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This section should be reviewed and edited if necessary to ensure accuracy to specialty.
The Physician Assistant may perform the following functions in addition to any that may be specifically delineated in the Appendix:
1. Systematically access the health status of patients, with the co-signature of supervising physician(s).
2. Order tests, initiate or perform selected diagnostics or procedures in accordance with existing protocol approved by the appropriate specialty Department and or Section, C&P Committee, Executive Committee and Board of Governors, iv. Device checks
3. May provide assistance to the supervising physician for the following procedures: central venous catheter, thoracentesis, paracentesis and lumbar puncture.
4. May include making and documenting daily inpatient rounds alongside or in conjunction with MD’s documentation.
5. May include initiation of a treatment program for the patient, in conjunction with the supervising MD(s).
6. May include discharging inpatients, including necessary documentation, education and prescriptions.
7. May receive and document verbal orders from the supervising physicians in the medical record. May relay orders from the supervising physicians to individuals authorized to accept orders.
8. Prescribe all medications consistent with D.E.A. privileges and according to the Nevada Boards of Pharmacy and State Board of Medical Examiners.
This position serves a patient population of Neonatal, Pediatric, Adolescent, Adult, and Geriatric.
This position works with and adapts to the different needs and requests of the management staff, circulating nurse, anesthesiologists, and surgeons.
This position assists the circulating nurse in the set-up and breakdown of equipment required before, during, and after each procedure, and reports any equipment malfunctions to the circulating nurse or Surgical Supervisor. This position sets up (but does not operate) the following equipment: anesthesia machine, monitoring equipment, bovie machine, suctions, craniotomy table, ortho tables, microscopes, tanks, and operating lights, and other related equipment.
It is common to encounter potential hazards in the healthcare environment. Some of these hazards could include, but are not limited to: radiation, toxic chemicals, biological hazards, heat, noise, dust and stress. Renown Health has a Safety Management Program in place that addresses these issues.
SUPERVISION:
1. All entries in the medical record (with the exception of the Discharge Summary) as permitted under Nature and Scope, or in the specific Appendix, must be co-signed by the supervising physician within the next calendar day. The Discharge Summary must be co-signed by the supervising physician in the time frame specified by the Medical Staff Rules and Regulations.
2. Patient rounds made by a PA shall not be considered as fulfilling requirements for Medical Staff member daily patient rounds.
3. The Physician Assistant must at all times comply with the provisions of Nevada Revised Statue and other regulations that set forth the practice of a Physician Assistant in the State of Nevada.
4. The supervising physician(s) is/are responsible for the actions of the Physician Assistant at all times.
The first 20 charts will be reviewed by the Department Chief or his designee for compliance with this Scope of Practice, hospital policies and the community standard of care.
This position does provide patient care.
KNOWLEDGE, SKILLS & ABILITIES:
1. Adopts a philosophy consistent with the RENOWN HEALTH Purpose Statement and models "Standards of Conduct" Concepts.
2. Effective communication skills – written and verbal.
3. Ability to establish positive working relations with Provider Staff.
4. Work efficiently and cooperatively in a multi-physician/provider office setting.
5. Work as part of a team toward clinic goals.
6. Maintains accurate, legible, and confidential records.
7. Actively participate in quality assurance, peer review programs, and health care outcome evaluations.
8. Direct nursing and/or medical assistant duties consistent with clinic protocols.
9. Ensures the highest quality of care requiring a code of ethical practice, evidence of continuing professional development, and maintenance of clinical skills.
10. Patient advocate through ethical and legal standards.
11. Combines the roles of provider, mentor, educator, researcher, manager, and consultant, as applicable
12. Interprets the role of the Physician Assistant to individuals, families, and other professionals.
13. Works efficiently, cooperatively, and autonomously in long-term and acute care facilities, as applicable
14. The Physician Assistant shall at all times comply with the provisions of NRS 630 and Regulations of the Nevada State Board of Medicine
15. The Supervising physician is responsible for the action of the Physician Assistant at all times.
16. Will attain sufficient knowledge in the specialty and assure appropriate on-going education, such as knowledge of all core educational programs, as applicable.
17. Attend and participate in RIHVH and Renown Health meetings consistently.
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