The Johns Hopkins Department of Orthopaedic Surgery is seeking a full-time Physician Assistant to provide emergency orthopaedic care and triage for orthopaedic patients, under the direction, supervision and responsibility of a supervising physician, and in accordance with established regulatory and hospital policies and procedures.
The floor advanced practice provider is responsible for evaluating the patient's health status through diagnostic procedures and tests and providing therapeutic patient care under direction of a supervising physician. This position will work to cover the night shift on the inpatient floor.
Specific Duties & Responsibilities:
Provides emergency care for orthopaedic injuries such as, but not limited to fracture care, casting, splinting, ordering diagnostics, pre-work required for admissions, admission orders, and/or the O.R. Triages for open fractures, compartment syndrome, dislocations, serious fractures, and cast problems. Places, removes and/or reinforces sutures. Evaluates wounds, changes dressings and performs wound care.
Interviews patients and compiles patient medical histories to assist in determination of health status. Performs physical examinations of patients, noting normal and abnormal findings. Provides follow-up care as needed for Orthopaedic inpatients, including but limited to wound care and dressings for patients. Coordinates care plans and provides on-site continuity of care with the patients, families and staff. Dictates discharge summaries and completes discharge paperwork. Obtains specimens from patients and runs routine laboratory tests and procedures; performs diagnostic tests, orders and follows up on imaging studies, orders non-routine laboratory tests or procedures as required.
Performs consults/evaluations. Evaluate patient history, physical examination findings and laboratory values, and makes preliminary diagnosis of patients for review by physician. Develops care/treatment plan for patient according to established protocols and procedures; confers and consults with supervisory physician and other professionals before implementing treatment. Writes post-operative orders which include laboratory tests, medications, and care plans according to established procedure and protocol, for review by physician. Writes prescriptions as needed. Complete patient forms such as disability, FMLA, and insurance, etc. as needed.
Attends patient rounds with physician or members of medical staff to monitor patient progress, and provide information to staff on patient's care plan, condition and progress of patient. Provides education and guidance to patients and family members in maintaining good health, disease prevention and home care under supervision of a physician. Signs out patients with active issues and concerns. Attends regularly scheduled continuing education programs to ensure current knowledge of procedures and health care plans and protocols.
Facilitates communication between own team and other consulting medical services. Requests consultations with other departments, as necessary. Acts as liaison with other medical services (social work, rehabilitation medicine, etc.). Bills fees for all services rendered. Completes all required documentation for billing accuracy and compliance.
Will rotate where needed, travel between JHH facilities. Able to work flexible shifts.
Other duties as assigned
Minimum Qualifications: 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. Must be registered by the Board of Medical Examiners of Maryland. 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 Johns Hopkins Hospital and Bayview Medical Center credentialing process is required prior to start date.
Additional Knowledge, Skills, and Abilities: Knowledge of medical terminology, Anatomy, Physiology, Chemistry, Psychology, Pharmacology, Clinical Medicine, Radiology, Microbiology and Pathology as acquired through completion of an accredited Physician's Assistant program, or a Nurse Practitioner’s program. Work requires analytical ability necessary to evaluate and determine health status of patient and implement proper care plan.
Interpersonal skills necessary to interview, teach and counsel patients; instruct health care personnel on procedures and treatment. Is computer knowledgeable and will be expected to fully utilize all Johns Hopkins systems. Work requires six-to-twelve month’s on-the-job experience to obtain a comprehensive understanding of clinical and/or surgical procedures, patient care procedures, medical protocols and testing procedures.
Physical Requirements: Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
Working Conditions: Some exposure to contaminated materials, infectious specimens and communicable diseases, but potential for harm or personal injury is limited when proper safety and health precautions are followed.
Classified Title: Physician Assistant Role/Level/Range: ACRP/04/MG Starting Salary Range: Competitive; Commensurate with experience Employee Group: Full Time Schedule: Tuesday - Thursday, NIGHTS/13 Hour Shifts Exempt Status: Exempt Location: Johns Hopkins Bayview Medical Center Department Name: Orthopaedic Surgery Personnel Area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
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The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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