Nurse Practitioner/Physician Assistant - Relief Hospitalist

Stanford Health Care • Palo Alto, PA

1d • $94 - $125 • Onsite

About The Position

This is an excellent opportunity for the right candidate to join a collaborative and supportive APP/MD team practice within the Med 7 Inpatient Service, which utilizes 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. 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. 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 Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP 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. 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.
• Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
• Licensure as a Registered Nurse (RN) in the State of California.
• Certification as a Nurse Practitioner (NP) in the State of California.
• National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).
• All NPs hired after November 1, 2013 must be nationally certified upon hire.
• Certification in Basic Life Support (BLS) from the American Heart Association (AHA).
• Furnishing license issued by the Board of Registered Nursing (BRN).
• NPs with six (6) months or more experience shall obtain a current furnishing license within six (6) months of hire.
• Additional board certification(s) may be required by certain specialties/departments.
• Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other.

Nice To Haves

• NPs hired prior to March 1, 2012 are not subject to this educational requirement.

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.
• After appropriate training, assists the supervising physician in the operating room.
• 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.

Benefits

• Voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession.

What This Job Offers

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