Nurse Practitioner/Physician Assistant: Per Diem Inpatient Neurosurgery

Stanford Health Care•Stanford, CA

5d•$94 - $125•Onsite

About The Position

As one of the top-ranked neurosurgery programs in the nation, Stanford Neurosurgery provides comprehensive and compassionate care for our patients. We are at the forefront of scientific research, offering potential therapies not offered anywhere else in the world. Our program is committed to educating, training, and mentoring the next generation of neurosurgery leaders. Join a team-oriented group of APPs caring for Neurosurgery patients on the floor and in the ICU. The Per Diem Inpatient Neurosurgery NP/PA will be working on a primary service and will work a minimum of two 12 hour shifts/month. The NP/PA must be available night and weekend shifts, but can work day shift as well. Each APP will carry 8-10 patients of their own and common diagnoses include CNS tumors, movement disorders, intracranial hemorrhages, and spine pathology. This position offers the opportunity to be involved in many aspects of Neurosurgical care including initial diagnosis, treatment, and preoperative and postoperative care. In addition to daily patient care responsibilities there are many opportunities for learning including teaching on rounds, weekly conferences, monthly staff meetings, and clinical care conferences. The ideal Per Diem Inpatient Neurosurgery NP/PA will have at least 2 years of experience as an Inpatient Neurosurgery APP and will have prior experience with ICP monitoring, EVD management, programming shunts, and drain removals. 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

Bachelor’s degree or above from an accredited college or 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.
PA - Physician Assistant State Licensure
BLS - Basic Life Support
DEA - Drug Enforcement Administration

Nice To Haves

The ideal Per Diem Inpatient Neurosurgery NP/PA will have at least 2 years of experience as an Inpatient Neurosurgery APP and will have prior experience with ICP monitoring, EVD management, programming shunts, and drain removals.

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.
Administers medications according to the formulary protocol or upon patient-specific approval from the supervising physician, or transmits orally or in writing on a patient’s record, a prescription from the supervising physician to a person who may furnish such medication. All controlled substances in Schedules II-V inclusive require a patient-specific approval by a supervising physician in advance of transmittal of the order or administration of the medication. [see Appendix A: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol]
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. [see Appendix A : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician.
After appropriate training, assists the supervising physician in the operating room (OR).
Acts as first or second assistant under the supervision of an approved supervising physician.
Performs surgical procedures in the personal presence of the supervising physician.
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.