Nurse Practitioner / Physician Assistant, Surgery Liver

Stanford Medicine Children's Health•Palo Alto, CA

1d•$94 - $115•Onsite

About The Position

The Nurse Practitioner / Physician Assistant provides inpatient and outpatient care for children with liver and intestinal transplants. The role includes evaluating and managing patients on acute care and intensive care units, coordinating continuity of care and transitions between inpatient and outpatient teams, and serving as a primary contact for patients, families, and nursing staff. The APP leads multidisciplinary rounds and works collaboratively with transplant APPs, attending physicians, support staff, and residents and fellows. Inpatient responsibilities include daily pre-rounding and rounds, laboratory review, immunosuppression management, orders, consultations, documentation, inpatient transplant consultations on other service lines, admissions, transfers, and discharges. The APP holds the transplant service pager during daytime hours when on service, responds to communications promptly and respectfully, and escalates acute care concerns. The role includes weekend and holiday coverage. The APP may also see patients in outpatient transplant clinics in independent or shared visits with Hepatology and Surgery attendings, and is responsible for outpatient documentation and care management. The position works in both inpatient and outpatient clinical settings and includes participation in patient care, pathology, and radiology conferences and departmental education. The APP provides education about liver and intestinal transplantation to nursing staff, students, and residents. The NP or PA evaluates and treats patients with acute and chronic complaints and health maintenance needs related to the specialty, in collaboration with physicians and according to applicable standardized procedures and role requirements. Duties may include obtaining histories and performing physical examinations, ordering and evaluating diagnostic studies, administering or prescribing medications, ordering tests and therapies, performing designated procedures after demonstrating competency, obtaining informed consent, arranging admissions and discharges, coordinating care, providing patient education and counseling, participating in quality improvement, and ensuring compliance with legal, regulatory, and clinical policies. The role is supervised by a sponsoring or designated attending physician and is subject to established supervision and performance evaluation processes.

Requirements

Physician Assistant: bachelor's degree or above from an accredited college or university and graduation from a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
Nurse Practitioner: master's or doctoral degree in nursing from an accredited college or university and graduation from an NP program accredited by NLNAC or CCNE.
Physician Assistant: California PA licensure and NCCPA certification.
Nurse Practitioner: California RN licensure and California NP certification, plus national NP board certification from an ABNS-accredited agency. New graduate NPs have six months from graduation to obtain national board certification.
Basic Life Support certification from the American Heart Association.
NP furnishing license from the Board of Registered Nursing if furnishing medications.
Individual DEA license for Schedule II–V controlled substances if prescribing controlled substances to outpatients.
Additional board certification may be required by certain services, specialties, or departments.
Provide only medical services within the APP's competence, education, training, and experience, in collaboration with a physician; consult or refer to a physician when a task or problem exceeds that competence.
Effectively communicate and interact with patients, families, staff, and community members from diverse backgrounds.
Recognize age-specific patient needs and comply with legal, regulatory, clinical, safety, and quality requirements.

Responsibilities

Manage inpatient liver and intestinal transplant patients and provide direct care, evaluation, and medical management in acute care and intensive care units.
Coordinate continuity of care and transitions between inpatient and outpatient provider teams.
Perform daily pre-rounding and rounds, review laboratory results, manage immunosuppression, complete orders and documentation, and conduct consultations.
Lead the multidisciplinary team on rounds and provide inpatient transplant consultations for patients on other service lines.
Serve as the primary point of contact for admitted transplant patients and families and for nursing staff.
Manage admissions, transfers, and discharges from the inpatient liver and intestinal transplant service.
Hold the transplant service pager during daytime hours when on service, respond to communications in a timely and respectful manner, and escalate acute care concerns.
Collaborate with other transplant APPs and communicate with attending staff, support staff, and resident and fellow staff to provide patient care coverage.
Participate in patient care, pathology, and radiology conferences and departmental education.
Educate nursing staff, students, and residents about liver and intestinal transplantation.
See patients in outpatient transplant clinics in independent or shared visits with Hepatology and Surgery attendings, and document and manage outpatient transplant care.
Evaluate and treat patients with acute and chronic complaints and specialty-related health maintenance concerns in collaboration with a physician and according to written standardized procedures.
Obtain patient histories, perform physical examinations, and order and evaluate diagnostic studies as indicated.
Administer, order, furnish, or prescribe medications and order or collect specimens and tests as permitted by role and licensure.
Order therapies and nursing services, perform designated procedures after demonstrating competency, and obtain informed consent when indicated.
Arrange hospital admissions and discharges and complete required paperwork.
Facilitate coordination of inpatient and outpatient care, collaboration between providers, and coordination of community resources.
Recognize when physician attention is immediately required and initiate life-saving procedures when necessary.
Provide and coordinate patient teaching and counseling, participate in quality improvement, and ensure compliance with applicable policies and procedures.