The Department of Surgery seeks a Physician Assistant to work collaboratively within a Trauma Acute Care Surgery team, and is responsible for providing comprehensive and age appropriate care to all patients. The Advanced Practitioner (AP) will work in collaboration with Trauma/Acute Care attending physicians and the surgical house staff to manage the outpatient and inpatient surgical patients. This includes participating in morning report, the daily care and discharge process and assures treatment protocol compliance, responding to trauma alerts, performing routine history and physical assessments, tertiary exams, (if needed) and evaluating lab tests. The Advanced Practitioner (AP) performs bedside procedures, educates patients and families on surgical progresses, home care needs and preparation for discharge.
Patient Care: Provides comprehensive, age appropriate and episodic care to patients as a member of the multi-disciplinary health care team. Obtains patient history; Performs patient care and physical or tertiary examinations; Prepares patient summaries; Develops treatment plan for discharge. Provides information to staff regarding patient's care plan and condition. Responds and handles telephone calls related to Trauma patients. Completes patient requested documents (FMLA).
Consistently develops effective treatment plans for assigned patients according to established protocols and procedures. Regularly confers and consults with Trauma/Acute Care physicians and/or other pertinent professionals before implementing treatment plan. Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient's age. Consistently provides relevant patient care information to the appropriate staff member according to Trauma Clinical Management Guidelines. Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Procedures: Performs, but is not limited to the following advance procedures: intravenous access; sharp and dull debridement of wounds; dressing changes; removal of drainage catheters; suturing/stapling; insert urinary catheter; administer local anesthetic; incise and drain abscesses; thoracotomy tubes; central venous catheter, laceration repair, nasogastric/orogastric tube; removes superficial foreign bodies.
Provides Emergency Care: Maintains CPR certification. Maintains airway, breathing, circulation; starts and provides basic CPR; orders and administers anti-anaphylactic and supportive medications.
Prescribes Drugs: Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs; prescribes schedule 2, 2N, 3, 3N, 4, 5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.
Research Coordination: Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed, evaluated and data is retrieved, entered on appropriate forms. Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment. Works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.
Educational Responsibilities: Develops expertise, expands knowledge in specific areas, and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in rounds and meetings for consultation. Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
Fiscal Responsibility: Assumes fiscal responsibility with working knowledge of evidence based medical model. Effectively uses resources of the patient and the institution. Is aware of and adheres to specific capitations and limitations of the patient's insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances. Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting. Has knowledge of and utilizes all available resources in the event that the patient's resources are limited or unavailable in order to provide medical care and social well-being.
Refers: Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols; which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.
Bachelor's degree; Certification by the NCCPA or similar national certifying body. Completion of a CAAHEP certified Physician Assistant program. Must be licensed as PA in State of Maryland or other state where practicing. Experience may be considered in lieu of bachelor's degree, as permitted by the JHU equivalency formula. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
This description is a general statement of required duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.
Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130... years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Baltimore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.