This position supports Kaiser Permanente´s code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer. DEPARTMENT: Surgical Services SCHEDULE: On-Call, 00 hours/week; Day shift, 11:00am to 7:00pm. Education/Certification/Licensure: Graduate of an approved primary care physician assistant or surgical physician assistant program approved by the National Commission of Certification of Physician Assistants (NCCPA). Licensed as a Physician Assistant by the Medical Board of California (M.B.C.) and the Physician Assistant Examining Committee (P.A.E.C.). Advanced Certification in specialty area, preferred. BLS certification required. Must have a Nat´l Provider Identifier (NPI, or obtain an NPI, prior to employment start date. Position Summary: Under the direction and supervision of a physician who is a specialist (eg. orthopedics, surgery, emergency medicine), the Physician Assistant II provides high quality, cost-effective patient care by performing surgical preparation procedures, peri-operative and post- operative procedures, and assists in performing surgical and other procedures. A Physician Assistant II may work in the operating room or emergency department in addition to having responsibilities for outpatient clinic and hospital ward duties. May take call for patients under the supervision of a physician. Qualifications: One year previous experience in the last five years as a physician assistant. May be required to possess specialty skills to perform tasks required by the specific department (e.g. neurosurgery, orthopedics, etc). Must be able to work in a Labor-Management Partnership environment. Preferred Qualifications: At least two years of PA First Assisting in an acute care setting is required with direct OR or 1st Assistant experience. Demonstrated effective human relation skills are required. Demonstrated effective verbal and written communication skills are required. Demonstrated clinical expertise in area of specialty is required. Experience in managing surgical disorders Demonstrated ability to provide first assistance to primary surgeon in OR Experience with invasive procedures, i.e. providing exposure, handling and/or cutting tissue, suturing and suture removal and wound debridement. Demonstrated ability to work effectively in a multi-disciplinary team to include MDs, RNs, LVNs, Medical and Nursing Assistants, OR technicians, CRNAs and Clerical Staff required. Demonstrated excellent attendance in previous position. Skills Testing: N/A Duties: Performs admission evaluation on new patients to include: obtaining basic medical information and history, reviewing patient´s medical record, performing physical exam, transcribing history and medical findings into patient medical record, and reporting deviations from normal findings to attending physician. Provides patient and family with pre-operative and other pertinent education. Answers questions regarding surgery, recovery and risk factor modification, procedures; provides blood transfusion information; performs surgical peri-operative procedures; locates and utilizes x-rays, instruments and pertinent patient information. Reviews patient chart noting allergies, pertinent medical history, and abnormal physical findings. Assists in performing surgical procedures and other procedures consistent with the standards of care and practice guidelines:: Depending on the specialty, may work as the first assist during surgical procedures, start IV´s, and/or perform suturing. Performs post-operative procedures to include transcription of standard post-operative orders into patient medical records; assists physicians with evaluation and management of patient´s status during recovery; reviews vital signs, laboratory and x-ray studies; assists with technical management of patients. Performs patient discharge in conjunction with social worker, pharmacist, and physical therapist; dictates discharge and transfer summaries in a timely manner. Specific Department Duties: The Physician Assistant First Assistant works in collaboration primarily with surgeons as well as support staff to provide specific functions in the role of First Assistant for the Perioperative Services Department in accordance with the purpose, philosophy and objectives of the services. During the intraoperative phase, the PA FA practices at the direction of the surgeon. This individual will work primarily within the Perioperative Services Department and be assigned cases by the Supervising Physician or his designee. The position reports to the Director of Surgical Specialties, as well as the P.O.R.D. The PA FA collaborates with the Perioperative Services staff as well as the surgeons to support overall clinical functions in the Perioperative Services Department as determined by the Chief of Surgery. The Intraoperative surgical first-assisting, includes but is not limited to using: Access and evaluate pre- and post-operative surgical patients Generate history and physical from complete interivew and examination Using instruments/medical devices Providing exposure Handling and/or cutting tissue Providing hemostasis, and Suturing Provides Physician Assistant First Assisting Responsibilities for surgeons within the Perioperative Services Department: Assists in setting up surgical cases Acts as Surgical First Assistant per scope of practice of that role Assists in setting up and operating complex surgical equipment to support the cases Participates in TIME OUT for all surgical cases Assists in the transport of the surgical patient to the Post Anesthesia Care Unit Supports room clean up and turn over for cases that they have been assigned to and others as appropriate and time allows Completes other Perioperative tasks as assigned as appropriate. Schedule will be variable Required to share on-call responsibilities for holidays, evening/nights and week-ends Knowledge Base & Technical Skills: Demonstrates depth, breadth and currency of knowledge in area of practice and demonstrates competency in selected technical skills. Problem Solving: Identifies and solves problems effectively. Communication: Utilizes effective communication methods and skills following line of authority as appropriate. Documentation: Documents patient care in a timely, accurate and concise manner. Patient Rights: Demonstrates an awareness of and sensitivity to patient/family rights. Safety: Demonstrates knowledge of the safety principles as identified within the institution Teaching Others: Participates in staff development activities for unit and department personnel. Perform efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Professionalism: Demonstrates responsibility and accountability for one professional practice. Adheres to departmental attendance expectations.