About The Position

The APP in the PREPARE Pediatric Pre-Anesthesia Testing Clinic independently evaluates and prepares pediatric patients for procedures requiring anesthesia. The APP works closely with anesthesiologists, surgeons, pediatric specialists, nursing staff, and perioperative teams to optimize patients before surgery, reduce perioperative risk, and improve patient safety. Evaluations may be conducted by telephone, telehealth, inpatient, or in-person visits. The APP obtains and assesses medical, surgical, anesthesia, medication, allergy, and family histories; conducts thorough reviews of systems; evaluates perioperative risk factors; and identifies patients who need further evaluation, testing, or consultation to support safe perioperative care.

Requirements

  • Graduation from a California Board of Registered Nursing approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP).
  • At least five years of experience as a licensed Pediatric Nurse Practitioner.
  • At least three years of recent experience in pediatric ambulatory or perioperative care, including preoperative and/or postoperative patient management.
  • Demonstrated experience performing comprehensive patient assessments, clinical decision-making, and care coordination for surgical patients.
  • Unrestricted California Registered Nurse (RN) license.
  • Unrestricted California Certified Nurse Practitioner (NP) license.
  • California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges.
  • National NP board certification from an accepted certifying agency aligned with the patient population and clinical role. Listed certifications include CPNP-PC, PPCNP-BC, CPNP-AC, FNP-C, and FNP-BC.
  • California driver license if required for the position.
  • DEA registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address.
  • American Heart Association Basic Life Support (BLS) certification.
  • Credentialing through UCSF Medical Center’s Office of Medical Affairs and Governance (OMAG) must be completed before the first working day; credentialing takes 60–90 days.

Responsibilities

  • Conduct comprehensive preoperative assessments through telephone, video, and in-person consultations.
  • Review medical histories, medications, allergies, laboratory results, and relevant diagnostic studies.
  • Identify potential anesthesia-related risks and escalate concerns to the appropriate anesthesia team.
  • Provide individualized preoperative instructions, including medication management, fasting guidelines, and preparation for surgery.
  • Coordinate care with surgical teams, anesthesiologists, specialists, and other healthcare professionals.
  • Review and follow up on outstanding medical records, laboratory results, and specialty recommendations.
  • Document assessments and care plans accurately in the electronic medical record (APeX).
  • Participate in clinical triage, quality improvement initiatives, and workflow optimization.
  • Support patient and family education to promote safe and positive perioperative experiences.
  • Collaborate with PREPARE leadership to maintain high standards of patient safety, quality, and efficiency.
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