APP- Nurse Practitioner/Physician Assistant - Neurocritical Care

Stanford Health Care•Stanford, CA

2d•$89 - $118•Onsite

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. Neuro and/or ICU experience is preferred, but not required. This is a Stanford Health Care job. The Physician Assistant (PA) functions under this Physician Assistant Job Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the PA 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.

Requirements

Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
A PA may provide only those medical services which he/she is competent to perform, which are consistent with the PA’s education, training and experience.
A PA shall consult with a physician regarding any task, procedure or diagnostic problem which the PA determines exceeds his/her level of competence or shall refer such cases to a supervising physician.
BACHELOR'S DEGREE IN NURSING FROM AN ACCREDITED UNIVERSITY.
Note: PAs hired prior to July 1, 2012 are not subject to this educational requirement
Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. B.
PA - Physician Assistant State Licensure
BLS - Basic Life Support
DEA - Drug Enforcement Administration

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.
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.
Orders or furnishes medications under physician supervision, in accordance with the practice agreement, consistent with the PA’s educational preparation and training, and upon completion of a California Physician Assistant Board approved controlled substance course.
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 (OR).
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.