Description du poste
The Certified Physician Assistant (PA) practices in Cardiology Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. This position is located at the University Drive Campus.
PRINCIPALES MISSIONS :
The PA is a licensed practitioner with advanced education and national certification who provides evidence-based care for a population of patients. - As a team with a Physician Cardiologist manages patients with acute and chronic cardiac care needs/health conditions, with an emphasis on health promotion and disease prevention using evidence-based practice. - Develops and implements an individualized plan to achieve optimal population health and disease management.- Demonstrates leadership and works collaboratively with the interdisciplinary team. - Coordinates and works in collaboration with physicians, peers, patients, families and allied services for appropriate diagnosing and treatment of acute and chronic cardiovascular diseases. - Order and interpret labs, tests, and diagnostic studies. - Prescribes pharmacologic and non-pharmacologic interventions. - Initiate referrals and consultations with specialty services. - Provides education to patients and their families on cardiovascular health and disease prevention and prescribed treatment measures. - Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. - Exemplifies the ICARE core values of Integrity, Commitment, Advocacy, Respect, and Excellence. - Completes E-Consults and coordinate with physicians as needed. - Triage and complete e-consults or routes them to appropriate clinic or service. - Respond to consults, according to policy and procedure. - Determine the pathway to care including clinical evaluation and coordination of care. - Conducts telephone, face to face, VVC and CVT clinics.- Complete History and Physicals (H&P). - Rounds with cardiac surgery on post TAVR and Structural Heart patients, assist with discharge follow up/education. -Enter data in the VA VART-CL registry. - Assist with Cardiac rehabilitation acute events. - Evaluates, develops and implements treatment plans for inpatient/outpatient General Cardiology, Heart Failure, and Arrhythmia consults and provide continuity of care, including follow-up for patients seen by the cardiology fellow. - Manages General Cardiology, Heart Failure, and Arrhythmia patients following the management guidelines provided by the American Heart Association, the American College of Cardiology, Heart Failure Society of America, and the Heart Rhythm Society. - Management of diseases may include but are not limited to patients with cardiomyopathies, including ischemic disease, valvular disorders, arrhythmia, and angina. - Reinforces education on diet/fluid intake, close monitoring of weights and vitals and labs, education on abstaining from things that may have caused cardiomyopathy and education on signs and symptoms of CHF exacerbation, introducing GDMT and tailoring medications to avoid readmissions. - Closely monitors to enable early recognition of Heart Failure to current therapy and need for timely advanced therapy referral, managing outpatient inotropes, reviewing home tele notes, initiating GOC discussions and working with the palliative team with end-stage heart failure. - Manages patients during the process of Cardiac Stress Testing including the use of exercise testing or inotropes with supervision from Physician Cardiologist where needed. - Participate in the management of discharge planning needs, including ancillary services. - Provides coverage across Cardiology subspecialties in both inpatient and outpatient settings, aligned with the provider's education, training, experience, and approved privileges. - Outpatient duties will include Cardiology clinics or E-consults at both VAPHS main campus or satellite sites including the Heinz Campus, Beaver, Washington, and Monroeville CBOCs. - Uses Telemedicine technolo