Mount Sinai Careers
Senior Physician Assistant - PA - SICU - Flex Shift - MSH
Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Department SICU; REQ. # 2304754
Position: Physician Assistant
The SICU Critical Care Midlevel (SCCM) Physician Assistant provides direct patient care to critically ill, complex (multi-organ) patients in an intensive care setting, provides critical care consultation and rapid response team evaluation as needed, and provides nutritional consultation and central line insertion as part of the surgical nutrition support service (SNSS) and central venous access service (CVAS). The SCCM works under the direct supervision of the CCM attending physician or designee (i.e., critical care fellow) and reports to the ICU Midlevel Coordinator.
The duties of the SCCM include presenting in daily academic rounds; obtaining patient histories and performing physical examinations; collecting and documenting data in the medical record; conducting approved diagnostic and therapeutic procedures; ordering and interpreting laboratory and radiographic studies; initiating and adjusting mechanical ventilation and medications including vasopressor infusions, as indicated; conducting family discussions; coordinating ICU admission and discharges; and providing professional consultations. The SCCM contributes to excellence in patient care, research, teaching, and consultation while providing leadership to the nursing profession.
· Provide a thorough review of the patient’s record and perform pertinent physical exam.
· Participates in daily clinical rounds and helps maintain daily goal assessments.
· Writes daily ICU orders.
· May prescribe medication.
· Provide documentation of care (“critical care note writing”) by obtaining and/or updating medical history.
· Assess patients for changes in clinical status and institute appropriate interventions.
· Stabilize new ICU admissions and formulate plan of care with CCM Attending.
· Perform and supervise central line insertion, arterial line insertion, and venipuncture.
· Perform under supervision: Intubation, ultrasonography, paracentesis, thoracentesis, and lumbar puncture.
· Order and review laboratory tests.
· Arrange/schedule diagnostic studies taking place both inside and outside the ICU (i.e. IR procedures, endoscopy, MRI, CT scan, PET scan, and nuclear medicine)
· Follow up emergency testing results even prior to entry of these results into the computerized record.
· Accompany and monitor the patient on transport for all procedures outside the ICU and throughout the duration of the procedure.
· Interface with consultative services and provide coordination with the Critical Care and Primary Care teams.
· Coordinate patient care with members of the multidisciplinary team to include physicians, nurses, pharmacy, social work, physical therapy, home care, case management, and appropriate supports.
· Provides family with clinical updates, results of diagnostic studies, and goals of care.
· Maintains a safe and clean work environment by ensuring compliance with infection-control policies and protocols and other safety procedures and regulations.
Graduate of an accredited Physician Assistant Program
Graduate from an ARC-PA (Accreditation Review Commission on Education for the Physician Assistant) program, or equivalent as approved by the New York State Education Department.(Additional education/experience may be required for some specialty areas).
Current certification by the National Commission on Certification of Physician Assistants
Current licensure to practice as a Physician Assistant issued by the NYS Board of Medicine
Current unrestricted DEA certificate for mid-level providers. (Full schedule: 2, 2N, 3, 3N, 4, 5)
NYS Mandated Infection Control Course Certificate (renewable every four years)
Current BLS and ACLS certification (for all Departments other than Pediatrics)
Current BLS and PALS certification is required for all Physician Assistants working within the Department of Pediatrics. For Physician Assistants working in the public school system through the Mount Sinai Hospital Adolescent Health Center, only BLS certification is required.
2 years experience in area of clinical specialty; 3 years otherwise.
1. Physician Assistant