Advanced Practice Registered Nurses / Physician Assistants
The Physician Assistant covering the Gastroenterology (GI) section as part of the Medical and Therapeutic Care Line at the Syracuse VA Medical Center, Department of Veterans Affairs (VA) facility. The GI Endoscopy Advanced Practice Practitioner (APP) is responsible for the program resources (financial, human capital, materials, or informational) in order to provide a safe, effective, and efficient care. In addition, the APP works with consulting specialists: ALL SPECIALTY AND SUB-SPECIALTY PROVIDERS AT THE SYRACUSE VA MEDICAL CENTER. Duties include, but are not limited to: Coordinate and facilitate GI endoscopic care working side-by-side with the Gastroenterologists in the endoscopy suite performing a variety of endoscopic procedures (including, but not limited to colonoscopy, upper endoscopy, ERCP, EUS, flexible sigmoidoscopy, PEG tube placement and manometry. Function as an active member of the Gastroenterology section within the Department of Medicine at the Syracuse, VA. Provide general GI services in keeping with good clinical practice and standards of the Gastroenterology section of the Medicine service at the Syracuse Department of Veterans Affairs Medical Center and SUNY Upstate Medical University. Maintain APP licensing and credentialing in good standing, You will be expected to be in compliance with the Medical Staff bylaws and will complete all assigned notes, encounters and chart reviews timely. Act as a liaison between appropriate subspecialty providers, case managers and primary care for patients in need of endoscopic procedures. Coordinate post-procedure care by acting as a liaison between the appropriate sub- specialty and primary care providers. Manage and coordinate tests, labs, imaging, procedure, consultations, and travel documents as needed for the pre and post procedure care of patients. Facilitate Direct Access Colonoscopy procedures and completing consents for procedures you are involved with while working with the MDs. Prepare patient for their endoscopic procedures. Perform histories and physicals on patients as needed and appropriately document all findings in the electronic medical records. Arrange paracentesis for patients with liver disease that need it on a regular basis. Arrange phlebotomy for patients that need it on a regular basis in liaison wit providers. Other duties may be assigned. Facilitate Acute hospital transfer of patients from the ED and inpatient care for urgent endoscopic procedures. Non-routine and non-emergent duties may include: dressing changes, suturing simple lacerations, suture removal, and wound debridement and care. Emergency Duties include: Basic Life Support or Advanced Cardiac Life Support in accordance with current cardio-pulmonary resuscitation standards. As licensed independent practitioners, the APP is authorized to: write medical orders on inpatients and/or outpatients assigned to the facility for care. Every order or prescription written by the APP will be within the parameters of their scope of practice. All orders, discharge summaries, progress notes, consultation requests, and history and physical examinations which are written by the APP will clearly be identified as such in the written or electronic medical records. Medication Orders/Prescribing: The APP is authorized to write prescriptions for medications listed in the standard hospital/clinic formulary as well as non-formulary medications. APP is authorized to prescribe controlled substances in accordance with that state's regulations. In VA facilities that are located within states which have provisions for controlled substance prescribing authority for APPs, the APP may be authorized to prescribe controlled substances in accordance with that state's regulations. In this instance, controlled substance prescriptions written in VA and signed by the APP must include the APP's Drug Enforcement Administration (DEA) number. Work Schedule: Monday through Friday, 7:30 a.m. to 4:00 p.m. daily, totaling 40 hrs./week or 80 hrs./pay period. Each provider works the number of negotiated hours, which in this instance is 80 hours per pay period. Financial Disclosure 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.