About The Position

Stanford Health Care is seeking a Nurse Practitioner or Physician Assistant to join its hepato-pancreatico-biliary surgery and surgical oncology team. The specialty practice treats malignancies involving the upper GI tract, liver, pancreas, bile ducts, and peritoneal lining, as well as non-cancerous conditions including pancreatitis and complex gallbladder and bile duct disorders. The team has expertise in complex surgical techniques, including minimally invasive and robotic surgery and HIPEC. The APP works with attending surgeons and residents in a hybrid inpatient/outpatient role and is responsible for comprehensive patient care, including history and physical examinations, postoperative management, evaluation of acute complaints, care coordination, and discharge planning. In the inpatient setting, the APP may learn or perform bedside procedures and may assist in surgery if desired. This is a four-day-per-week schedule with 10-hour day shifts, without call or weekends. Opportunities for additional learning, research, multidisciplinary tumor board participation, and mentoring are available to interested APPs. The Physician Assistant functions under the applicable PA job description and service-specific functions established with supervising physicians and approved through the relevant clinical and administrative committees. The role includes evaluating and treating patients with acute and chronic complaints and health maintenance needs related to the specialty; coordinating inpatient and outpatient care; collaborating with providers and community resources; and following legal, regulatory, and clinical policies and procedures. The selected candidate must meet the stated education, licensure, and certification qualifications.

Requirements

  • Bachelor’s degree or above from an accredited college or university.
  • 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.
  • Demonstrated competency before performing designated procedures.
  • Appropriate training before assisting the supervising physician in the operating room.

Nice To Haves

  • Interest in learning or performing bedside procedures and assisting in surgery.
  • Interest in additional learning, research, multidisciplinary tumor board participation, and 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, request, and evaluate diagnostic studies as indicated.
  • Prescribe or administer medications within applicable formulary protocols and supervising-physician approvals.
  • Order and collect specimens for routine laboratory tests, screening procedures, 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 according to 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.
  • After appropriate training, assist the supervising physician in the operating room and act as first or second assistant under an approved supervising physician.
  • Perform surgical procedures in the personal presence of the supervising physician.
  • Recognize and address age-specific patient 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 and facilitate collaboration between 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.
  • Manage postoperative patients, evaluate acute complaints, coordinate care, and plan discharges.
  • Consult with specialist physicians and other team members regarding findings and 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.
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