Physician Assistant Nocturnist / Dept of Surgery

The PA nocturnist and weekend specialist will be required to work nights (shifts 6 pm to 6 am), Monday through Sunday, on a rotating schedule covering inpatients on the Otolaryngology, Plastic Surgery and Urology services. This is a full-time position with variation of hours on site per week.

General Responsibilities:

This work will include receive patient sign outs from residents/PAs in a timely fashion and caring for inpatients during assigned shifts. It will also include creating work list for each service for the following day and providing sign out of overnight events to the resident/PA.

The PA will also be required to evaluate patients on service who have an acute change in clinical status. The PA will be required to have basic surgical knowledge and skills in the management of post-operative patients including removal of surgical drains, removal of central lines, removal and placement of urinary catheters, placement and removal of nasogastric tubes and basic suturing. The PA will also be required to help with patient throughput, including inpatients but also patients admitted to the Extended Recovery and Post Anesthesia Care Units who will be discharged the following morning or admitted to the floor.

Finally, the PA may be required to assist in the operating room on cases that extend into the late evening or for emergency surgical procedures. However, it is anticipated that the majority of will be spent managing non-OR, floor issues.

Otolaryngology (ORL) Service Requirements:

The PA will be required to have or develop knowledge of basic ORL procedures not limited to but including, total thyroidectomy, radical neck dissection, retropharyngeal abscess drainage and complex head and neck cancer resections and flaps. The PA will be required to be trained in epistatxis management with nasal packing and removal, tracheostomy tube changes, drainage of superficial abscesses and NG tube and small bore feeding tube placement in complex post-op patients.

Plastic Surgery Service Requirements:

The PA will be required to have or develop knowledge of basic Plastic Surgery procedures not limited to be including, breast reconstruction (allograft, implants, tissue expanders), complex wound management, skin grafts and complex flap reconstruction. The PA will be required to be trained in the following procedure skills and maintain competency in: incision and drainage of superficial abscesses, suturing, removal of drains.

Urology Service Requirements:

The PA will be required to have or develop knowledge of basic Urology procedures not limited to but including, lithotripsy, transurethral resection of the prostate, penile implants, artificial urinary sphincter insertion, prostatectomy and cystectomy. The PA will be required to be trained in the following procedure skills and maintain competency in: placement of difficult urinary catheters, management of 3-way urinary catheters with and without irrigation, replacement/change of superpubic tubes and bladder irrigation.

BWH is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment