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Physician Extender, Pain Management

Cape Cod Healthcare

Hyannis, MA
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Cape Cod Healthcare
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Job Details

Cape Cod Healthcare

Department: CCH PH - Pain Management
Schedule: Full-time 40 Hours per week
Shift: Day Shift
Hours: 8a-6p rot days, no weekends or holidays
Job Details:

Cape Cod Healthcare is the leading provider of healthcare services for residents and visitors of Cape Cod. With more than 450 physicians, 4,700 employees, and 1,100 volunteers, Cape Cod Healthcare operates two-acute care hospitals, the Cape's leading provider of homecare and hospice services (VNA), a skilled nursing and rehabilitation facility (JML Care Center), an assisted living facility (Heritage at Falmouth), the Cape's only local laboratory service (CCHC Laboratory Services) and numerous health programs. We are currently seeking a dedicated Physician Extender to join our team at Cape Cod Hospital.


Cape Cod Healthcare offers competitive salaries, excellent benefits packages, tuition reimbursement, and generous paid time off.




The Staff Physician Extender will work with the Interventional Cardiovascular Medicine Service and particularly with the Interventional Team within the Cardiovascular Division of the Department of Medicine. This Physician Extender will assist the attending cardiologist in all areas of patient care in the Interventional Cardiovascular Medicine Service. Rotation and call schedules will be determined by patient need and may include both nighttime on-call responsibilities and weekend coverage.




Under the administrative direction of the Manager of Pain Services

and the Medical Direction of the Pain Management Medical Director, provides

supervised history, physical examinations, and follow-up care for patients

receiving Pain Management Services.


1. Maintains the standards of nursing care and implements the policies and

procedures of the Nursing Department and the Pain Service. Assesses and

documents the patient's physical, psychological, social, spiritual and

learning needs and prescribes appropriate nursing action throughout the course

of the treatment plan including evaluation, follow-up, and all phases of

interventional treatment including conscious sedation. Initiates plan based

on nursing process and implements clinical and technical aspects of nursing

care according to established standards. Directs, supervises and evaluates

patient care and teaching, assuring that proper practice is used according to

accepted standards of care.


2. Assists with or institutes emergency measures for sudden adverse

development to the patient undergoing pain management interventions, i. e.,

respiratory arrest, cardiac arrest, total spinal, seizure, etc.


3. Participates in identification of the aspects of care for the patient

indicators used to monitor the quality and appropriateness of

care, and evaluation of that care. Adheres to safety, blood/body fluid

policies and procedures.


4. Participates in an appropriate manner to the orientation and evaluation

of new personnel. Assumes the role of resource person regarding patient care

and teaching staff.


5. Participates in at least four unit staff meetings per year, attends

mandatory programs and obtains at least three hours of pain management credit

per year.


6. Assess personal and learning developmental needs. Maintains documentation

of current and ongoing professional development activities. Regularly

updates knowledge of techniques and regulations appropriate to the age of the

patient served. Shows a willingness to participate on nursing committees.


7. Participates in patient care staffing conferences: contributes information

obtained or observed during patient interactions: collaborates with the

patient and the pain service staff to develop a treatment plan.


8. Initiates analgesic regimens including loading, programming,

initiating analgesic infusions, troubleshooting trial and permanent

stimulators, and refilling implanted infusion reservoirs.


9. Implements prescription changes and treatment changes as ordered. Makes

follow-up phone calls to patients as needed.


10. Performs history and physical examinations and follow up care as



11. Assists in managing the operations of the Pain Program insuring that

policies, systems, procedures and standards are adhered to.


12. Assures that patient assignments are based on patients requirements

and priority for care and the knowledge and skills of staff. Assists manager

in interviewing potential staff. Orients and evaluates new staff during the

probationary period.


13. Assists manager in preparation of Pain Program operating budget.


14. Promotes open communication, works with staff, Medical Staff and Program

Director to coordinate medical and nursing care to patients.


15. Assists in the development and monitoring Quality Improvement program.

Reviews QI report and with manager implements follow up plan for identified



16. Serves as resource person and educator to a variety of CCHC entities.

Performs other work relate duties as assigned or requested.




Physician Extenders may possess one of two educational backgrounds:


1. Must be a graduate of a 2-year graduate level program approved by the AMA Board of Approval and Certification PA Programs. Physician Assistant is preferred to be Board Certified by the National Commission on Certification of Physician Assistants.


2. Nurse Practitioner with 3+ years cardiovascular service-line experience preferred. Massachusetts Nursing License.

· US Department of Justice and Massachusetts' Controlled Substance DEA Registrations are required for prescribing practitioners.



· Must have broad knowledge of the medical environment and surgical procedures.

· Must exercise the highest degree of professional judgment under the direction and guidance of a licensed physician/surgeon.

· Must be able to manage and direct other clinical staff in order to carry out patient care plans. Must leverage staffing resources and take action when clinical or professional performance does not meet the standards of care.

· Must be able to accept instruction and guidance as assume graded responsibility within a complex teamwork framework.

· Must be able to administer such care and treatment and exercise independent originality in problem solving not covered by existing guidelines, within legal limits, to meet the needs of the patient.

· Must maintain a professional attitude toward patients and family members at all times and develop sound working relationships with other staff involved in patient care.

· To maintain and enhance skill and clinical competence must attend internal and external educational meetings and read appropriate professional journals and literature.

HR Use Only:

Zip Code: 02601
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