line placement - Lumbar drain placement/removal - Spine braces/cervical collar placement and removal The PA I shall provide leadership and participation in selected local and national organizational committees, councils, and initiatives. The PA I shall be capable of independently orienting, onboarding, and/or training new hire PAs and/or PA students within the department/division. The PA I shall be actively involved in ongoing quality improvement and patient safety initiatives. While the PA I can expect a relatively predictable work schedule planned in advance whenever possible, scheduling variations may occur in order to cover clinical needs as they become apparent to the department. Shifts will be balanced across days, nights, and weekends. The PA may be asked to pick up additional shifts, work variable hours, and/or provide backup coverage as needed. Maintains ACLS certification. Two years of PA experience strongly preferred.
GENERAL SUMMARY/ OVERVIEW STATEMENT:. The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. The physician assistant works under the supervision of an attending physician and reports directly to the department administrator or chief physician assistant administratively. The PA will perform in accordance with all state and federal regulations and institutional policies including but not limited to the BWH PA Scope of Practice, Prescriptive Guidelines, approved clinical privileges, and BWH PA policy.
PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle Clinical Duties and Responsibilities:
- Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
- Performs complete histories and physical examinations
- Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
- Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
- Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
- Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
- Performs bedside procedures as are appropriate to the patient population, including lumbar puncture - In some settings, the PA may first assist in the operating room or procedural areas
- Practices cost effective medicine in an efficient manner, maximizing available resources
- Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
- Demonstrates expert clinical judgment skills to function in an independent role - Additional duties and responsibilities as required by the department/division Non-Clinical Duties and Responsibilities:
- Demonstrates professional collaborative and consultative relationships with other providers
- Follows all designated prescriptive practices and monitoring requirements with the designated supervising physician and administrative report
- Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional trainings
- Maintains superior interpersonal and communication skills as a member of the healthcare team in order to collaborate effectively with patients, families, staff, and community health workers
- Remains actively involved in continuing education with a commitment to self and departmental growth
- Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation
- Demonstrates understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
- Additional duties and responsibilities as required by the department/division For all positions that include direct patient care, indicate with an “X” the age(s) of all patient populations served
No Direct Patient Care
All age groups
Adolescence (13 to 17 years)
Neonates (birth to 1 month)
Young Adult (18 to 25 years) X
Infant (1 month to1year)
Adult (26 to 54 years) X
Early Childhood (12 months to 5 years)
Senior Adult (55 to 64 years) X
Late Childhood (6 to 12 years)
Geriatric (65 years and up) X

 

QUALIFICATIONS: - The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination - BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995 - Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment - Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts - Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration - Must complete 100 hours of CME according to national and state regulations during each two year period of employment - Must complete the BWH Professionalism Program within three months of date of hire - Must complete the BWH Procedural Sedation Training if deemed necessary

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: - Must have the ability to work in a high stress, dynamic, busy clinical setting with flexible organizational climate - Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position - Must have the ability to utilize appropriate problem-solving and conflict resolution skills - Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care - Must be proficient with BWH computer systems as needed to independently perform daily tasks - Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

WORKING CONDITIONS: Work settings may include ambulatory clinics and treatment rooms, inpatient areas, intensive care units, operating rooms, and/or procedural areas. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

SUPERVISORY RESPONSIBILITY: The Physician Assistant I does not have any supervisory responsibility.

FISCAL RESPONSIBILITY: The Physician Assistant I does not have any fiscal responsibility.

 

Additional Job Description

 

Onsite

 

60 Fenwood Road

 

40

 

Regular

 

Rotating (United States of America)

 

Pay Range

$120,390.40 - $170,456.00/Annual

 

Grade

7

 

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

 

The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework