Lakewood Regional Medical Center is proud to be an integral part of the surrounding community. From orthopedics to cardiac care to urology, weï¿½ve received many designations for quality care. Although we appreciate these prestigious honors, we are most honored by the opportunity to serve you and your loved ones. Weï¿½re committed to finding new ways to improve and make our hospital the best place for patients, physicians and employees. We appreciate the opportunity to serve you, and we are here any time you need help.
Job Summary: Perform patient history & physical, consultation assessment for prospective patients. Order necessary tests, procedures, and therapy for prospective patients. Maintain daily contact with surgeons in order to keep them abreast of changing situations while they are away from facility. Carry out additional /specific orders by surgeon for future patients. Instruct and counsel patients concerning surgical issues and ensure patient and family members understand the process ahead. First and second assist on all adult cardiac, thoracic, and vascular surgery. This should include saphenous vein harvesting (traditional or endoscopic), radial artery harvesting. Assisting anesthesia/OR staff to expedite case. See patients daily. Write appropriate orders, notes and tests. Discharge patients.
Technical and Job Specific Skill:
Telephone Skills - Must demonstrate hospital telephone etiquette by answering the phones promptly, courteously and by identifying department and self.
Policy/Procedures - Is aware of and follows all hospital and department policies and procedures.
Teamwork - Promotes positive co-worker relationships through teamwork and cooperation. Understands and supports the needs of individuals in other departments and promotes conflict resolution. Shares information, work knowledge and experience with co-workers, physicians, and students in a non-threatening manner. Offers assistance and promptly responds to requests.
Productivity - Maintains high productivity and performs efficiently regardless of whether the work volume is high or low. Appropriately prioritizes work activities. Responds to difficult situations with self-control and a positive attitude. Makes decisions independently and knows when to ask for assistance. Exercises good judgment and arrives at sound decisions.
PRINCIPLE DUTIES AND RESPONSIBILITIES Preoperative Care Perform and record history and physical examinations. Write appropriate admission orders (including nursing care, medication orders, laboratory and radiological examinations, and obtain consultations approved by the surgeon). Review pertinent abnormal findings in the patient's history, physical examination, radiological and laboratory data with the surgeon, and obtain appropriate consultation, additional laboratory or radiological studies as needed, and initiate appropriate medical intervention. Record in progress notes pertinent findings from history, physical examination, laboratory studies, and radiological examination. Evaluate unstable patients and initiate emergency management (of conditions such as unstable angina, evolving myocardial infarction, arrhythmia, cardiac arrest, hypothermia, hypertensive crisis, hemorrhage, chest trauma, etc.). Confirm operating room schedule, adding urgent or emergency cases as needed. Patient education as needed. Intraoperative Care First and second assist the surgeon in the operating room. Saphenous vein harvest. Place indwelling catheters, such as Foley, intravenous, and arterial catheters. Assist in preparation of patient for procedure. Closure of chest as delegated by the attending surgeon. Monitoring and transport of patient to ICU.
Postoperative Care Write appropriate postoperative orders including general and specific nursing care, respiratory therapy and ventilator settings, medications, including inotropes, parenteral vasodilators and controlled substances for analgesia and sedation, laboratory and radiological studies. Attend the patient in the early postoperative period reviewing laboratory and radiologic data and making appropriate interventions. Initiate treatment of postoperative complications such as hemorrhage, hypovolemia, hypotension, hypertension, arrhythmia, cardiac arrest, seizures, stroke, pneumothorax, hemothorax, cardiogenic shock, renal failure, etc. Advise the attending surgeon of unexpected events, providing an accurate synopsis of events related to a major change in the patients condition and describing corrective measures already taken. Daily assessment of patients postoperative course, write note of patients progress in chart as it pertains to the supervising physician- and implement indicated therapy as determined by the supervising physician. Complete discharge summaries.
The P.A. assistant shall have the knowledge and competency to perform the following functions, and may perform them with appropriate supervision: Insert and remove intravenous lines Insert and remove Foley catheters Pass and remove nasogastric tubes Placement and removal of chest tubes Remove monitoring lines Irrigate chest tubes and Foley catheters Apply dressings and bandages Control external hemorrhage Cardiopulmonary resuscitation Carry out aseptic and isolation techniques Venipuncture Draw arterial blood gases Place indwelling arterial lines by percutaneous or cutdown technique Evaluate CXR for catheter placement, and make appropriate changes Assist in placement of IABP catheter, and adjust IABP for timing Remove IABP catheters Perform thoracentesis Drain, debride and culture wounds Placement of central lines Perform pleurocentesis
Training and Experience:
Physician Assistant license
Preferred: Cardiac Surgery experience
Position involves standing and walking for long periods of time, approximately 75% of the workday. Sitting is approximately 25%.
Must have the dexterity, coordination and visual and auditory acuity to perform all job responsibilities.
Must be able to communicate effectively, both verbally and in writing.
Must be free from signs of illness and infection.
Primary Location: Lakewood, California
Facility: Lakewood Regional Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 1805024427
About Lakewood Regional Medical Center
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.