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Physician Assistant - Front Line Ordering Clinician - Pediatric Critical Care

Date: Dec 1, 2018

Location: Philadelphia, PA, US, 19104

Company: CHOP

Job Description

Job Summary

Under the supervision of an attending physician, the Front Line Ordering Clinician (FLOC) Physician Assistant is responsible for the direct care and follow-up of a population of patients that matches his/her scope of practice and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The PAs in these roles may be required to have acute/critical care education. The appropriate education will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC PA may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment.

The Critical Care Advanced Practice Providers practice within our 55-bed Pediatric Intensive Care Unit (PICU) at Children's Hospital of Philadelphia. This is a multidisciplinary unit that provides care for infants, children and adolescents who become critically ill or injured. Equipped with advanced technology, our multidisciplinary team improves survival, speeds recovery, minimizes disability and relieves pain and suffering in a caring and respectful manner.

Conditions that commonly cause critical illness and injury include:

  • Severe infection
  • Poisoning
  • Drug overdose
  • Trauma
  • Extensive surgery and organ transplant
  • Congenital anomalies
  • Immunological disorders

The Critical Care Advanced Practice Providers also practice in our Progressive Care Unit he Progressive Care Unit (PCU) which is a 24-bed unit on 7 Northeast, under the umbrella of Critical Care. It is designed to meet the acute and chronic needs of medically fragile children who may require technology as they transition along the continuum of care. Our patients come to us as they “graduate” from CHOP's NICU, PICU, and CICU. We also care for children who are referrals from other facilities, and when patients that we have already sent home become acutely ill, we have a place for them here.

Job Responsibilities

  • Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability.  Utilizes the data to formulate a plan of care.
  • Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process.
  • Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions.
  • Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes.
  • Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness.
  • Facilitates the patient’s transitions between and within health care settings. 
  • Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members.
  • Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers.
  • Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice.

Job Responsibilities (Continued)

Job Responsibilities (Continued)

Required Licenses, Certifications, Registrations

NCCPA

PA - Physician Assistant (Practice Location)

Required Education and Experience

Required Education: Bachelors or Masters from a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA). Minimum of 2-3 years experience working in Pediatric Critical Care as a Physician Assistant.

Preferred Education, Experience & Cert/Lic

Additional Technical Requirements

  • Ability to work in an inter-professional team setting with multiple responsibilities.
  • Ability to use computer and electronic medical records effectively.

     

    Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role.

     

Computer Competency

  • Basic use of a computer (mouse, keyboard, printer, USB ports).
  • Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).
  • Web browsing, intranet search, document access.
  • Use of shared network file space.
  • Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors).
  • Navigation and use of clinical communication systems.

 

Information Literacy

  • Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
  • Accesses needed information effectively and efficiently.
  • Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
  • Evaluates outcomes of the use of information.

     

Information Management Literacy

  • Navigation of the electronic health record system.
  • Ability to locate and review specific patient data in various clinical information systems.
  • Effectively uses clinical decision support tools.
  • Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.
  • Ability to collect clinical data using quality improvement tools.


Nearest Major Market: Philadelphia

Job Segment: Clinic, Physiology, Immunology, Physician Assistant, Medical, Healthcare