Gem State Radiology, based in the beautiful city of Boise, ID - is looking to employ a Physician Assistant (PA) in our Interventional Radiology Clinic to provide direct diagnostic and therapeutic patient care, to help support growth in Boise and our surrounding communities.
Gem State Radiology is a well-respected group of fellowship-trained, sub-specialized radiologists that provides on-site professional radiology services for partner hospitals including the Saint Alphonsus Health System, multiple acute-care hospitals, as well as a major trauma center. GSR also owns and operates three outpatient imaging centers.
The ideal candidate will have a minimum of one year of experience in a Physician Assistant role. **Prior surgical procedure experience strongly preferred.**
KEY FUNCTIONS
IR Patient Clinical Assessment, Documentation and Management
Completes H&P and pre-procedure assessments specific to the IR procedure. Performs sedation assessment, relevant to institutional/departmental policies, including ASA scoring, airway classification, ECOG scoring, medication management and medical referrals.
Orders and interprets pertinent laboratory and diagnostic studies/imaging.
Prescribes medications, determines pre, intra, and post procedure medical management and writes orders with in their licensed scope of practice.
Assesses pre-procedure medical management issues such as, Peri-procedural Hypertension/Hypotension, Fluids/Electrolytes imbalances (Critical Values), and Unmanaged Diabetes (Insulin Pump, Metformin Management, Hyper/Hypoglycemia).
The IR PA is expected to formulate a management plan with the IR physician and primary team regarding all aspects of peri-procedural management. Demonstrates ability to triage cases appropriately.
Practices within E & M Billing and Compliance regulations and requirements and demonstrates ability to complete appropriate documentation.
Provides clear written and verbal communication.
Patient Education, Post-procedure Follow-up, and Longitudinal Care
Provides detailed procedure education, including specific procedure risks, benefits, alternatives and expected outcomes.
Participates in the informed consent process per institutional policy.
Manages post-procedure care for both outpatients and inpatients to identify any medical management issues, assess for immediate complications and/or identify sedation related events.
Assesses outpatient candidates for discharge, and evaluates extended recovery patients as required.
Inpatient rounding will be performed based on assignment; assessment of inpatients includes catheter evaluation and post procedure management of complications and patient education.
Outpatient post procedure longitudinal efforts include coordinating with primary service for subsequent procedures, arranging repeat imaging/labs and establishing follow-up schedule/expectations. Phone and/or in person evaluations are performed to assess for complications, rate/record any adverse events, and ensure appropriate follow-up course is completed.
Participate in tumor boards and other multidisciplinary boards as necessary.
IR Procedure Knowledge & Participation
Possesses basic knowledge of IR procedure flow in both inpatient and outpatient areas.
Understands the indications for IR procedures, how the procedure is performed, and the specific pre-procedure work-up, risks, and follow-up expectations.
The knowledge of sterile techniques will be essential for proper patient preparation.
The use of a radiology lead apron will be necessary in the procedure rooms. No physical limitations as such are permitted. Exposure to radiation will occur and will be controlled in appropriate limits set by the Nuclear Regulatory Commission (NRC). No access to such will be permitted while pregnant.
Participates in the following, (as appropriate) catheter suturing, chest tube removal, and catheter flushing/triaging.
Potential to perform additional interventional procedures (as appropriate)
EDUCATION
Required: Graduate of a Physician Assistant training program approved by the Council of Medical Education of the American Medical Association. |