Nurse Practitioner - PREPARE Pediatric Pre-Anesthesia Testing Clinic

University of California, San Francisco•Oakland, CA

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, in-person, or in an inpatient setting. The role includes obtaining and assessing medical, surgical, anesthesia, medication, allergy, and family histories; conducting thorough reviews of systems; assessing perioperative risk factors; and identifying patients who need additional evaluation, testing, or consultation to support safe perioperative care. The position includes inpatient and outpatient direct care, shared encounters with physicians, and care coordination. Responsibilities encompass patient assessment and management, reviewing diagnostic information, coordinating with multidisciplinary teams, educating patients and families, documenting care in the electronic medical record, and participating in quality improvement and workflow optimization. The role may include operating-room first assistance if the APP has the required privileges, certification, and proctoring. The position requires flexibility to work at all UCSF Health facilities and may require flexible hours or other duties to meet operational needs. Employment is contingent upon successful completion of the required background checks for this critical position.

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).
Demonstrated experience performing comprehensive patient assessments, clinical decision-making, and care coordination for surgical patients.
Minimum of five years of experience as a licensed Pediatric Nurse Practitioner.
Minimum of three years of recent experience in pediatric ambulatory and perioperative care, including preoperative and/or postoperative patient management.
Unrestricted California Registered Nurse (RN) license.
Unrestricted California Certified Nurse Practitioner (NP) license.
California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges.
National 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, or FNP-BC.
Drug Enforcement Administration (DEA) registration for Schedules 2, 2N, 3, 3N, 4, and 5, registered to a California address.
American Heart Association (AHA) Basic Life Support (BLS) certification.
Flexibility to work at all UCSF Health facilities and locations.
Ability to work flexible hours and perform other duties as operational needs require, if needed.
Peer references are expected to reflect an overall rating of meet or exceeds.
Successful completion of background checks, including criminal record history checks.

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.
Evaluate and manage patients independently or collaboratively, including taking histories, performing physical examinations, responding to changes in patient status, and ordering or furnishing medications, tests, treatments, consultations, referrals, durable medical equipment, and home health services as appropriate.
Perform procedures granted through privileges or standardized procedures.
Identify acute decompensation or failure, respond to the plan of care, and review findings with a physician; initiate consultations when indicated.
Participate in service rounds and patient evaluation and treatment planning; review and act on laboratory, imaging, and other diagnostic results.
Establish individualized care plans, including plans for disposition, rehabilitation, and follow-up, and coordinate care across inpatient and outpatient settings.
Complete clinically relevant paperwork and electronic health record documentation, including episodic care notes, telephone encounters, and discharge summaries; comply with documentation and billing policies.
Communicate findings, treatment options, and care plans to patients and families.
Monitor patients for discharge, define discharge regimens with multidisciplinary teams, and provide discharge teaching and follow-up recommendations.
Coordinate hospital admissions, care with staff and consulting services, discharge planning, episodic care, and routine clinic follow-up.
Participate in clinic and hospital huddles, anticipate patients needing close management, consult with nursing staff on individualized care plans, and contribute to quality improvement meetings.
Formulate and implement protocols to improve quality and efficiency and control waste in the clinical specialty.
May first-assist in the operating room if appropriately privileged and after completing required certification and proctoring.
Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within three days.