Physician Assistant

Overall, the Physician Assistant will provide patient care and contribute to the Attending Physicians’ effectiveness by:

  • Identifying short term and long-term patient care issues
  • Providing information pertinent to patient care decisions
  • Recommend and provide options and courses of action involving patient care
  • Communicate with patients, families, nursing staff and other services in order to effectively implement attending physician directives

These actions include but are not limited to:

  • Provide continuity of care by developing and implementing patient management plans with attending physician.
  • Assessing patient health by obtaining health history and performing physical examinations
  • Evaluate neurosurgical conditions by ordering diagnostic test including but not limited to: xrays, CT scans, MRIs, laboratory studies, etc. and interpreting and communicating test results
  • Issue appropriate prescriptions and medications during hospitalization and for discharge as necessary
  • Document patient care services by charting in patient and department records.
  • Monitor patient progress during the hospital admission including surgeries, treatments or other medical events
  • Inform the attending physician to any problems or discrepancies that may arise
  • Attend to emergencies
  • Perform Emergency department and in-patient consultations
  • Perform therapeutic procedures such as suturing and wound management as well as assisting in the operating room.
  • Instruct and counsel patients on neurosurgical conditions and therapeutic regimens while in the hospital and in preparation for discharge
  • Collaborate effectively with team members of various specializations and departments
  • Maintain safe working environment by complying with hospital procedures, rules and regulations and infection control protocols
  • Cultivate a climate of trust and compassion for patients

Specific daily responsibilities:

  • In Hospital patients
    • Sign out with previous PA
    • Patient Rounds
      • Review 24 hour events
      • Review labs, tests, imaging
      • Perform physical exam
      • Discuss case with Attending physician and formulate plan
      • Communicate plan to patient/family, nursing staff and primary/consulting services as appropriate
      • Order new testing as determined by Attending physician discussion
      • Enter note into electronic record system
    • Attend to nursing concerns or patient emergencies
    • Emergency room consults
    • In-patients consults
    • Admission orders
    • Communicate/Discuss plan with intensivist/hospitalist or consulting physicians
    • Postoperative check
    • Postoperative orders
    • Discharge orders and prescriptions
    • Discharge summaries
    • Answer patient questions to the best ability of the PA
    • Communicate detailed follow-up plan with patients/families and Neurosurgeons of New Jersey office

Phone coverage responsibilities:

  • Act as initial contact for incoming calls to the service
  • Handling orders and minor nursing or patient concerns and contact primary or on call physician if necessary
  • Consults or emergencies off hours
    • Obtain detailed H&P information from the consulting physician
    • Review films
    • Call appropriate or on-call attending to pass along the information to the physician – the physician is then expected to handle the consult from there. The attending physician may then relay a plan to the PA and the PA will make one phone call to the consulting physician. The PA is not expected to make multiple phone calls during this process – if this is necessary, the physician should make these phone calls.

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