Nurse Practitioner / Physician Assistant, Surgery Kidney

Stanford Medicine Children's Health•Palo Alto, CA

9d•$94 - $115•Hybrid

About The Position

The APP is responsible for management of outpatient kidney transplant patients with the multidisciplinary team. Provides direct patient care, evaluation and medical management, development of assessment and plans for patients in outpatient kidney transplant clinic. Completes the documentation and serves as the primary provider for patients seen via telemedicine, in person clinic, and outreach clinics. Receives phone calls from patients and patient families and triages and escalates patient care alongside the physician staff. Participates in discharge planning and care coordination for transition of patient from inpatient to outpatient care. Completes lab review, medication management, immunosuppression management, and medical assessment of outpatient kidney transplant patients in person or over the phone. The APP is responsible for continuity of care and interfacing with other service lines for consultation when appropriate. The APP is responsible for assisting in transition of care from outpatient to inpatient hospital admissions for kidney transplant patients and working with the inpatient Transplant Nephrology team to transition patient care from inpatient to outpatient. The APP works with other members of the multidisciplinary team including Physicians, Fellow, Residents, Social Work, Case Management, Nursing Staff, Pharmacy, Dietician, and other service line providers. Assists with transition of care from inpatient to outpatient provider teams at time of discharge. The APP is expected to participate in patient care conferences, pathology conferences, radiology conferences, and departmental education as well as selection meetings. Works collaboratively with other APPs on kidney transplant service to provide patient care coverage. Actively communicates with other APPs on the kidney transplant service, attending staff, support staff and resident/fellow staff. Provides education regarding kidney transplantation to nursing staff, students, residents. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. 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 the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): 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. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): 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

Bachelor's degree or above from an accredited college or university (for PA).
Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. (for PA).
Master's or doctoral degree in nursing from an accredited college or university (for NP).
Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE) (for NP).
Licensure as a Physician Assistant (PA) in the State of California (for PA).
Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) (for PA).
Certification in Basic Life Support (BLS) from the American Heart Association (AHA).
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.
Licensure as a Registered Nurse (RN) in the State of California (for NP).
Certification as a Nurse Practitioner (NP) in the State of California (for NP).
National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).
Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications (for NP).
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.

Nice To Haves

New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.
Additional board certification(s) may be required by certain services/departments.
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.

Responsibilities

Management of outpatient kidney transplant patients with the multidisciplinary team.
Provides direct patient care, evaluation and medical management.
Development of assessment and plans for patients in outpatient kidney transplant clinic.
Serves as the primary provider for patients seen via telemedicine, in person clinic, and outreach clinics.
Receives phone calls from patients and patient families and triages and escalates patient care alongside the physician staff.
Participates in discharge planning and care coordination for transition of patient from inpatient to outpatient care.
Completes lab review, medication management, immunosuppression management, and medical assessment of outpatient kidney transplant patients in person or over the phone.
Responsible for continuity of care and interfacing with other service lines for consultation when appropriate.
Assists in transition of care from outpatient to inpatient hospital admissions for kidney transplant patients and working with the inpatient Transplant Nephrology team to transition patient care from inpatient to outpatient.
Works with other members of the multidisciplinary team including Physicians, Fellow, Residents, Social Work, Case Management, Nursing Staff, Pharmacy, Dietician, and other service line providers.
Assists with transition of care from inpatient to outpatient provider teams at time of discharge.
Participates in patient care conferences, pathology conferences, radiology conferences, and departmental education as well as selection meetings.
Works collaboratively with other APPs on kidney transplant service to provide patient care coverage.
Actively communicates with other APPs on the kidney transplant service, attending staff, support staff and resident/fellow staff.
Provides education regarding kidney transplantation to nursing staff, students, residents.
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.
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.
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.
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.