Physician Assistant Urology

Site:
The Brigham and Women's Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Principal Duties and Responsibilities:

Non-Clinical Duties:

1. Team Work, Interpersonal & Communication Skills

2. Professionalism/Professional Development

a. Continuing Education

b. Professional behavior

c. Course attendance

d. Growth of self, growth of department

PRINCIPAL DUTIES AND RESPONSIBILITIES:

PERIOPERATIVE CARE

1) Perioperatively

Prior to the operation, the PA serves to assist with a wide variety of preparations including but not limited to:

a. Assist with placing appropriate perioperative order sets and required pre-op checklist.

b. Verify correct patient information, operative procedure and surgical site and check the patient's chart for any abnormalities

c. Verify that the correct equipment and instrumentation is prepared and ready to use.

d. Carry out the surgeon's request for exact positioning for surgical procedure.

e. Assist with patient positioning, including helping transfer of patients from stretcher/bed to OR table, ensuring that the bed is locked and secure during transfer, and application of patient safety measures, i.e., safety strap application, protective padding and arm board placement

f. Assists circulator and anesthesia provider in preparation of patient to include but not limited to foley catheter placement, tourniquet application, placement of IVs, cricoid pressure application, sterile prep and drape, and other procedures as needed.

g. Check availability of imaging studies

h. Work with director of robotic surgery to ensure availability of robotic instruments for current and upcoming case

2) Intraoperatively:

During the operation, at certain points of the procedure the PA may be scrubbed at the bedside with the attending surgeon. During much of the procedure, the PA may be scrubbed alone at the bedside as the attending surgeon performs the procedure on the robotic console. Roles include the following: a. Make incisions and place ports at discretion of attending surgeon

b. Visualization of the operative site by digitally manipulating tissue, suctioning, irrigating, or placing sponges

c. Manipulating suture materials

d. Placement of surgical clips and/or utilization of the stapler as directed by the surgeon

e. Change robotic instruments (remove and reintroduce instruments)

f. Administering subcutaneous postoperative injections of local anesthetics when directed by the surgeon

3) Postoperatively

a. Closing skin incisions, secure drains, and apply wound dressings

b. Handles all surgical specimens according to procedure, assist with specimen reconciliation as needed

c. Transfer patient to stretcher

d. Accompany patient to recovery room to assist with report to staff in post-anesthesia care unit (PACU)

e. Ensures the appropriate post-op order sets are in place, communicates post-op plan with team and ensures the ambulatory follow-up is scheduled correctly.

4.) Professional Development:

This individual must become familiar with mechanics of the DaVinci system including details of port placement, camera targeting, robotic docking, emergency undocking and troubleshooting procedures

In addition:

a. Works with Lead Surgeons, other PAs, and OR leadership to help grow and develop the Robotic Surgery and Robotic PA programs

b. Trains bedside personnel (residents, fellows, and other PAs) in robotic procedures

c. Keeps current regarding developments in technical instrumentation, trends and techniques through internal and external programs, particularly regarding the DaVinci Surgical System.

d. Serves on appropriate nursing and hospital committees as requested.

e. Works closely with OR Nursing to ensure best practices in perioperative patient care.

f. Participates in staff meetings.

g. Assists with…