Heart Transplant Medicine Advanced Practice Provider (NP/PA)

Stanford Health Care • Palo Alto, PA

11d • $89 - $118 • Onsite

About The Position

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 12 Hour (United States of America) Are you a Nurse Practitioner (NP) or Physician Assistant (PA) seeking a challenging and rewarding inpatient role in heart transplant medicine? We’re looking for a collaborative and driven Advanced Practice Provider (APP) to join our Inpatient Heart Transplant and Mechanical Circulatory Support (MCS) medical team. This is a high-acuity, non-surgical inpatient position, ideal for APPs who are interested in managing complex patients with advanced heart failure and caring for them throughout their journey. If you are passionate about critical care, transplant medicine, and providing continuity of care to patients with complex, life-saving surgical interventions, this position may interest you! This is a Stanford Health Care job. A Brief Overview The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine are and management of the patient with acute and chronic complaints, in collaboration with the supervising physician, and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the NP 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. This job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision. There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook. Here is a description of the various levels: Job Attributes: LEVEL I LEVEL II LEVEL III FLSA Status: Exempt Exempt Exempt Job Code: 400077 400169 400170 Requirement: LEVEL I: Entry level LEVEL II: Meets Career Ladder criteria for NP II LEVEL III: Meets Career Ladder criteria for NP III Locations Stanford Health Care

Requirements

• Active or eligible NP or PA license
• Passion for transplant, mechanical circulatory support, or cardiothoracic surgery
• Skilled in managing critically ill, high-acuity patients
• Strong interpersonal skills, teamwork, and adaptability in a fast-paced environment
• Commitment to lifelong learning and long-term role retention
• Master’s or Doctoral degree in nursing from an accredited college or university. Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement.
• Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
• Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure and NP - Nurse Practitioner and NPF - NP Furnishing Number and BLS - Basic Life Support

Nice To Haves

• Clinical experience in ICU, step-down, CT surgery, transplant, or VAD programs
• Completion of board certification exams
• New graduate APPs welcome, especially those with prior RN experience in ICU or transplant.

Responsibilities

• Manage postoperative heart transplant patients and ventricular assist device (VAD) recipients across ICU and step-down units
• Serve in core rotating roles: o Inpatient Heart Transplant/VAD APP – Provide floor-based care for heart transplant and VAD patients, including daily rounding, admissions, and discharges. This includes management of heart transplant and durable LVAD patients from their index hospitalization as a consulting service and following them as a primary service thereafter. Manage and care for patients on various types of temporary mechanical support o ICU/Consult APP – Provide oversight of transplant and MCS/LVAD patients in critical care as a consulting service, including pre-op admissions
• Collaborate with multidisciplinary critical care and surgical teams, including fellows, APPs, and other transplant and ancillary services
• Lead and participate in daily patient rounds, assessments, care coordination, admission and discharge planning
• An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP’s education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP.
• An NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.
• Scope of Practice of the NP: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized procedures. [see Appendix A Assessment & Management of Patients] Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Appendix B : 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 B: 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. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. 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.
• SHC Commitment to Providing an Exceptional Patient & Family Experience 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees