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Advanced Practice Registered Nurses / Physician Assistants
Internal Number: 630790900
The Physician Assistant (PA) position, working in Surgical Services is responsible for the medical oversight of the Urology department and needs of the Veterans at the Loma Linda VA Health Care System in Loma Linda ,CA. (1) Performing histories and physical examinations. (2) Providing and coordinating medical care for assigned patients in any care setting, including establishing diagnoses, formulating and implementing care plans, and providing follow-up care. (3) Evaluating outpatients to determine the need for further health care. (4) Ordering diagnostic studies, and other special tests such as MRI, CT Scans, etc. (5) Carrying out health promotion, disease prevention, and patient education activities. (6) Ordering or obtaining laboratory specimens and counseling patients on results. This includes the ability to obtain Informed Consent for sensitive testing ( For example: toxicology, STD, HIV, coagulation, etc.) (7) Ordering ancillary services. (For example: Pharmacy, PBM consult, Social Services, Physical Medicine and Rehabilitation therapies, Prosthetic Services, etc.) (8) Ordering VA specialty service consults and initiating requests for non-VA (fee basis) consults in accordance with VHA and local facility policy and procedures. (9) Ordering patient care supplies. (10) Writing orders for or prescribing medications. (See Prescriptive Authority section below) (11) Admitting and discharging patients, conducting patient rounds, documenting progress notes and summaries in the patient record, and writing patient orders on assigned patients. PAs may be delegated the responsibility of documenting operative notes if the PA was present for the procedure, but the operative surgeon must review and co-sign the note. The PA may also be delegated the task of documenting the discharge summary, but the Collaborating Physician must write a discharge note, or cosign the discharge summary of the PA in accordance with The Joint Commission standards. (12) Other patient record entries by PAs including medical histories, physical examinations, progress notes, procedure notes, service consults, Compensation and Pension evaluations, and patient orders do not require physician co-signature unless specifically required by Federal law, VA policy, or applicable external accrediting bodies. (13) Obtaining and documenting informed consent for all treatments and procedures for which the PA is responsible. Additionally, the PA is authorized to obtain informed consent for treatment or procedures for which he/she can actively participate as an integral member of the treatment team performing the procedure such as assisting the primary surgeon. The PA need not participate in the particular procedure the patient is scheduled to undergo but the PA must be authorized to perform or participate in the procedure by their Scope of Practice and in accordance with the Scope of Practice of the Collaborating Physician. The PA must have sufficient knowledge and training in the treatment or procedure, its indications, risk and benefits, complications, and alternative treatments, to effectively counsel the patient. (14) Providing education and counseling of patients and families in preventive care, medical conditions, and the use of prescribed treatments and drugs. Work Schedule: Monday to Friday 7:30am to 4:00pm Telework: Available. Virtual: This is not a virtual position. Financial Discloser Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.