Performs duties of a generalized and specialized nature for providing diagnostic and therapeutic medical care (under the supervision of a staff Psychiatrist) related to patients contemplating or having undergone amputation and/or sustained severe musculoskeletal injury.
Performs initial histories and physical examinations on new inpatients and outpatients. Provides ongoing outpatient care for stable health problems. Performs physical exams required for patients in various stages of their recovery (i.e. TSGLI, therapeutic sports events, etc.) and other military related outpatient evaluations including Medical Evaluation Board (MEB), Temporary Duty Retirement List (TDRL), and fit for duty evaluations. Performs acute and chronic wound care. Orders appropriate diagnostic studies including laboratory tests, X-rays, and special procedures relating to giving injections or other medication and performing other procedures allowed by hospital privileging. Expedits requests for consultation and scheduling special tests and studies. Makes daily rounds on inpatients with amputations to observe and record patient's medical progress, updating and summarizing medical records, changing orders when appropriate and notifying the responsible physician of significant changes in the patient's condition. Dictates notes including narrative summaries. Assesses functional needs of patients and prescribe appropriate DME. Assesses patients' residual limbs to determine appropriate timing for and size of shrinkers. Assists in the operating room with surgical cases to include an understanding of and training with specialized orthopaedic surgical equipment. Accompanies patients on therapeutic intervention activities. Performs duties and responsibilities as a sole provider for prescription of narcotic medications of assigned patients. Provides education and counseling to the patient and the patient's family in preventive care, medical conditions, and the use of prescribed treatments and drugs. This includes preoperative and postoperative patient education regarding amputation and residual limb health. Evaluates physical exams, case history, lab assessments and incorporates the total medical evidence into an acute diagnosis or appraisal and institutes proper treatment and patient care. Complex or unusual problems are referred to the responsible physician. Maintains health and clinical records in accordance with current regulations and standards.
CONDITIONS OF EMPLOYMENT:
1. A minimum of 1 year experience working as a Physician Assistant after licensure.
2. Best qualified candidates will have work experience related to patients contemplating or having undergone amputation and/or sustained severe musculoskeletal injury.
2. Personnel security investigation is required.
3. Immunization screening is required.
4. Position requires pre-employment physical.
5. This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations. Applicants tentatively selected for appointment to this position will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations.
6. This is a drug testing designated position and is covered by the civilian drug abuse testing program. Incumbent is required to sign a DA Form 5019-R, “Condition of employment for certain civilian positions identified as a critical under the drug abuse testing program, or a memorandum of understanding (MOU).
7. Must be able to obtain and maintain current Basic Life Support (BLS) Training and certification that is sponsored or endorsed by the American Heart Association (AHA).
8. Employee names will be queried against the List of Excluded Individuals/Entities (LEIE) database, maintained by the Office of Inspector General (OIG), the US Department of Health and Human Services (HHS), on a monthly basis and that the employee's name must not appear on the LEIE database.