Established in 1994, NiteLines USA has successfully delivered contract support services to more than 144 government institutions and medical treatment facilities across the country. We’re a dynamic and growing organization, offering a wide range of employment opportunities. We are seeking professionals and dedicated individuals to be part of our team, where integrity, respect, accountability, and collaboration are among our core principles. Work with a dedicated and caring organization and start doing your life's best work.

Physician Assistant: Orthopedic/Spine.

Pay rate: $72.00 per hour (1099).

Location: Mike O’Callaghan Military Medical Center (MOMMC) Nellis AFB, NV, United States.

Qualifications: 

Degree/Education: 

• A graduate Physician Assistant qualified by academic and practical education to provide patient services as a physician Assistant under supervision of a physician is required. A graduate of a Physician Assistant Training Program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARCPA), or its predecessors, and acceptable to the Surgeon General, USAF is required.

Certifications in addition to Basic Life Support: 

• Must maintain current certification in either the American Heart Association Basic Life Support (BLS) (Course C) or the client Healthcare Provider Course (cards must display the American Heart Association or Military Training Network emblem).
• Shall be certified in Advanced Cardiac Life Support (ACLS). 

Experience: 

• Have at least 12 months of experience, as a Spine Surgical Physician Assistant is required.

Board Certification: 

• Certified by the National Commission on Certification of Physician's Assistants (NCCPA) is required.

Licensure/Registration: 

• Current, full, active, and unrestricted license (with no limitations, stipulations or pending adverse actions) to practice as a Physician Assistant in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Duties: The duties for the HCW are as follows but not limited to:

