PA-Orthopedics-1

BASIC PURPOSE OF THE JOB

Receiving general direction from the Medical Director - Surgical Services, Chair of Orthopedic Services, Executive Director - APC’s, Lead Orthopedic Physician Assistant and Executive Director – Musculoskeletal Service Line. The position will assess, diagnose and treat health problems of patients who suffer from a range of musculoskeletal conditions from time of admission to discharge.

CONTACTS AND COMPETENCIES

• Patient Contact - Yes
  • Age of Patient(s) - (check all that apply) Neonates 1 - 30 days; Adolescents 13 - 18 yrs Infants 30 days - 1 year; Children 1- 12 years; Adults 19 - 70 years; Geriatrics 70+

COMPENSATION

Pay Range: $70.00 - $110.00

DEPARTMENT INFORMATION

Department Name: SMC Orthopedics

Facility: LOC0001 - 55 Fogg Road, 55 Fogg Road, Weymouth, MA 02190

WORKING CONDITIONS

• Position Hours: Typically Monday through Friday with potential for rotating weekend days.
  • Additional Weekend and Holiday coverage as determined based on the needs of the department.

ESSENTIAL FUNCTIONS

• Provides direct care to orthopedic patients in collaboration with the Orthopedic Attending Physician.
  • Duties and Responsibilities:
    • Obtains a detailed and accurate medical history and performs a comprehensive physical exam for patients admitted for elective, non-elective and trauma orthopedic procedures.
      • Implementation of all Orthopedic Surgery care plans including writing orders, transfer orders, wound care, dressing changes, application of casts/splints, and fracture reductions.
        • Collaborates with hospitalist team on co-managed patients
          • Discharge orders and planning, writes discharge orders, dictate formal discharge summary, prescription writing, VNA care plan, etc.

SITUATIONS THAT REQUIRE REFERRAL OR CONSULTATION

Referrals and/or consultations may be obtained by the Orthopedics Physician Assistant when the attending physician deems necessary, and need to be obtained for any medical or surgical problem that does not fall within the scope of practice of the supervising physician.

DELEGATION OF SUPERVISING PHYSICIAN RESPONSIBILITIES

The direct supervision of work performed by the Orthopedic Physician Assistant is the responsibility of the supervising physician or his/her designee (who must be another MD) in accordance with all state and national guidelines. An MD may delegate to his/her Orthopedic Physician Assistant only duties and responsibilities that fall within the scope of practice of the supervising physician.

ORTHOPEDIC PHYSICIAN ASSISTANT SCOPE OF PRESCRIPTIVE PRACTICE

• The scope of prescriptive practice will conform to the Massachusetts State Controlled Substance Act, all Department of Public Health, and Massachusetts Board of Registration for Physician Assistants, Massachusetts Board of Registration in Medicine and other applicable statutes and regulations.
  • The prescriptive practice of the Orthopedic Physician Assistant will be reviewed by the supervising physician in an ongoing format, at least quarterly.
    • The Orthopedic Physician Assistant may prescribe the following classes of medications: Class II-Class V.

PHYSICAL REQUIREMENTS

• General Activity - Frequent Standing/Walking Required, No Driving
  • Motion - Frequent Activity Required-pushing, pulling, lifting, bending
    • Motor Skills - Use of hands required, Use of feet required
  • Weight/Force - Light lifting required (

  OTHER RESPONSIBILITIES

  • Participates in meetings, including: Monthly Orthopedic Staff Meeting, Joint/Geriatric Fracture Program Team Meetings.
    • Participate in continuing education activities to maintain or enhance knowledge and skills.
  • Ensures that patient billing is submitted accurately and consistent with Hospital policy.
    • Other duties and projects as assigned.