APP (Nurse Practitioner/Physician Assistant)- Primary Care Senior Care- FT Days (8 Hours)

Stanford Health Care•Stanford, CA

9d•$92 - $121•Onsite

About The Position

The Nurse Practitioner (NP) provides routine care and manages patients with acute and chronic complaints in collaboration with a supervising physician and through standardized procedures. The NP may provide only medical services within their competence, education, training, and experience. The position serves primary care senior-care patients and includes assessment, treatment, care coordination, patient education, and counseling. NPs must meet the organization’s essential functions, qualifications, and supervision requirements. A voluntary career ladder is available for NPs seeking advancement based on clinical expertise and contributions to the institution and profession. The NP works under written standardized procedures and physician supervision. Specific functions for the service, clinic, or department are established by the NP and supervising physician(s), with required organizational approvals. The role also requires adherence to Stanford Health Care’s C-I-CARE patient-experience standards, which emphasize anticipating patient needs, guiding patients toward better outcomes, and coordinating the complexity of care.

Requirements

Master’s or doctoral degree in nursing from an accredited college or university; NPs hired before March 1, 2012 are exempt from this educational requirement.
Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
Registered Nurse (RN) state licensure and/or compact-state licensure.
Nurse Practitioner (NP) certification.
NP Furnishing Number (NPF).
Basic Life Support (BLS) certification.
Provide only medical services consistent with the NP’s competence, education, training, and experience, under physician supervision.
Consult with a physician or refer cases that exceed the NP’s level of competence.
Adhere to applicable standardized procedures and organizational policies.

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 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 by patient evaluation.
Administer, order, furnish, and prescribe medications according to standardized procedures and applicable formulary protocols.
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 in accordance with 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; obtain advance patient-specific physician orders for medications that are not FDA-approved or are used off-label.
After appropriate training, assist the supervising physician in the operating room; the RN First Assistant directly assists the surgeon during the intraoperative phase and does not concurrently function as a scrub nurse.
Recognize and consider the age-specific needs of patients.
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.
Facilitate collaboration between 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.