Outpatient

Stanford Health Care•Stanford, CA

7d•$89 - $118•Onsite

About The Position

The APP Fellow (APP FELLOW) functions under this APP Fellow Job Description approved by the Interdisciplinary Practice Committee (IDPC). The APP FELLOW provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician, and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the APP FELLOW and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee. An APP FELLOW may provide only those medical services which he/she is competent to perform, which are consistent with the APP FELLOW’s education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that APP FELLOW. An APP FELLOW shall consult with a physician regarding any task, procedure or diagnostic problem which the APP FELLOW determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. An APP FELLOW will complete a performance/process improvement project or a research project suitable for publication and presentation. The APP FELLOW will attend state, national, and/or local APP society meetings as appropriate. The APP FELLOW will be required to attend local, regional, and/or national assigned educational events. The APP FELLOW will complete all educational assignments by the due date. The APP FELLOW will participate in periodic evaluation of progress such as, but not limited to, exams, simulations, table top exercises, reflection assignments, or other methods to evaluate teaching and learning. The APP FELLOW will complete preceptor evaluations as assigned. Scope of Practice of the APP FELLOW: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, (for NP’s) according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] An APP Fellow will rotate to other services Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, For NP’s this is done according to written standardized procedures. [see Appendix A Assessment & Management of Patients] Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, for NP’s according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Administers, orders, furnishes and prescribes medications, according to written standardized procedures for NP’s .[see Appendix B : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol]. PA’s administer medications according to the formulary protocol or upon patient-specific approval from the supervising physician, or transmits orally or in writing on a patient’s record, a prescription from the supervising physician to a person who may furnish such medication. All controlled substances in Schedules II-V inclusive require a patient-specific approval by a supervising physician in advance of transmittal of the order or administration of the medication. [see Standardized Procedure: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. [see Appendix B: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. PA’s: After appropriate training, assists the supervising physician in the operating room (OR). Acts as first or second assistant under the supervision of an approved supervising physician. Performs surgical procedures in the personal presence of the supervising physician. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Provides and coordinates patient teaching and counseling. Other duties as assigned. An APP Fellow is a fixed one-year term.

Requirements

NP's: Master’s or Doctoral degree in nursing from an accredited college or university
NP's: Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
PA's: Bachelor’s degree or above from an accredited college or university - Note: PAs hired prior to July 1, 2012 are not subject to this educational requirement
PA's: Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
For NP’s: Licensure as a Registered Nurse (RN) in the State of California.
For NP’s: Certification as a Nurse Practitioner (in the State of California).
For NP’s: National Board Certification as a (Nurse Practitioner) from an agency accredited by the American Board of Nursing Specialties (ABNS).
For NP’s: Note: All APP FELLOWs hired after November 1, 2013 must be nationally certified upon hire and maintained for employment.
For NP’s: Certification in Basic Life Support (BLS) from the American Heart Association (AHA).
For NP’s: Furnishing license issued by the Board of Registered Nursing (BRN) within 3 months of hire.
For NP’s: An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances within 3 months of hire.
For NP’s: Additional board certification(s) may be required by certain specialties/departments.
For PA’s: Licensure as a Physician Assistant (PA) in the State of California.
For PA’s: Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)
For PA’s: Certification in Basic Life Support (BLS) from the American Heart Association (AHA).
For PA’s: An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances within 3 months of hire.
For PA’s: Additional board certification(s) may be required by certain services/departments.

Responsibilities

Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, (for NP’s) according to written standardized procedures.
An APP Fellow will rotate to other services
Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, For NP’s this is done according to written standardized procedures.
Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, for NP’s according to written standardized procedures.
Administers, orders, furnishes and prescribes medications, according to written standardized procedures for NP’s
Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.
Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
Obtains informed consent, as indicated.
Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.
After appropriate training, assists the supervising physician in the operating room.
Recognizes and considers age-specific needs of patients.
Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.
Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.
Facilitates the coordination of inpatient and outpatient care and services as needed.
Facilitates collaboration between providers and coordination of community resources.
Ensures compliance with legal, regulatory and clinical policies and procedures.
Provides and coordinates patient teaching and counseling.
Other duties as assigned.