Physician Assistant (1.0 FTE, Various Departments)
Nursing Advance Practice
1.0 FTE (Various Departments). May be required to work rotating shifts
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The Physician Assistant functions under the general Physician Assistant Job Description and Standardized Procedures/Delegation of Services approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the physician assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Lucile Packard Children's Hospital Medical Board and Board of Directors.
Supervision is provided by attending physicians in the Clinic, Service or Department. The supervising physician has continuing responsibility to follow the progress of the patient and to make sure that the physician assistant does not function autonomously, and is responsible for all medical services provided by a physician assistant under his or her supervision. A physician may not supervise more than four physician assistants. The specific mechanisms of supervision used may be:
A supervising physician shall be available in person or by electronic communication at all times when the physician assistant is caring for patients.
Medication orders are transmitted according to an approved formulary protocol.
The supervising physician examines the patient the same day as care is given by the physician assistant.
All order and notes by the physician assistant are signed and dated by a supervising physician with fourteen days.
5% of notes written by the physician assistant may be signed and dated by a supervising physician within (30) days. Note: If this method of supervision is chosen, the department is responsible for submitting quarterly chart completion audits to Health Information Management Services (HIMS) to verify compliance. Additionally the physician must adopt protocols to govern the diagnosis and management of patients as per California Code of Regulations.
Takes a patient history, performs a physical examination and makes an assessment consistent with physical findings. Develops a treatment plan and provides documentation in the patient record.
The PA shall notify his/her supervising physician when performing tasks of executes treatment not delineated in the protocols set forth for the PA, the supervising physician will sign such medical records.
Reviews and revises treatment and therapy plans as needed.
Administers medications according to the formulary protocol or upon patient-specific orders from the supervising physician, or transmits orally or in writing on a patients record, a prescription from the supervising physician to a person who may furnish such medication. All controlled substances in Schedules II-V inclusive must have a patient-specific order by a supervising physician in advance of transmittal of the order or administration of the medication.
Orders and collects specimens for routine laboratory tests.
Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
Initiates and facilitates patient referrals to other physicians, clinics and health care facilities, using clinic procedures.
As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician.
Initiates arrangements for hospital admissions and completes appropriate paperwork.
Instructs and counsels patients regarding matters that pertain to their physical and mental health.
Records pertinent data in the patient medical record.
Performs clinical procedures that have been approved by a supervising physician without the presence of a supervising physician, except as otherwise noted. These may include procedures that are usually performed under local anesthesia. Any procedures requiring other forms of anesthesia may be performed only in the personal presence of a supervising physician.
See Appendix B.
After appropriate training, assists the supervising physician in the operating room.
a. Acts as first or second assistant under the supervision of an approved supervising physician.
b. Performs surgical procedures in the personal presence of an approved supervising physician.
Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.
Graduate of a Physician Assistant Program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
Demonstrated ability to function in collaboration with other health care professionals.
Licensure as a Physicians Assistant (PA) or working towards a Licensure as a Physician Assistant (PA) in the State of California
Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)
Certification in Basic Life Support (BLS) from the American Heart Association (AHA).
An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients.
Additional board certification(s) may be required by certain specialties/departments
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
Equal Opportunity Employer