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

Stanford Health Care•Palo Alto, CA

6d•$92 - $121•Onsite

About The Position

Stanford Health Care’s Neurocritical Care APPs provide care for patients with critical neurologic illness as part of a multidisciplinary program focused on excellent clinical care, research, and improving patient outcomes. The APP team includes 21 APPs and participates in care across a variety of critical care settings. The role includes an eight-week orientation tailored to the individual’s experience. Neuro or ICU experience is preferred but not required. The Physician Assistant (PA) functions under the approved PA job description and works within the scope established for the service, clinic, or department with supervising physician(s) and the relevant institutional committees and administrators. PAs provide only services for which they are competent based on their education, training, and experience, and consult or refer to a supervising physician when a task or clinical issue exceeds that competence. The position also requires adherence to Joint Commission requirements and Stanford Health Care’s patient-centered C-I-CARE principles.

Requirements

Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
PA state licensure.
Basic Life Support (BLS) certification.
Drug Enforcement Administration (DEA) registration.
Provide only medical services within the PA’s demonstrated competence, education, training, and experience; consult or refer to a supervising physician when a task or problem exceeds that competence.
Complete a California Physician Assistant Board-approved controlled substance course to order or furnish medications under physician supervision, as applicable.
Adhere to Joint Commission requirements, applicable safety and quality programs, and Stanford Health Care policies and procedures.

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 consults 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 complete histories and perform pertinent physical examinations, assessing normal and abnormal findings.
Perform or request and evaluate diagnostic studies as indicated.
Order or furnish medications under physician supervision and in accordance with applicable practice agreements, training, and requirements.
Order and collect specimens for routine 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 in accordance with written standardized procedures where applicable.
Obtain informed consent as indicated.
Initiate arrangements for hospital admissions and discharges and complete the appropriate paperwork.
As directed by the supervising physician, enroll patients in IRB-approved investigational studies and order necessary tests and medications.
After appropriate training, assist the supervising physician in the operating room, including acting as first or second assistant and performing surgical procedures in the supervising physician’s presence.
Recognize and address age-specific patient needs.
Communicate and interact effectively with patients, families, staff, and community members from diverse backgrounds.
Recognize situations requiring immediate physician attention and initiate life-saving procedures when necessary.
Facilitate coordination of inpatient and outpatient care and services, collaboration between providers, and coordination of 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-centered C-I-CARE standards.