APP Nurse Practitioner/Physician Assistant - Neurocritical Care - .9FTE, Days

Stanford Health Care•Stanford, CA

5d•$92 - $121•Onsite

About The Position

Stanford Health Care is hiring an advanced practice provider for its Neurocritical Care program. The program cares for patients with critical neurologic illness and combines clinical care with research intended to improve patient outcomes. The APP team, established in 2016, is an essential part of the program. Neurocritical Care APPs participate in multidisciplinary rounds with attending physicians, fellows, residents, and APPs. They manage 4–6 patients of their own and consult across a variety of critical care settings, and perform procedures such as central lines, arterial lines, and lumbar punctures. The role includes access to learning opportunities and resources, with an eight-week orientation tailored to the individual’s experience. Neuro and/or ICU experience is preferred but not required. The position follows Stanford Health Care’s Physician Assistant job description and applicable scope-of-practice requirements. PAs provide services consistent with their competence, education, training, experience, and supervision. Their work may include evaluating and treating patients, taking histories and performing examinations, ordering and evaluating diagnostic studies, ordering or furnishing medications under physician supervision, collecting specimens, ordering therapies and services, performing designated procedures after competency is demonstrated, obtaining consent, arranging admissions and discharges, assisting in the operating room after training, coordinating care, participating in quality improvement, and providing patient teaching and counseling. Employees must follow Joint Commission requirements, applicable legal and clinical policies, and Stanford Health Care’s patient- and family-centered C-I-CARE standards.

Requirements

Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
Physician Assistant state licensure.
Basic Life Support (BLS) certification.
Drug Enforcement Administration (DEA) registration.
Provide only medical services within the PA’s competence and consistent with education, training, and experience.
Consult with or refer to a supervising physician when a task, procedure, or diagnostic problem exceeds the PA’s competence.
Complete a California Physician Assistant Board-approved controlled substance course to order or furnish medications as applicable.

Nice To Haves

Neuro and/or ICU experience is preferred but not required.

Responsibilities

Participate in multidisciplinary rounds with attendings, fellows, residents, and APPs.
Manage 4–6 patients and provide consultations in a variety of critical care settings.
Perform procedures, including central lines, arterial lines, and lumbar punctures.
Evaluate and treat patients with acute and chronic complaints and health maintenance concerns related to the specialty.
Obtain patient histories and perform physical examinations, assessing normal and abnormal findings.
Perform or request diagnostic studies and evaluate their results.
Order or furnish medications under physician supervision and applicable protocols.
Order and collect specimens for laboratory tests, screening, 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 follow written standardized procedures where applicable.
Obtain informed consent when indicated.
Initiate hospital admissions and discharges and complete appropriate paperwork.
As directed, enroll patients in IRB-approved investigational studies and order necessary tests and medications.
After appropriate training, assist in the operating room as a first or second assistant under an approved supervising physician and perform surgical procedures in the supervising physician’s presence.
Recognize age-specific patient needs and situations requiring immediate physician attention; initiate life-saving procedures when necessary.
Communicate and interact effectively with patients, families, staff, and community members from diverse backgrounds.
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.
Follow Joint Commission requirements and Stanford Health Care’s patient- and family-centered C-I-CARE standards.