The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.
SUMMARY
The primary purpose of the Physician Assistant (PA) is to provide direct diagnostic and therapeutic patient care.The PA impacts quality of patient care and patient outcomes throughout the care continuum.
Ideal Candidate will be a team player, able to work with various personalities, think outside the box, have attention to detail, be able to work with a large team, and have confidence in working autonomously. Must have experience in either IR, OR or ER.
JOB SPECIFIC COMPETENCIES
IR Patient Clinical Assessment, Documentation and ManagementCompletes H&P and pre-procedure assessments specific to the IR procedure. Performs sedation assessment, relevant to institutional/departmental policies, including ASA scoring, airway classification, ECOG scoring, medication management and meidcal referrals.Orders and interprets pertinent laboratory and diagnostic studies/imaging.
Prescribes medications, determines pre, intra, and post procedure medical management and writes orders with in their licensed scope of practice.
Formulates/executes plans for management of common IR periprocedural issues, including but not limited to:lab, transfusion,constrast, anticoagulation/antiplatelet, and post procedure pain management issues.
Assesses pre-procedure medical management issues such as, Periprocedural Hypertension/Hypotension, Fluids/Electrolytes imbalances(Critical Values),and Unmanaged Diabetes (Insulin Pump, Metformin Management, Hyper/Hypoglycemia).
The IR PA is expected to formulate a management plan with the IR physician and primary team regarding all aspect are periprocedural management. Demonstrates ability to triage cases appropriately.
Practices within E & M Billing and Compliance regulations and requirements and demonstrates ability to complete appropriate documentation.Provides clear written and verbal communication.
Patient Education, Post-procedure Follow-up, andLongitudinal Care Provides detailed procedure education, including specific procedure risks, benefits, alternatives and expected outcomes.Participates in the informed consent process per institutional policy.
Manages post-procedure care for both outpatients and inpatients to identify any medical management issues, assess for immediate complications and/or identify sedation related events.
Assesses outpatient candidates for discharge, and evaluates extended recovery patients as required (as well as ensure discharge). Patient education is provided to both patients and thier families regarding proceudre preparation, expectations, recovery and post-procedure care and follow-up.
Inpatient rounding will be performed based on assignment;
Assessment of inpatients includes catheter evaluation and post procedure managment of complications and patient education.
Outpatient post procedure longitudinal efforts include coordinating with primary service for subsequent procedures, arranging repeat imaging/labs and establishing follow-up schedule/expectations. Phone and/or in person evaluations are performed to assess for complications, rate/record any adverse events, and ensure appropriate follow-up course is completed.
Patient satisfaction will be derived from above average interpersonal and communication skills. The PA will also participate in the development of patient education materials.
IR Procedure Knowledge Posesses basic knowledge of IR procedure flow in both inpatient and outpatient areas.
Understands the indications for IR procedues, how the procedure is performed, and the specific pre-procedure work-up, risks, and follow-up expectations. The knowledge of sterile techniques will be essential for proper patient preparation.
Participates in the following, (as appropriate) catheter suturing, chest tube removal, and catheter flushing/triaging.
REQUIREMENTS
EDUCATION
Physician Assistant (PA) - Required: Graduate of a Physician Assistant training program approved by the Council of Medical Education of the American Medical Association.
Advanced Practice Registered Nurse (APRN) - Required: Master's Degree in Nursing or Doctor of Nursing Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population
EXPERIENCE:
Required: None
Preferred: Advanced Practice Provider (APRN or PA) with 1 year of experience. In addition, one years of Infusion or leukemia, lymphoma or medical oncology experience.
LICENSURE/CERTIFICATION:
PA - Required: All of the following:
PA certification by the National Commission of Certification of Physician Assistants. Licensed by the Texas State Board of Physician Assistant Examiners.
Must meet the American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) if working in one of following department: Pediatrics - Patient Care (113100).
APRN - Required: All of the following: Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse. Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification. Pediatric Advanced Life Support (PALS) If working in the following departments: Pediatric - Patient Care (113100).
MAY BE REQUIRED:
Eligible to be granted limited prescriptive authority by the State of Texas. Authorization for limited prescriptive authority by the Texas Board of Nursing.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
