Physician Assistant Surgical 1st Assist Cardiothoracic Transplant FT Days at AdventHealth

Date Posted: 11/12/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Orlando, FL
  • Job Category
  • Date Posted:
    11/12/2019
  • Job ID:
    19022151
  • Job Family
    Physician Services
  • Travel
    No
  • Shift
    1 - Day
  • Application Zone
    1-Shared Services
  • Organization
    AdventHealth Central Florida

Job Description


Description

Physician Assistant Surgical AdventHealth Orlando

 
Location Address: 2415 N. Orange Ave., Orlando, FL 32804

Top Reasons to work at AdventHealth Orlando

 

On the AH Orlando campus, AdventHealth Transplant Institute’s Heart and Lung Transplant Program is seeking an experienced cardiothoracic surgical PA to join our growing & thriving practice. Our service currently consists of 5 surgeons and 2 Surgical Pas working collaboratively with the Cardiology and Critical Care Medical teams. We perform the full spectrum of advanced heart failure surgical therapies as well as core cardiothoracic procedures. The selected candidate will regularly be performing CABG, valve surgery, thoracic aortic work, Ventricular Assist Device, heart and lung transplant, ECMO insertion and management, and total artificial heart implantation. We are a busy practice having performed 16 lung transplants, 58 heart transplants, 68 VAD implants, and 126 ECMO runs in 2018. Our surgeon team consists of Dr. Duane Davis, who was past president of ISHLT; Dr. Scott Silvestry, who currently educates other surgeons on VAD implant techniques for the industry; and Dr. Don Botta, Transplant and VAD Surgical Director. AdventHealth, a 2,247-bed acute-care medical facility, is a member of Adventist Health System. We serve as a community hospital for Greater Orlando and as a major tertiary referral hospital for Central Florida and much of the Southeast, the Caribbean and Latin America. Adventist Health System operates 44 hospitals in ten states making it the largest not-for-profit protestant health care system in the United States. Our annual statistics include:

•  Treats more patients than any other hospital in the US

•  Serves more patients each year than any hospital in Florida

•  Number of inpatients: 122,729

•  Number of licensed beds: 2,675

•  Number of critical care beds (Includes ICU, CCU, CVICU, PCU, PICU, NICU): 1,329

 
Work Hours/Shift:

•           Full Time, Mon-Fri, 7am-5pm, 24 hr. On Call Shifts, 3rd Weekend On Call

You Will Be Responsible For:   
 
The Physician Assistant (PA) supports the clinical operation of AdventHealth Transplant Institute with primary focus on clinical services in the inpatient and outpatient setting.  Inpatient Responsibilities include: Pre-operative admission, consultation, evaluation and medical optimization; Intra-Operative 1st and 2nd assistance; Post-operative ICU and floor patient care and discharge.  Outpatient Responsibilities include: Pre & Post Operative clinic; Out-Of-Hospital patient clinical phone call management & Out-Of-Hospital operative call-in.  Delivery of patient care will be conducted in collaboration with faculty surgeons and physicians
  • Cardiothoracic anatomic and patho-physiologic knowledge
  • Cardiothoracic & critical care clinical management knowledge, with sound clinical judgement, decision-making and problem solving skills
  • Ability to self-direct and work without direct supervision
  • Conduit Vein harvesting open/endoscopic
  • Conduit Arterial harvesting open
  • Surgical 1st assistance training & Profficiency
  • Bedside cardiothoracic surgical procedural skills
    • Central Venous Line Access, Arterial line placement, PA catheter placement, Open tube thoracostomy
 

Qualifications
What Will You Need:        
 

EDUCATION AND EXPERIENCE REQUIRED:


  • Graduate of a physician assistant program approved by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)
  • Minimum of two years post-graduation clinical experience or one year post-graduate surgical residency training experience
  • Minimum of one year of cardiothoracic specialty specific experience
  • Pre-Operative, Intra-Operative, Post-operative Surgical patient care experience
  • Critical care experience



 

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:


  • State of Florida physician assistance license
  • National Commission Certification of Physician Assistant (NCCPA) Certification
  • Health Care Provider BLS(CPR)
  • ACLS

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
  • Cardiothoracic Surgery Certificate of Added Qualification (CTS CAQ)

  • Fellow of the Association of Physician Assistants in Cardiovascular Surgery (FAPACVS)

  • Cardiac Surgical Unit Advanced Life Support Certification (CSU ALS)

  • Certified Clinical Transplant Coordinator (CCTC) by the American Board of Transplant Certification (ABTC)

 

Job Summary:
  • Participation in daily inpatient rounding by taking patient history, conducting physical exam, reviewing laboratory and diagnostic data, performing medication reconciliation, procedures, and computer order entry as appropriate.
  • Participation in daily multidisciplinary round by contributing specific surgical perspective and promoting integrated comprehensive patient care
  • Active team participant in mentoring and educating other team members
  • Inpatient consultation and admission at the direction of the collaborating physician.
  • Documentation of all patient encounters by computerized progress notes, brief operative note, procedural notes or admission/consultation/discharge summary dictation
  • Pre-operative patient evaluation and medical optimization
  • Evaluates and treats patients with acute, chronic, and surgical concerns

    • Perform First/Second Surgical Assist duties within the OR setting and/or at bedside as program and surgeon direct which may include but is not limited to:
      • First & 2nd Operative assistant on cardiothoracic surgical and transplant patients
      • Assist with Heart Transplantation, Lung Transplantation & Ventricular Assist Device surgeries

      • Assist with Cardiothoracic Surgery including: CABG, Valve Repair and Replacement, Aortic Proceudres, Thoracotomy, Lung Resections, and Central/Peripheral Vascular repair.

      • Conduit Harvest, including greater and lesser saphenous veins and radial artery

      • Sternotomy & Sternal closure

      • ECMO initiation/weaning and cannulation/decannulation techniques

      • Obtainment of informed consent for procedures performed by the PA

      • Insertion of percutaneous/open chest tubes, Arterial lines & femoral/axillary IABP, Fem/SC/IJ Central venous access, PA Catheter placement, Transvenous pacerwires, and dialysis catheters

      • Documenting, coding and completing diagnosis of patient’s condition to facilitate appropriate insurance reimbursement.

    • Post-operative patient ICU and floor management
    • Call requirements will be rotational to include a 24-hour/7-day coverage system. Out-Of-House SICU & Floor call responsibilities, Donor call organ assessment & OR call responsibilities
    • Attends and participates in transplant team meetings including Patient Review Committee, hospital interdisciplinary rounds, discharge planning and QAPI.  Communicates with the transplant team in a professional and effective manner.  Participation in database & clinical research
    • Participation in clinical research & Actively participates in regulatory-related data collection and surveys agencies including but not limited to:
    • Oversight and participation of regulated data reporting for regulatory agencies i.e. DNV, United Network for Organ Sharing (UNOS), Centers for Medicare and Medicaid Services (CMS), and Interagency Registry for Mechanically Assisted Circulatory Support (INTRAMACS).

    • Maintaining a current understanding of changes in respect to accrediting bodies

    • Participating in preparation for regulatory surveys, such as UNOS, Medicare, and DNV

    • Serving as an expert resource and point-of-contact on clinical and protocol-related issues

    • Participating in the preparation of action plans in response to recommendations for improvement and deficiencies identified by regulatory agencies

    • Participating in mock surveys and self-assessments, focusing on continual readiness

    • Providing in-service and continuing education for staff within the scope of the Transplant Program

    • Performs additional miscellaneous duties and responsibilities as may be assigned from time to time by Assistant Director or physician team.



This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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