Nurse Practitioner / Physician Assistant, General Surgery Walnut Creek

Stanford Medicine Children's Health•Walnut Creek, CA

3d•$94 - $115•Onsite

About The Position

This is a Fixed Term position for 6 months in Walnut Creek, CA. The General Surgery NP/PA position is part of a collaborative team model of care consisting of pediatric general surgeons and advanced practice providers who provide care for patients with a wide range of pediatric surgical diagnoses. This position requires credentialing at both LPCH and John Muir Medical Center. Outpatient care is conducted at the Stanford Children’s Health Clinic in Walnut Creek and inpatient care is conducted at John Muir Hospital. This satellite practice provides an excellent opportunity to practice with a close knit group of community physicians as well as within the larger community of Stanford Children’s Health in a collaborative and supportive team practice. General surgery patients range from premature infants to young adults. Common conditions seen include emergency, acute, and chronic surgical conditions, infant and congenital surgical conditions, colorectal and intestinal conditions, tumors, and vascular lesions and vascular associated syndromes. The general surgery department also has numerous specialty outpatient programs. This position offers the opportunity to be involved in the whole spectrum of surgical patient care from outpatient clinical evaluation, specialty clinic evaluation, and inpatient rounding and management of post/preoperative patients. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform procedures such as intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, and pacing wire removal. The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors.

Requirements

Physician Assistant (PA): Bachelor's degree or above from an accredited college or university.
Physician Assistant (PA): Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university.
Nurse Practitioner (NP): Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California.
Physician Assistant (PA): Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)
Physician Assistant (PA): Certification in Basic Life Support (BLS) from the American Heart Association (AHA)
Physician Assistant (PA): An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients
Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California
Nurse Practitioner (NP): Certification as a Nurse Practitioner (NP) in the State of California
Nurse Practitioner (NP): National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).
Nurse Practitioner (NP): New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.
Nurse Practitioner (NP): Certification in Basic Life Support (BLS) from the American Heart Association (AHA).
Nurse Practitioner (NP): Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications
Nurse Practitioner (NP): An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients .
Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.
An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician.
An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.
Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision.
Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time.
Chart screens on random charts by the supervising physician or designee.
Chart audits on random charts as an integral part of selected quality improvement programs.
Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.
The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director.
The ideal candidate is a motivated and self-directed practitioner with excellent communication skills, clear judgment, and extensive attention to detail.

Nice To Haves

Previous general surgery experience is preferred but not required.
RNFA or OR first assist experience preferred.

Responsibilities

Staffing independent NP/PA clinics
Assisting with surgeon clinics
Assisting with patient advice and questions
Family and device teaching
Case management
Collaborating with the physician team to round on general surgery inpatients
New patients consults
Address calls from inpatient team members
Coordinating discharge needs
Receiving sign-out from overnight team
Pre-rounding on assigned patients
Developing a plan of care for the day for that patient
Present patients on rounds
Write a daily note
Implementing the plan agreed upon on during rounds
Responding to any issues raised by the nurses during the course of the day
Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.
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, orders, furnishes and prescribes medications.
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.
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.