When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Coverage Times: weekend days, weekend nights, weekday nights and any holiday which are all times for which BIDP makes available the SHO program for all subspecialties to use. Shift starts promptly at 7am and 7pm and ends accordingly. Face to Face sign out is mandatory without exception.Job Description:
Adheres to the established Responsibility and Priority Hierarchy for treatment and triage of surgical patients (see Supplement 1).
Collaborates closely with the Attending Surgeon and surgical team to identify, assign, and assess patient care needs.
Provides assistance with:
Established inpatient consults
Rounding
Discharge planning
Patient management
when patient volume and acuity allow.
When workload or acuity exceeds capacity, responsibilities defer back to the Responsibility and Priority Hierarchy and Attending Surgeon.
Maintains ultimate responsibility for identifying and triaging assigned patients.
Performs major invasive procedures under specific written protocols developed collaboratively by:
Chief Medical Officer
Medical Director of Surgery
Chief of Surgery
Administrative Program Leadership
PA/MD (see Supplement 2)
Procedural privileges are granted based on:
Prior documented competency, or
Completion of the Invasive Procedural Competency Pathway
Each competency pathway requires formal assessment and acknowledgment by supervising clinical leadership.
Conducts surgical consultations in accordance with written protocols developed by:
Chief Medical Officer
Medical Director of Surgery
Administrative Program Leadership
PA/MD
Refer to Supplement 3 for consultation guidelines.
The Surgical House Officer may be a Massachusetts-licensed:
Physician Assistant (PA)
Nurse Practitioner (NP)
Physician
Must meet minimum organizational procedural and clinical competency requirements, including but not limited to:
Required Experience
Co-Surgeon and First Assistant proficiency across all surgical subspecialties
Inpatient consultation, treatment, and triage experience
Surgical Critical Care experience
Required Procedural Competencies
Central venous catheter placement (Internal Jugular, Subclavian, Femoral) with ultrasound guidance
Hemodialysis catheter placement (Internal Jugular, Subclavian, Femoral) with ultrasound guidance
Thoracostomy tube placement:
Traditional Argyle
Seldinger technique (Rocket/Wayne)
Preferred / Additional Procedural Competencies
Thoracentesis
Paracentesis
Emergency surgical airway management
Advanced Trauma Life Support (ATLS)
Perform comprehensive and focused histories and physical examinations at the request of the Attending Surgeon
Diagnose and manage surgical illnesses and injuries
Order, interpret, and evaluate laboratory and radiographic studies
Educate and counsel patients regarding surgical procedures and post-operative care
Perform minor surgical procedures outside the operating room (including use of MSTA when appropriate)
Serve as First or Second Assistant for all surgical subspecialties
Provide emergency surgical care
Facilitate referrals to appropriate physicians or agencies
Prescribe medications in compliance with state law and hospital policy
Conduct daily hospital rounds as required
Write orders and progress notes as needed
Communicate patient status updates to the Attending Surgeon
Develop and implement treatment plans for hospitalized patients
Manage discharge planning and dictate discharge summaries
Ensure safe, effective patient handoffs consistent with standards of care
Pay Range:
$130.00 - $150.00The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
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