APP NP/PA - Inpatient Palliative Medicine - Fixed Term - Part Time, Days (10HRS)

Stanford Health Care•Stanford, CA
•$92 - $121•Onsite

About The Position

The Advanced Practice Practitioner (NP/CNS/PA) works as an inpatient palliative care consultant across the adult hospital, meeting directly with patients and families and offering recommendations to primary healthcare teams. The role provides pain and symptom management, psychosocial support, and advance care planning for people facing serious illness. The interdisciplinary team provides patient- and family-centered care addressing psychosocial, spiritual, and medical needs across acute care settings, including medical-surgical floors, specialty units, and critical care areas. The practitioner provides expert symptom management, guides discussions with patients and families to develop personalized care plans aligned with patient goals, and participates in daily interprofessional palliative care rounds. The position operates as part of a seven-day-a-week service from 8 a.m. to 6 p.m. and requires at least one weekend per month and one holiday per year; there are no on-call requirements. The PA functions under the applicable Physician Assistant Job Description and service-specific functions established with supervising physicians and approved through the relevant institutional committees and administrators. General PA duties include evaluating and treating patients, conducting histories and examinations, ordering and interpreting diagnostic tests, administering or ordering medications under applicable protocols, coordinating care, and providing patient education and counseling.

Requirements

  • Master's-prepared Nurse Practitioner, Master's-prepared Physician Assistant, or Clinical Nurse Specialist.
  • At least 1–3 years of experience as an Advanced Practice Provider.
  • Strong communication skills and ability to work independently with a wide variety of medical and surgical services.
  • For the PA pathway: bachelor's degree or above from an accredited college or university, with the stated exception for PAs hired before July 1, 2012.
  • For the PA pathway: graduation from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
  • For the PA pathway: Physician Assistant state licensure, Basic Life Support (BLS), and Drug Enforcement Administration (DEA) credentials.
  • Work at least one weekend per month and one holiday per year.

Nice To Haves

  • Training or experience in palliative care, hospice, or geriatrics is preferred but not required.

Responsibilities

  • Provide inpatient palliative care consultation throughout the adult hospital and offer recommendations to primary healthcare teams.
  • Provide pain and symptom management, psychosocial support, and advance care planning for patients and families facing serious illness.
  • Guide discussions with patients and families to develop personalized care plans aligned with patient goals.
  • Participate in daily interprofessional palliative care team rounds and support team communication and collaboration.
  • Evaluate and treat patients with acute and chronic complaints and health maintenance concerns related to the specialty.
  • Obtain patient histories and perform pertinent physical examinations, assessing normal and abnormal findings.
  • Perform or request and evaluate diagnostic studies as indicated.
  • Administer medications or transmit prescriptions according to formulary protocols and applicable supervising-physician approvals.
  • Order and collect specimens for laboratory tests, screening procedures, and therapeutic procedures, including blood and blood products.
  • Order physical therapy, occupational therapy, respiratory therapy, radiology examinations, and nursing services.
  • Perform designated procedures after demonstrating competency and according to written standardized procedures where applicable.
  • Obtain informed consent as indicated.
  • Arrange hospital admissions and discharges and complete associated paperwork.
  • Enroll patients in approved investigational studies and order necessary tests and medications as directed by a supervising physician.
  • Assist supervising physicians in the operating room after appropriate training; act as first or second assistant under supervision and perform surgical procedures in the supervising physician's presence.
  • Recognize and address age-specific patient needs and situations requiring immediate physician attention; initiate life-saving procedures when necessary.
  • Coordinate inpatient and outpatient care and services, collaborate with providers, and coordinate community resources.
  • Ensure compliance with legal, regulatory, and clinical policies and procedures.
  • Participate in quality improvement initiatives.
  • Provide and coordinate patient teaching and counseling.
  • Communicate and interact effectively with patients, families, staff, and community members from diverse backgrounds.
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