Surgery - Cardiovascular Physician Assistant

Location: One Hour north of Atlanta
Duration: 3-6 months
Reason for coverage: growth of service line
Schedule: 2-4 weeks per month (will not consider 1 week)
Shift: Tues / Wed / Thurs (10hr each day) 7a-5p (10 hr guarantee)
Call: 1-2 of 3 days (evening pager) 5p-7a
Patient volume: (APP will be assigned to a surgeon each day. Each surgeon has 2-4 surgeries per day) when not in OR provider is to round on patients and do consults

1. 2.8 cardiac OR's (vascular uses one of our 3 OR's 1 day per week) is a combination of open cardiac (7-20 cases), robotic cardiac (2-5 mitral valve or off pump CABG), and general thoracic open (2-5 cases typically covered by residents) and robotic lobectomies (2-4) per week.
2. Volume fluctuates depending on the cath lab volume and time of year.
3. We did about 600 pump cases last year plus an additional 60 off pump cases plus Thoracic cases (approximately additional 300 cases), also do general cardiac cases such as pacemakers, Impella 5.5 via right axillary grafts, pericardial effusions/tamponade etc. for a total of around 1000 cases per year.

Scope:
OR and consults (not in clinic) first surgery starts at 7a (arrive at 6.30-6.45)

1. RNFA and PA to endo-harvest vein/Radial, possibly do groin cutdowns, and to help dry up and close chest including sternal closure with wires or plating system.
2. Typically use RNFA as first assist during distals and proximals for CABG and PA's close with the RNFA's after surgeon is happy with hemostasis - surgeons close themselves when needed.
3. PA's will help round in CVICU before OR and depending on the volume of patients on the floor with progress notes, Do the initial consults along with the surgeon and will help out in office patients for post op care and consults when needed - we have one full time NP seeing patients typically 8-5 M-F and the PA's and residents help out during busy times.

EMR: EPIC
Hospital: 250 level 1 trauma center
Group/support: OR PA harvest vein / close chest (don t have to stay in OR) when not in OR (round and do consults)
Requirements (boards, license): Board Certified with GA license (will not consider non-licensed)
Rates: open they have another agency currently working on it (seeing rates of $200-240 per hour)
Proof of service approver:
Client selling points:

1. Must be able to use endoharvest systems for vein harvest (mostly use hemopro system but have terumo available also)
2. Would like to have endo radial experience but not required
3. Ability to close chest is a plus but not required.