CNS - Medical ICU Relief

Stanford Health Care•Stanford, CA

4d•$94 - $125•Onsite

About The Position

The Advanced Practice Provider (APP) medical ICU position is part of a collaborative team model of care consisting of attending physicians, fellows, residents and a team of NP/CNS/PAs who provide critical care for patients in the medical intensive care unit (MICU). · The primary location will be in Palo Alto, at Stanford Health Care · There are multiple learning opportunities including department specific grand rounds, fellows/residents lectures, nursing and APP grand rounds, journal club, and the annual APP conference. A PA may provide only those medical services which he/she is competent to perform, which are consistent with the PA’s education, training and experience, and which are delegated by a supervising physician who is responsible for the patients cared for by that PA. A PA shall consult with a physician regarding any task, procedure or diagnostic problem which the PA determines exceeds his/her level of competence or shall refer such cases to a supervising physician.

Requirements

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
Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
PA - Physician Assistant State Licensure
BLS - Basic Life Support
DEA - Drug Enforcement Administration

Responsibilities

Evaluates and treats patients with acute and chronic complaints and health maintenance concerns in the medical ICU, including sepsis, respiratory failure as well as ischemic and hemorrhagic strokes.
Provide critical care consultation for neurocritical and neurosurgery ICU patients.
Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients in the critical care setting.
Performs or requests and evaluates diagnostic studies.
Administers, orders, furnishes and/or prescribes medications.
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.
Obtains informed consent.
Initiates arrangements for hospital admissions and discharges.
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 care and services.
Facilitates collaboration between providers and coordination of community resources.
Provides and coordinates patient teaching and counseling.
Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty.
Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.
Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.
Administers 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 Appendix A: 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 A : 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 (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.
Participates in quality improvement initiatives.
Provides and coordinates patient teaching and counseling.
Other duties as assigned.