Urogynecology Physician Assistant

Inpatient Clinical Duties

• Care of hospitalized Urogynecologic patients:

• Perform admission history and physical exam and accurately record in the patient record
• Change surgical dressings
• Remove sutures and staples
• Write daily progress notes
• Write orders
• Dictate discharge summaries and/or complete discharge paper work
• Assist in making appropriate post hospitalization appointments and referrals
• Communicate with referring health care providers and institutions
• Write prescriptions

• Respond to Urogynecologic inpatient floor pages to evaluate situations that may represent variance in normal hospital course.

• Act as liaison between Urogynecologic inpatient floors/patient care teams and outpatient area, or in the case of transfer within the hospital, other care entities.

• Round with individual team members as requested, report back to team leaders

• Implement attending physician instructions for patient management in close cooperation with nursing staff

• Perform procedures within the PA scope of practice and as directed by the attending including:

- Order and interpret appropriate laboratory testing and other special examinations as requested

- Serve as a resource to the health care team for patient care issues

- Collaborate with care coordinator for all patient care referrals

- Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care

- Assist in the planning and implementation of discharging patients

Additional Competencies and Tasks in Care of Outpatient Urogynecological Patients

• Conduct initial evaluation of Urogynecological patients seen in the outpatient clinic or Emergency Room, including:

- Conduct and appropriately interpret Physical Exam

- Ordering appropriate laboratory and non-invasive testing and collating results

- Accurately inform responsible physician of acute situations

- Accurately report results of initial assessment and subsequent information to responsible physician (per above)

- Interact with all clinic or ER personnel in collegial manner

- Perform surgical counseling

- Pessary insertion and removal- Perform urodynamics testing

- Perform voiding trials

- Insert and remove trans-urethral catheters

- Teach patients on the care of catheters and intermittent self catheterization

- Perform bladder instillations for IC patients

- Perform PTNS procedures for patients with overactive bladder

General Duties

- Work collaboratively and function as an efficient member of the health care team
- Assist in the coordination of consultation of other sub-specialists involved in the care of patients
- Provide education to patients and families
- Document in the medical record as appropriate and communicate observations/findings with attending physicians
- Monitor environment of care and comply with regulatory agency standards
- Ensure that his or her clinical practice is consistent with physician assistant policies, procedures and standards
- Participate in QA/QI projects as appropriate

-Participate in research projects as appropriate

-Call patients before and after surgery to field any questions or concerns

Operating room duties

-Assist surgeons of the Urogyn team in the operating room

-Write orders for inpatients and outpatients

-Complete scripts for inpatients and outpatients

-Complete discharge summaries for inpatients and outpatients

Education
Master's Degree Physician Assistant required

Can this role accept experience in lieu of a degree?
No

Licenses and Credentials
Physician Assistant [State License] - Generic - HR Only required

Experience
Experience as a licensed Physician Assistant preferred

Knowledge, Skills and Abilities
- Skilled in taking medical histories to assess medical condition and interpret findings.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.