Nurse Practitioner/Physician Assistant- Surgical Oncology- FT Day (10 Hours)

Stanford Health Care•Palo Alto, CA

4d•$92 - $121

About The Position

Stanford Health Care is seeking an Advanced Practice Provider (nurse practitioner or physician assistant) to join its hepato-pancreatico-biliary surgery and surgical oncology team. The specialty practice treats malignancies of the upper gastrointestinal tract, liver, pancreas, bile ducts and peritoneal lining, as well as non-cancerous conditions such as pancreatitis and complex gallbladder and bile duct disorders. The team uses advanced surgical techniques, including minimally invasive and robotic surgery and HIPEC. The APP works in a hybrid inpatient and outpatient role alongside attending surgeons and residents, providing comprehensive patient care. Duties include taking histories and performing physical examinations, managing postoperative patients, evaluating acute complaints, coordinating care and planning discharges. In the inpatient setting, the APP is encouraged to learn or perform bedside procedures and may assist in surgery if desired. The position is four days per week, with 10-hour days and no call or weekend work. Learning, research, multidisciplinary tumor board participation and mentoring opportunities are available to interested APPs. The Physician Assistant functions under the Physician Assistant Job Description approved by the Interdisciplinary Practice Committee. Service-, clinic- or department-specific functions are established by the PA and supervising physician(s), with approval from the appropriate medical and nursing administrators and committees. The PA practices under the supervision of an approved supervising physician and applicable standardized procedures, policies and protocols.

Requirements

Bachelor’s degree or above from an accredited college or university. PAs hired before July 1, 2012 are exempt from this educational requirement; the job description also specifies graduation from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
Physician Assistant state licensure.
Basic Life Support (BLS) certification.
Drug Enforcement Administration (DEA) registration.
Adopt and execute Stanford Health Care’s C-I-CARE standards for patient-centered interactions.

Nice To Haves

Interest in bedside procedures, assisting in surgery, additional learning, research, multidisciplinary tumor boards or mentoring.

Responsibilities

Evaluate and treat patients with acute and chronic complaints and health-maintenance concerns related to the specialty.
Obtain complete histories and perform pertinent physical examinations, assessing normal and abnormal findings for new and returning patients.
Perform or request and evaluate diagnostic studies as indicated.
Administer medications under formulary protocols or patient-specific supervising-physician approval, and transmit prescriptions as permitted by policy.
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 when indicated.
Initiate hospital admission and discharge arrangements and complete associated paperwork.
As directed by the supervising physician, enroll patients in IRB-approved investigational studies and order necessary tests and medications.
After appropriate training, assist the supervising physician in the operating room and act as a first or second assistant under an approved supervising physician.
Perform surgical procedures in the personal presence of the supervising physician.
Recognize and consider patients’ age-specific needs; communicate effectively with patients, families, staff and community members from diverse backgrounds.
Recognize situations requiring immediate physician attention and initiate life-saving procedures when necessary.
Coordinate inpatient and outpatient care and services, collaboration among providers, and 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 specialist physicians and other team members about findings or changes in patient condition.
Initiate and adjust postoperative orders in collaboration with the physician.
Document patient care and procedures according to policy and ensure longitudinal communication with the outpatient team and referring providers.