Nurse Practitioner - PREPARE Pediatric Pre-Anesthesia Testing Clinic

UCSF•San Francisco, CA

4d•$106 - $137

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 take place by telephone, telehealth, in an inpatient setting, or in person. 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. The APP provides preoperative instructions and patient and family education, coordinates care, reviews diagnostic information and outstanding recommendations, and documents assessments and plans in the electronic medical record. The position also includes inpatient and outpatient direct care, shared and independent patient encounters, care coordination, clinical triage, and participation in quality improvement and workflow optimization.

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.
At least five years of experience as a licensed Pediatric Nurse Practitioner.
At least three years of recent experience in pediatric ambulatory, perioperative care, including preoperative and/or postoperative patient management.
California Registered Nurse (RN) license without restriction.
California Certified Nurse Practitioner (NP) credential without restriction.
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 pediatric outpatient certifications include CPNP-PC, PPCNP-BC, CPNP-AC, FNP-C, and 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 may be required to meet operational needs.
Peer references are expected to reflect an overall rating of meet or exceeds.
Employment is contingent upon successful completion of background checks, including criminal record history checks.

Nice To Haves

California driver's license, if required for the position.

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.
Independently or collaboratively evaluate and manage patients, including taking histories, performing physical examinations, responding to changes in patient status, and ordering or furnishing medications, diagnostic tests, treatments, consultations, referrals, durable medical equipment, and home health services as appropriate.
Perform procedures granted through privileges or standardized procedures; identify acute decompensation and respond in collaboration with physicians; initiate consultations; document assessments and recommend treatments.
Participate in service rounds, patient evaluation, and treatment planning; review and act on laboratory, imaging, procedural, and other diagnostic results; evaluate complex cases and establish individualized care and disposition plans.
Complete clinically relevant paperwork and electronic health record documentation, including medication orders, episodic care notes, telephone encounters, and discharge summaries, in accordance with UCSF rules and regulations.
Communicate findings, treatment options, and care plans to patients and families; monitor patients for discharge, define discharge regimens, provide discharge teaching, and arrange follow-up care.
Coordinate care across the continuum, including admission, coordination with staff and consulting services, discharge planning, episodic care, and routine clinic follow-up.
Participate in huddles and quality improvement meetings, anticipate patients requiring close management, and consult with nursing staff on individualized care plans.
Provide case summaries for disability, insurance, workers' compensation, work releases, and medical supply agencies.
Formulate and implement protocols to improve quality and efficiency and control waste in the clinical specialty.
Evaluate and manage new, follow-up, acute, routine, and specialty patients in independent or shared outpatient encounters, including telehealth; collaborate with attending physicians as needed.
Identify high-risk groups and complex cases for attending physician review, initiate consultations, and facilitate rehabilitation-related services when appropriate.
May first-assist in the operating room if privileged through OMAG after completing required certification and proctoring.