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Lahey Health Physician Assistant - OP/TAVR in Burlington, Massachusetts

About the Job

The Division of Cardiothoracic Surgery

Outpatient Transcatheter Valve Replacement (TAVR) Clinic and

Outpatient Cardiothoracic Surgery Clinic

The Division of Thoracic and Cardiovascular Surgery at Lahey Hospital and Medical Center is seeking an experienced Physician Assistant to join our team. Lahey Hospital and Medical Center is a nationally recognized 345 bed tertiary care hospital located in the northern suburbs of Boston, MA.

Under the direction of a Cardiothoracic Surgeon and within established departmental practice guidelines, the Advanced Practitioner is responsible for performing a variety of duties.

The Advanced Practitioner will facilitate seamless patient care from referral through post-procedural follow up for Cardiothoracic Surgery/TAVR patients. The ideal candidate will have excellent communication skills and the ability to work collaboratively within a multidisciplinary team of cardiologists and cardiothoracic surgeons.

These duties include, but are not limited to:

Cardiothoracic Surgery Responsibilities Include:

  • Pre and post-operative patient assessment and care in the outpatient setting

  • History and Physical examinations

  • Ensuring pre-operative orders/labs/tests are completed and checked

  • Relevant data entry into TAVR and cardiac surgery registries

  • Reliably and accurately interpret CXRs, CT Scans, EKGs, and Laboratory results

  • Coordinate postoperative follow-up appointments for Cardiac and Thoracic Surgery patients

  • Suture placement and removal, staple removal, Chest tube removal, JTube removal, JTude exchange, Thoracentesis

  • Write admission orders for patients being admitted from the outpatient clinic

  • Timely triage and response to all outpatient phone calls

  • Communicates with postoperative Visiting Nursing Agency (VNA)

  • Works collaboratively with other Advanced Practitioners in the Clinic

  • Has flexibility with scheduling to cover other providers Earned Time

    Transcatheter Valve Replacement Responsibilities Include:

  • Manage expectations, gather prior patient medical records, appropriateness of referral, timelines, confirm a plan and follow up

  • Patient Contact- Establish contact and build rapport, explain to the patient they may be a candidate but further workup required, answer questions, review timeline and manage expectations, respect patient preferences , provide written information. Conducting patient triage.

  • Diagnostic Workup- Determine which screening tests are needed, help coordinate insurance authorizations, scheduling, assist patient with navigating departments

  • Pre-Clinic Diagnostic Testing- Transthoracic echocardiogram, CT structural heart and CTA of abdomen and pelvis, minimum of spirometry with ABGs, full PFTs if underlying pulmonary disease, lab work if none current

  • Clinic Visit- Facilitate a team approach, perform frailty assessments, review studies, determine operability vs. inoperability, make clinical decisions and plans, patient and family education, send the patient home with a clear plan , follow up with the referring provider

  • Additional Diagnostic Tests- As determined to be necessary in the clinic visit- schedule cardiac catheter with possible PCI or BAV, Schedule TEE

  • Notify all stakeholders-Notify valve company for clinical support during cases

  • Perioperative Procedure- Discuss what to expect, review advanced directives and code status, collect data for the registry, keep family up to date, post-op daily rounding. Collect data for the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy registry (CMS mandated) and participate in quality initiatives.

  • Post Procedure- Set realistic expectations about recovery for symptoms, quality of life, functional status, meds, resume care with primary cardiologist, weekly phone follow up until stable, one month valve clinic follow up, follow up with referring MD

  • Coordinate the care of the TAVR patients working in a team-based approach with all members of the Team. Including schedulers, nurses, vendors, physicians and surgeons.

  • Responsible for tracking data on outcomes and presenting information.

    Experience/Education Requirements:

  • Graduate from an accredited Physician Assistant program

  • Must have a minimum of 2 years’ experience in the field of Cardiothoracic Surgery

  • Experience with Intensive Care Management of the postoperative Cardiothoracic Surgery patient including familiarity with ventilators, inotropes and vasoactive medications, and circulatory support devices.

  • Licensure in the state of Massachusetts

  • Current BCLS or ACLS certification

  • Ability to work collaboratively in a high acuity environment

    The successful candidate must have a minimum of 2 years’ experience in the field of Cardiothoracic Surgery and be skilled in the care and management of pre, intra and postoperative cardiothoracic surgical patients. The successful candidate must be able to interact positively with all members of a multidisciplinary care team, patients and their families and possess the emotional intelligence to work collaboratively in a fast paced, high-acuity environment where quality and caring come first.

    REQNUMBER: 167560-1A

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