Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 6930
Summary: This individual is a clinically competent, registered Physician's Assistant who will report to the Chief of Cardiac Surgery and Director of Surgical Services, has demonstrated expertise in the management of cardiothoracic patients. He/She effectively delivers care to the cardiothoracic patient throughout the continuum of care. The candidate's principal duties and responsibilities are to include but not limited to the following: Performing preoperative assessments, History and Physicals, education on counseling of patients as well as personal representatives regarding the patient's disease and health issues in an office or inpatient setting. The candidate will reach tentative diagnosis and order appropriate lab tests. The candidate will perform surgical procedures in the OR under direct supervision of the surgeon, perform radial artery as well as saphenous vein harvesting. Candidate will initiate daily post operative patient care management on nursing floors, I.e. CCU, stepdown units and document in daily progress notes. The individual will have the capacity to insert chest tubes, remove drains and pacemaker wires, and assess and treat incision sites. The Chief PA will assist with the interview process of other PAs, be responsible for training and periodic evaluation of these individuals, attend departmental inservice meetings, conduct inservices and provide eduation/training to areas in the hospital that will benefit from their expertise regarding patient care.
Other information: Cardiothoracic experience preferred.Ability to perform . .Must have knowledge of pharmacology principles, dysrhythmia therapy, EKG interpretations and surgical procedures and in-depth anatomy; skill in manual dexterity; ability to access clinical situations and initiate appropriate treatment, interpret laboratory data, respond to emergency situations, coordinate work schedules to achieve maximum productivity and efficiency and ability to recognize and document any pathophysiology.
Responsibilities: Demonstrates competency in performance of surgical asepsis including scrubbing, gowning, gloving and monitoring aseptic technique.2 Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Performs preoperative assessments, History & Physicals, education on counseling of patients as well as Personal Representatives regarding patient's health issues. Initiates preoperative patient preparation to include order sets, consents and other documentation. Reaches tentative diagnosis and orders laboratory tests. Initiates daily post operative patient care management on nursing floors, i.e., CCU, step-down units and documents in daily progress notes. Assists cardiothoracic surgeon in operating room procedures. Performs saphenous vein and radial artery harvesting. Inserts chest tubes, removes drains and pacemaker wires and assesses and treats incision sites Effectively demonstrates critical thinking, prioritization of duties and time management skills throughout the perioperative area. Assists with the interview process of other PAs. Responsible for training and evaluation of these individuals. Attends departmental in-service meetings, conducts in-services and provides education/training to those who will benefit from their expertise. Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or ligating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon; provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging; use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon. Initiate appropriate intraoperative behaviors unique to first assisting: handle all variety of tissue appropriately to reduce potential for injury or compromised blood supply; suture skillfully all varieties of tissue with the appropriate suture materials and suturing techniques.
Competencies and skills: Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Knowledge Of Basic Computer Programs * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records
Beebe Healthcare serves the Sussex County community with a medical center located in beautiful, historic Lewes, Delaware, and convenient outpatient locations throughout the county. Founded in 1916 by two physician brothers, Drs. James Beebe and Richard C. Beebe, the medical center in Lewes is a 210-licensed-bed, not-for-profit seaside community hospital. Beebe's specialized service lines include cardiac and vascular, surgical services, oncology, women's health, and orthopaedic services. Beebe offers an array of inpatient, outpatient, emergency, and diagnostic services.
Beebe's five satellite campuses offer imaging, physical rehabilitation, and lab services, as well as walk-in care centers. In addition, Beebe offers Wound Healing & Hyperbaric Medicine and Diabetes Management & Medical Nutrition Therapy.
With a mission to serve the community, Beebe also offers many free screenings and outreach programs through its Population Health Department; and advanced medical care for those who are recuperating at home through Beebe Home Care Services.
Beebe is also training the next generation of nurses through the Margaret H. Rollins School of Nursing, located behind the Medical Cente...r in Lewes.
Beebe's Medical Staff has grown tremendously since the early 1990s. Employed physicians through Beebe Medical Group and our affiliated physicians on Beebe's Medical Staff now serve patients from Milford to Millville in specialties including cardiac surgery, dermatology, endocrinology, family practice, gastroenterology, general surgery, internal medicine, pediatric neurology, and surgical oncology.
Beebe is proud to offer quality care, close to home for the residents and visitors of Sussex County.