• Shall examine, diagnose, and treat diseases and injuries of the spine/musculoskeletal system by surgical and conservative means and application of corrective mechanical devices. 
• Provides clinical assessments, diagnosis, treatment and evaluation. Provides Ortho Spine specialty medical care with the cognizance or supervision of a physician.
• Obtain and evaluate medical histories, performs physical examinations, performs therapeutic and diagnostic procedures, and orders laboratory studies, radiographs, electrocardiograms, and other special examinations. 
• Examines patients and determines x-ray examinations and clinical laboratory tests required. 
• Contractor shall interpret test results and evaluate examination findings.
• Shall conduct spine/orthopedic surgical procedures and coordinate operations with the operating room personnel and anesthesiologist.
• Collects specimens for pathologic examination. 
• Analyzes and interprets data, formulates problem lists, and establishes plans for solution of clinical problems.
• Counsel's patients on medical problems, use of drugs, expected effects of treatment, family planning, childcare, diet, and other therapeutic health maintenance matters.
• Makes entries in patient's permanent medical records.
• Shall administer and prescribe such conservative measures of treatment as antibiotics, drugs, and compresses. 
• In emergency situations, administers lifesaving procedures and medications pending availability of Physician.
• Procedures include cardiopulmonary resuscitation, treatment of life endangering traumatic injuries, defibrillation, insertion of endotracheal tubes, and administration of whole blood, oxygen, and other emergency medications.
• Coordinates patient care and coordinates patient care with other members of healthcare team.
• Initiates consultation requests to other health professionals to provide more comprehensive patient management and shall coordinate orthopedic surgery services with other medical activities.
• Shall possess ability to acquire and use basic computer skills to enter patient data and extract patients' information, from a variety of sources to include, but not limited to, MH Genesis, Computerized Patient Record System (CPRS), and Joint Longitudinal Viewer (JLV).
• Shall prepare all documentation to meet or exceed established standards of the MTF to include but not limited to timeliness, legibility, accuracy, content, and signature. 
• Shall provide inpatient care, including new patients, when consults are requested by the admitting health care team. Accomplishes narrative summaries and other documentation.
• Instructs other personnel assigned to health care team on preventive medicine programs and other appropriate medical activities and functions as directed.
• Must be able to assist in Spinal and Orthopedic Surgery. 
• Must be able to perform independent supervised evaluation and management of the Spine injured patient. 
• Shall instruct students and residents in orthopedic spine surgery procedures.
• Primary responsibility will be to Spine and Orthopedic Surgery. If time allows, at the discretion of the government supervisor, will see and evaluate patients in the Pain Management Clinic and assist with Pain Management procedures in the clinic and Operating Room.
• Performs surgical duties. 
• Performs first assistant duties, and portions of orthopedic and spinal surgeries under the supervision of the surgeon, by scrubbing in the Operating Room during Orthopedic and Orthopedic Spine surgeries and major joint surgeries. 
• Also assists the provider when performing minor procedures such as the removal of foreign bodies. 
• Performs dressing changes IAW aseptic standards within clinic treatment area, cleans minor wounds and removes sutures.
• During surgery, assists in moving and positioning the patient; assists in draping the patient for surgery and preparation of specialty equipment. 
• Aids in surgical exposure by holding and handling instruments, performs retraction, and holding and cutting sutures.
• Performs wound closure. 
• Prepares surgical grafts/graft material. 
• Anticipates surgeons' needs and responds to requests for instruments, supplies, and procedures during surgery to preclude necessity for removal of the surgeon's attention from the operative field. 
• Actively engages in the manipulation of tissue at the direction of the surgeon, including wound closure. 
• Assists and applies Orthopedic and Spine post-operative braces/orthotics, and appliances such as braces, outriggers, splints, casts, and other specialized devices. 
• Must have knowledge of operating room techniques and procedures in order to assist the surgeons before, during and following surgery. 
• Must also have knowledge of aseptic procedures in order to prevent infection and cross-contamination. 
• Assists in patient management after surgery. 
• Shall treat patients suffering from surgical shock, postoperative hemorrhage, and other complications.
• Performs history and physical exams, MRI reviews, reviews consults placed by Primary Care/Specialty Care providers for consideration for appointment to the Orthopedic Spine Clinic, performs new patient visits, consultation visits, established patient visits, tele-health visits, and post-operative visits. 
• Reviews patient medical record for previous exams and other pertinent data for provider's reference during current exam.
• Completes patient T-Cons and Clinical Notes IAW MDG Guidelines. 
• Provides information requested or refers caller(s) to appropriate agency or section for assistance in accordance with established protocols. 
• Ensures all needed records, X- rays and medical reports (i.e., MRI/CT/X-rays/bone scan/arthrogram results and any other pertinent consultations) are available to the physician. 
• Orders appropriate imaging and diagnostic studies (MRI, CT, EMG, Lab Work, EKG, Chest x-rays, etc.) as well as knowing their indications and contraindications.
• Prepares medications for administration for the patient and properly documents administration of medications. 
• Consents the patient for the injection and preps injection site prior to the injection, using proper sterile techniques, knowledge of medications given and possible side effects and adverse reactions
• Routinely performs clinic duties promptly and efficiently. 
• Effectively monitors the rare exception of patients for reactions to medications and promptly responds in case of adverse reaction. 
• Routinely performs clinic duties accurately, effectively and within office and Medical Group guidelines. 
• Routinely interacts with patients and staff pleasantly and professionally. 
• Performs other Orthopedic Clinic activities as directed by supervisor.
• Performs casting/splinting duties.
• The contractor shall be familiar with reducing and immobilizing fractures by open or closed methods, using such corrective devices as braces, casts, and splints.
• Constructs and applies a variety of splints and casts using all forms of casting materials to include thermoplastic casting materials. Obtains and applies needed splinting and casting material.
• Properly immobilizes injured body part(s) and properly reduces fractures. 
• Applies subsequent or uncomplicated casts independently. 
• Shapes and attaches splints. 
• Applies plaster and fiberglass casts such as short, long and partial weight hearing. Operates the fluoroscopy unit.
• Develops and maintains aseptic techniques where required during cast changes/applications and/or removals. 
• Applies braces to extremities post-surgery and during daily clinic operations. 
• Apply a variety of equipment such as suspension, traction and various other methods designed to fit the specialized needs of the patients. 
• Participates in continuing education programs to maintain technical proficiency and to stay abreast of latest developments in the field. 
• Gives training and instructions to other hospital staff such as physician assistants, acute care physicians, nurses, and medical journeyman concerning casting, techniques and principles.
• Takes timely and appropriate action in emergency situations.
• Routinely performs cast/splint/brace duties at the accepted and normal levels of orthopedic trade practices. 
• Routinely performs casting/splinting duties efficiently and effectively. Promptly notifies the attending physician of any unusual occurrence or problems during application and removal of cast/splints/braces.
• Conducts patient and family instruction.
• Teaches patients and family members how to properly manage cast care. Informs patients and family members about proper Cast/Splint/Brace care. 
• Provides input for patient care planning.
• Documents education and information provided to patient and family. 
• Receives telephone calls and requests for assistance or information from patients, administrative support staff, nurses and physicians. 
• Routinely, accurately and patiently teaches patients and family members how to perform simple tests and how to care for themselves. Routinely provides accurate input for patient care planning. 
• Must be fluent in speaking, reading, and writing of the English language.