APP - Nurse Practitioner/Physician Assistant - Internal Medicine - .9 FTE, Days (12-HRS)

Stanford Health Care•Palo Alto, PA

30d•$89 - $118

About The Position

Created in July 2021, the Med 7 Inpatient Service is staffed with a unique hybrid model involving collaborative care provided by both physicians and Advance Practice Providers (APP). The APPs on the Med 7 service are trained in Internal Medicine to manage the day-to-day care of hospitalized patients. This is an excellent opportunity for the right candidate to join a collaborative and supportive APP/MD team practice. Responsibilities include complete/comprehensive history and physical examination, ordering and interpretation of diagnostic studies, and prescribing appropriate treatments in collaboration with the attending physician. Other responsibilities include consultation with specialist providers and other team members regarding findings/changes in patient condition, documentation of patient care/procedures per policy, and communication/education with patients and their families. APPs are also responsible for precepting and mentoring Stanford school of medicine Physician Assistant students. Common diagnoses managed: Sepsis/Septic shock/Bacteremia, Cellulitis, UTI, Acute & chronic liver failure, Acute kidney injury/failure, COPD/asthma exacerbations, UGIB, Pancreatitis, ETOH withdrawal, DKA, AMS/Delirium, Anemia, Atrial Fibrillation, Syncope, Venous thromboembolism, and Electrolytes Abnormalities. Orientation on Med 7 inpatient service is dependent on the experience of the employee and typically lasts between six and twelve weeks. Orientation is tailored to the employee and generally includes participation in team rounds, orientation to procedures, training on difficult conversations including goals of care, and cross training other APP specialty teams. The position is 100% clinical. The typical morning consists of pre-rounding on patients followed by rounds with the attending physician. In the afternoon, the APP carries out the plan of care for patients, consults with other services as indicated, admits, and discharges patients, and performs procedures. Schedule Day shifts: 7a - 7p A 0.9 FTE position works 6 clinical shifts in a 2 week pay period. Rotate weekends and holiday. No night call. The schedule is made 2-3 months in advance. APPs can provide a requested schedule and every attempt is made to accommodate requested shift frequency and days off. PTO is guaranteed in advance. There is an opportunity to pick up additional shifts based on shift coverage. 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:

Requirements

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
NP - Nurse Practitioner
NPF - NP Furnishing Number
BLS - Basic Life Support

Responsibilities

Complete/comprehensive history and physical examination
Ordering and interpretation of diagnostic studies
Prescribing appropriate treatments in collaboration with the attending physician
Consultation with specialist providers and other team members regarding findings/changes in patient condition
Documentation of patient care/procedures per policy
Communication/education with patients and their families
Precepting and mentoring Stanford school of medicine Physician Assistant students
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, according to written standardized procedures.
Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures.
Administers, orders, furnishes and prescribes medications, according to written standardized procedures.
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.
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.