About The Position

The Stanford neurocritical care program provides unparalleled care for patients with critical neurologic illness. The neurocritical care program is dedicated providing excellent clinical care for the sickest, most vulnerable patients and performing cutting edge research to bring discovery to the bedside and improve patient outcomes. The APP team started in 2016 and is made up of 21 total APPs which are an essential to the neurocritical care program. Neurocritical Care APPs will: Participate in multidisciplinary rounds with attendings, fellows, residents, and APPs Manage 4-6 patients of their own as well as consults in a variety of critical care settings Perform procedures including central lines, arterial lines, and lumbar punctures Have access to many learning opportunities and resources The Neurocritical Care APP will go through an 8 week orientation tailored to their individual experience. 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.

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

Nice To Haves

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

Responsibilities

  • 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.
  • 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.
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