APP Nurse Practitioner/Physician Assistant - J4 Cardiovascular ICU - .90 FTE (Rotating - 12 hrs)

Stanford Health Care•Palo Alto, CA

6d•Onsite

About The Position

Stanford's Cardiac Surgery Intensive Care Unit (CVICU) is seeking a highly skilled and motivated Advanced Practice Provider (APP) to join our dynamic team. As part of the CVICU team, the APP will play a vital role in the management of post-operative cardiac surgery patients, providing high-quality care in a fast-paced and critical environment. This position offers the opportunity to work with a multidisciplinary team of physicians, nurses, and other healthcare providers in a cutting-edge clinical setting. The Physician Assistant (PA) functions under this Physician Assistant Job Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the PA 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. Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination. At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow. As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.

Requirements

Bachelor’s degree or above from an accredited college or university.
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

Nice To Haves

PAs hired prior to July 1, 2012 are not subject to this educational requirement

Responsibilities

Provide comprehensive care to 4-6 post-cardiac surgery patients per shift in the CVICU setting, including assessment, diagnosis, treatment, and ongoing management.
Manage patient care through rounding, formulating care plans, putting in orders, and adjusting treatment protocols as necessary.
Monitor patients’ progress and response to treatment, addressing complications or changes in condition promptly.
Coordinate care with attending surgeons, cardiologists, anesthesiologists, and other specialists as needed.
Perform various procedures, including but not limited to: Central and Arterial lines, Bedside echocardiography and ultrasound, Bronchoscopies.
Complete timely and accurate documentation, including progress notes, procedure reports, and discharge summaries.
Ensure clear and effective communication with the multidisciplinary team regarding patient status, changes, and discharge planning.
Precept and mentor APP Fellows in the Cardiac Surgery APP Fellowship program, providing guidance, feedback, and educational opportunities.
Supervise and support student learners (nurse practitioner and physician assistant students) during clinical rotations.
Work closely with attending surgeons, intensivists, and nursing staff to deliver optimal patient care in the CVICU.
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.
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.
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.