CLACKAMAS COUNTY

CLASSIFICATION NO. 556
Established: 1/15
FLSA: Exempt
EEO: 2

PHYSICIAN ASSISTANT

CLASS CHARACTERISTICS

Under direction, to provide comprehensive primary medical care under the supervision of a licensed physician with emphasis on prevention of disease and promotion of health; and to do other work as required.

DISTINGUISHING CHARACTERISTICS

The Clackamas Health Centers Division within the Department of Health, Housing and Human Services is a Federally Qualified Health Center that offers primary care, dental services and behavioral healthcare at multiple primary care, behavioral health, and school-based health centers.

The Physician Assistant is responsible for providing diagnostic services and medical care to patients under the direction and supervision of a licensed physician.

The Physician Assistant differs from the Nurse Practitioner which is a licensed Registered Nurse that performs medical care within the scope of state regulation rather than under the delegation of a supervising physician

TYPICAL TASKS

Duties may include but are not limited to the following:

  1. Assesses, diagnoses and manages common primary care outpatient problems of an acute nature in the adult population.
  2. Assesses chronic diseases, makes preliminary diagnoses and manages according to established treatment plans; institutes new treatment plans with consultations and referrals as required.
  3. Performs health maintenance examinations, using common screening methods, diagnostic testing and intervention of referral as indicated.
  4. Provides patient education with an orientation towards specific disease treatment options, nutrition, exercise and health maintenance behavior as indicated.
  5. Performs preliminary workup and refers patients with secondary or tertiary illness or injury; that is, those requiring hospitalization or specialty care and follow-up.
  6. Performs minor office procedures to include suturing simple lacerations, routine excisions and biopsies, foreign body removal, wound care and debridement, casting of simple fractures, injections, venipunctures, catheterization, incision and drainage of superficial abscesses, and/or thrombosed hemorrhoid incision.
  7. Conducts emergency life saving measures as required with referral to a physician as soon as possible.
  8. Interprets various diagnostic tests such as gram stains, wet mounts, urinalysis, spirometry, sonograms and EEG’s.
  9. Prescribes appropriate therapeutic measures, including medications, physical therapy, or activity restriction.
  10. Provides counseling on primary care mental health problems such as depression, anxiety or family crises.
  11. Prescribes drugs within the scope of the practice, as determined by the supervising physician.

REQUIRED KNOWLEDGE AND SKILLS

Thorough knowledge of: Principles, practices and concepts of primary medical care; methods and techniques of primary medical care; documentation procedures for charting and reporting physical and mental status of patients; laws, rules and regulations governing the treatment and care of patients and the scope of responsibility of the provider; clinical processes and procedures including scheduling, paperwork and assisting other professionals; diseases, infections and preventative care of patients associated with the clinic; services provided by the program, clinic and department; community resources available for patient referral; clinical processing and practices; clinical supplies and medications; contraception, contraceptive devices, sexually transmitted diseases and pregnancy testing.

Working knowledge of: Office equipment, including personal computers and software programs.

Skill to: Interview and assess physical information of clients; diagnose and treat diseases, ailments and illness; prescribe medications; manage a caseload of patients; apply required knowledge and use sound clinical skills and judgment in the recognition, treatment, and referral of routine and non-routine medical, surgical, and psychiatric problems; choose appropriate follow-up according to protocol; coordinate and schedule patients for efficient processing in the clinic; keep accurate and detailed records and charts on clients; work without direct, close supervision, following prescribed guidelines; establish and maintain effective working relationships with those contacted in the course of work.; communicate clearly and concisely, both orally and in writing; operate computer software and other office equipment.

OTHER REQUIREMENTS

Possession of a State of Oregon license as a Physician Assistant at the time of appointment.

Must possess and maintain a Basic Life Support (BLS) certificate.

Must successfully pass a criminal history check which may include national or state fingerprint records check.

Must pass a pre-employment drug test.

Driving may be necessary for County business.  For position(s) with occasional/incidental driving, incumbents must possess a valid driver's license.  Accommodation requests for an acceptable alternative method of transportation will be reviewed on an individual basis in compliance with State and Federal legislation.  For position(s) with regular driving, incumbent(s) must also possess and maintain an acceptable driving record throughout the course of employment.

MINIMUM RECRUITING STANDARDS

Any satisfactory combination of experience and training that demonstrates possession of the required knowledge and skills.

Edited: 11/17