About The Position

The Nurse Practitioner provides routine care and management for patients with acute and chronic complaints in collaboration with a supervising physician and through standardized procedures. The role covers all NP classifications, including Levels I, II, and III. NPs may provide medical services only within their competence, education, training, and experience, under physician supervision. They must consult or refer to a collaborating physician when a task, procedure, or diagnostic problem exceeds their competence. Specific service, clinic, or department functions are established with supervising physicians and approved through the organization’s administrative and clinical governance processes. The NP evaluates and treats patients and addresses health-maintenance concerns related to the specialty; obtains histories and performs physical examinations; orders and evaluates diagnostic studies; and administers, orders, furnishes, and prescribes medications under written standardized procedures. The NP also coordinates care, provides patient and family education, supports quality improvement, and ensures compliance with applicable policies. After appropriate training, the NP may assist a supervising physician in the operating room. The position requires a master’s or doctoral degree in nursing and graduation from an accredited NP program, along with applicable RN and NP credentials and Basic Life Support certification. NPs must follow Stanford Health Care’s C-I-CARE standards for patient- and family-centered interactions.

Requirements

  • Master’s or doctoral degree in nursing from an accredited college or university; this requirement does not apply to NPs hired before March 1, 2012.
  • Graduation from an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
  • Registered Nurse state licensure and/or compact state licensure.
  • Nurse Practitioner credential.
  • NP Furnishing Number.
  • Basic Life Support certification.
  • Provide only medical services consistent with the NP’s competence, education, training, and experience, under physician supervision.
  • Adopt and execute Stanford Health Care’s C-I-CARE standards for patient- and family-centered interactions.

Responsibilities

  • Evaluate and treat patients with acute and chronic complaints and health-maintenance concerns related to the specialty, according to written standardized procedures.
  • Obtain complete patient histories and perform pertinent physical examinations, assessing normal and abnormal findings for new and return patients.
  • Perform or request and evaluate diagnostic studies as indicated by patient evaluation.
  • Administer, order, furnish, and prescribe medications according to written standardized procedures and applicable formulary protocols.
  • Order and collect specimens for routine laboratory tests, screening, and therapeutic procedures, including blood and blood products.
  • Order physical therapy, occupational therapy, respiratory therapy, radiology examinations, and nursing services.
  • Perform designated procedures after demonstrating competency and in accordance with written standardized procedures where applicable.
  • Obtain informed consent as indicated.
  • Initiate arrangements for hospital admissions and discharges and complete appropriate paperwork.
  • As directed by the supervising physician, enroll patients in IRB-approved investigational studies and order necessary tests and medications.
  • Assist the supervising physician in the operating room after appropriate training.
  • Recognize and address patients’ age-specific needs.
  • Communicate and interact effectively with patients, families, staff, and community members from diverse backgrounds.
  • Recognize situations requiring immediate physician attention and initiate life-saving procedures when necessary.
  • Facilitate coordination of inpatient and outpatient care and services, collaboration among providers, and coordination of community resources.
  • Ensure compliance with legal, regulatory, and clinical policies and procedures.
  • Participate in quality improvement initiatives.
  • Provide and coordinate patient teaching and counseling.
  • Consult with a physician or refer cases to a collaborating physician when a task, procedure, or diagnostic problem exceeds the NP’s competence.
  • Perform other duties as assigned.
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