About The Position

The Nurse Practitioner (NP) provides routine care and management for patients with acute and chronic complaints in collaboration with a supervising physician and through implementation of standardized procedures. NPs may provide only medical services within their competence and consistent with their education, training, and experience. The NP consults with or refers to a physician when a task, procedure, or diagnostic problem exceeds their level of competence. Specific functions for a service, clinic, or department are established by the NP and supervising physician(s), and approved through the organization’s medical and nursing governance processes. The role covers all NP classifications and requires meeting the applicable essential functions, qualifications, and supervision requirements. A voluntary career ladder is available for NPs seeking advancement based on clinical expertise and contributions. The NP evaluates and treats patients, takes histories, performs physical examinations, orders and interprets diagnostic studies, and administers, orders, furnishes, and prescribes medications according to written standardized procedures. The NP also orders and collects specimens and routine laboratory tests, orders therapies and nursing services, performs designated procedures after demonstrating competency, obtains informed consent, and assists with hospital admission and discharge arrangements. With appropriate training, the NP may assist a supervising physician in the operating room. The role includes patient and family communication, age-specific care, urgent response, care coordination, patient education, regulatory compliance, and participation in quality improvement initiatives. The position is with Stanford Health Care and is listed as full-time, day shift, with an eight-hour schedule. The organization expects employees to follow its C-I-CARE patient-experience standards and is an equal opportunity employer.

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).
  • State Registered Nurse (RN) licensure and/or compact state licensure.
  • Nurse Practitioner (NP) certification.
  • NP Furnishing Number (NPF).
  • Basic Life Support (BLS) certification.
  • Provide only services consistent with the NP’s competence, education, training, and experience, under physician supervision.
  • Comply with written standardized procedures and consult with or refer to a physician when a matter exceeds the NP’s competence.

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 on new and returning patients.
  • Perform or request and evaluate diagnostic studies as indicated by patient evaluation.
  • Administer, order, furnish, and prescribe medications according to written 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 applicable standardized procedures.
  • Obtain informed consent when indicated.
  • Initiate hospital admission and discharge arrangements and complete appropriate paperwork.
  • As directed by the supervising physician, enroll patients in IRB-approved investigational studies and order necessary tests and medications.
  • Assist the supervising physician in the operating room after appropriate training, following applicable role and procedure requirements.
  • Recognize and address age-specific patient needs.
  • 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.
  • Coordinate inpatient and outpatient care and services as needed.
  • Facilitate collaboration among providers and coordinate 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 or refer cases to a physician when a task, procedure, or diagnostic problem exceeds the NP’s competence.
  • Perform other duties as assigned.
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