·Assessment and Diagnosis
Collects and documents comprehensive data in a systematic and ongoing process pertinent to the patient's health or situation, involving the patient, family, caregiver when appropriate. Initiates and interprets age-appropriate and condition-specific laboratory tests and diagnostic procedures. Analyzes and prioritizes complex data to determine the differential diagnoses and revises diagnoses as appropriate to initiate the plan of care. Assessment and diagnoses derived are developmentally appropriate and specific to areas of growth and development, age, cultural sensitivity, and family dynamics.
·Outcomes Identification and Planning
Develops outcomes as measurable goals that provide direction for continuity of care and consistency among providers. Develops, prioritizes, evaluates, and modifies an individualized, comprehensive plan of care. Addresses each diagnosis or issue, as appropriate. Derives outcomes and plans of care that involve the patient, family, caregiver when possible and are realistic to the patient, family, caregiver capabilities and resources. Considers risks and benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines, and clinical expertise to formulate interventions, treatments, and outcomes. Incorporates new knowledge and strategies to initiate change in practice if desired outcomes not achieved. Maintains documentation and updates accordingly outcomes, goals, and the plan of care.
·Care Management, Education, and Treatment
Participates in all phases of medical and/or surgery patient care including history and physical exam, in-patient consults, arranging and performing diagnostic testing, assisting in ambulatory clinic procedures, and preparing patients for surgery and discharge. Promotes self-management and family centered care. Employs diverse and complex strategies, interventions, and teaching to promote health and a safe environment. Provides leadership in care management to achieve optimal quality, cost-effective care. Documents and communicates with healthcare team members to achieve an integrated delivery of pediatric care services. Delegates appropriate monitoring, assessment, and interventions according to the patient and scope of practice of the caregiver. Provides consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system. Makes appropriate referrals and discusses recommendations with patient, family, caregiver. Orders and/or performs appropriate treatments, therapies, and procedures that are based on current knowledge, research, and practice. Provides diagnostic and laboratory results as well as actual and potential benefits, limitations, and adverse effects of proposed therapies.
Prescribes appropriate pharmacologic/non-pharmacological agents and interventions that are both universal and unique to the patient, and monitors/evaluates effects.
Uses a systematic, ongoing evaluation of the assessment data and outcomes to revise or resolve the diagnoses, outcomes, the plan of care, and the implementation as needed. Evaluates the accuracy of the diagnosis, effectiveness of the interventions and the plan of care strategies in relation to attainment of expected outcomes. Includes the patient, family, caregiver and other healthcare providers. Bases the evaluation process on knowledge, practice, research, and documents appropriately. Utilizes the results of the evaluation to determine the impact on the patient/family/caregiver, organization, and system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.
Participates in quality improvement activities or research to improve the care delivery process and patient care outcomes. Uses and communicates results to initiate change in practice. Uses creativity, new knowledge, and innovation to improve care. Takes action to achieve goals identified during performance appraisal and peer review, resulting in changes in practice and role performance. Participates in lifelong learning that improves skills and competence in clinical practice/role performance. Serves as preceptor, role model, or mentor. Contributes to the professional development of peers/colleagues to improve pediatric health care and to foster the profession's growth. Integrates ethical considerations and research findings into practice. Provides leadership by participating on committees or in professional organizations, or writing/publishing/presenting. Advocates for the pediatric patient, family and/or caregiver. Serves as a leader, influencing both healthcare/PA practice and policy. For CTS: Maintain currency in field through continuing education, literature and seminars. Implement this knowledge into the CT Surgery care setting
May participate in implementation and data collection related to clinical research studies. Participate in maintaining the clinical database. For CTS incumbents will also participate in implementation and data collection related to clinical research studies. Participate in maintaining the Cardiac Intraoperative Events database and the Surgical Site Infections database.
·CTS Medical Care
Assist with surgical procedures in the operating room, hybrid catheritization suite, cardiac intensive care unit or stepdown cardiac unit. Perform comprehensive pre-operative patient history and physical examinations. Make daily inpatient rounds with the Cardiothoracic surgical team. Assist in postoperative care of patients in the inpatient setting (e.g. removing invasive monitoring lines, pacemaker wires.) Perform patient related duties as indicated and assigned by the CT surgery Faculty. May initiate, request and/or perform routine laboratory, radiological and diagnostic studies as indicated and directed by the surgeon. In corporation with the physician develop and implement treatment plans for patients. Provide education for patients and families. Ensure the exchange of appropriate patient care and clinical information when patients are admitted, referred, transferred, or discharged. Participate in the assessment of a patient's needs, the organization?s capability to provide care of treatment, and the appropriate level of care.
Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas; appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself
Effective verbal, written and/or interpersonal communication skills
Professional knowledge sufficient to perform a comprehensive patient history and physical examination. Possess working knowledge of health care systems, with special reference to Cardiac Care
·Knowledge of Field
Knowledge of medical specialty, growth and development, and family centered care, pathophysiology and pharmacology. Demonstrate skill in physical assessment, diagnosis well-child care, management of illness, consultation, research, and teaching