To describe the general nature and level of work performed by physician assistants in the Emergency Department. This should not be construed as an exhaustive list of all the responsibilities and duties of the physician assistant or senior physician assistant. Physician assistants are credentialed to perform direct clinical functions in all areas of the Emergency Department, including the Adult ED, Fast Track, Pediatric Emergency Department, and ED Observation Unit.

Responsibilities

Under the general supervision of the Attending Physician, the Physician Assistant in delivering primary care in the Emergency Department will perform the following duties:

1. Perform focused or comprehensive histories and physical examinations on ED patients and formulate a diagnostic and treatment plan.
2. The documentation of the patient encounter will be completed on the medical record and will include information pertinent to the history of present illness and past medical history (including allergies and current medications). 
3. Implementing treatment protocols and undertaking clinical decision making, under the supervision of an Emergency Medicine attending, for patients in the ED Observation Unit during its hours of operation. 
4.  Write orders for diagnostic tests, medications, consultations, immunizations and clinic referrals.
5. Review, interpret and document the results of the diagnostic tests ordered.
6. Confer with the supervising Attending Physician and nursing staff to ensure delivery of optimum quality of patient care and to keep them apprised of clinical developments, patient concerns, etc.
7. Write prescriptions in accordance with hospital guidelines.
8. Counsel patients when appropriate on health education issues and disease prevention.
9. The PA must present all cases to the supervising Attending Physician.
10. All referrals for consultation will be discussed with and approved by the supervising Attending Physician.
11. The PA must review all EKGs, laboratory and radiologic results with the supervising Attending Physician prior to discharging the patient from the ED.
12. Perform other duties pursuant to clinical responsibility, such as arranging follow-up for patients, obtaining informed consent from patients, recalling patients for further evaluation and treatment, and escorting patients when necessary to other areas of the hospital or interhospital transfers, inform patients of necessary post-discharge instructions as required.
13. Complete and document participation in continuing medical education required of physician assistants in order to meet requirements for certification, including assigned lectures and conferences.
14. Participate in the administrative and academic aspects of the ED in staff meetings, QA activities, conferences, morning reports and other duties as required professionally or at the request of the supervising Attending Physician, the Director of Service, and/or Chief Physician Assistant.
15. The PA may perform the following procedures under general supervision:
    • Venipuncture and initiating IV fluids
    • Ordering of routine x-rays and laboratory studies
    • Ordering of medications in accordance with hospital guidelines
    • Catheterization of the urinary bladder
    • Nasogastric tube insertion
    • Reduction of dislocations
    • Splinting of orthopedic injuries
    • Arterial puncture for the purpose of blood gas determination
    • Minor surgical procedures (e.g., suturing, incision and drainage, wound checks, etc.)
    • Initiate emergency procedures including Basic and Advanced Cardiac Life Support
16. The PA may perform the following procedures under direct supervision:
    • Endotracheal intubation
    • Participate in the resuscitation of cardiopulmonary and other complex medical emergencies.
    • Participate in the management of complex surgical emergencies.
    • Order controlled drugs and psychotropic medications in accordance with established hospital guidelines.
    • Placement of central venous catheters, venous cutdown, joint aspiration, lumbar puncture and other emergency procedures at the discretion of the supervising Attending Physician.

Qualifications

-Completion of NYS- approved program for the training of physician assistants or specialist assistants, usually via Bachelor of Science program or degree in closely related field.

-NCCPA Certification

-NYS PA License

-BCLS/ACLS/PALS certification

-Registration required with NYS as Physician Assistant.

-High level of analytical ability required to effectively and expeditiously diagnose and treat medical/surgical problems under the direction of the supervising Attending Physician.

-Interacts with various internal hospital medical and administrative and professional staff in the course of routine clinical duties. High degree of responsibility required for daily contacts with patients and their families.

-Manual dexterity required for adept manipulation of surgical instruments and handling of medical equipment; physical strength necessary for lifting and proper handling/positioning of patients.

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $70.23 - $93.07 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.