About The Position

The Physician Assistant (PA) works under the approved Physician Assistant Job Description and performs specialty-specific functions established with supervising physician(s) and approved by the relevant medical and nursing administrators and credentialing bodies. The PA may provide services within their competence, education, training, and experience, and consults or refers to a supervising physician when a task or clinical issue exceeds that scope. The role evaluates and treats patients with acute and chronic complaints and health-maintenance needs related to the specialty. It includes obtaining histories and performing physical examinations, ordering and evaluating diagnostic studies, managing medications under physician supervision and applicable practice agreements, collecting specimens, ordering therapies and services, and performing designated procedures after demonstrating competency. The PA may support inpatient and outpatient care, coordinate admissions and discharges, obtain informed consent, provide patient education and counseling, and assist in the operating room after appropriate training. The PA is expected to recognize age-specific patient needs and situations requiring immediate physician attention, initiate life-saving procedures when necessary, communicate effectively with patients, families, staff, and community members, and coordinate care and community resources. The role also includes compliance with legal, regulatory, clinical, Joint Commission, safety, and quality requirements, as well as participation in quality-improvement initiatives and Stanford Health Care’s patient- and family-experience standards.

Requirements

  • Bachelor’s degree in nursing from an accredited university; PAs hired before July 1, 2012 are not subject to this educational requirement.
  • Graduate of a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
  • Physician Assistant state licensure.
  • Basic Life Support (BLS) certification.
  • Drug Enforcement Administration (DEA) registration.
  • Provide only medical services within the PA’s competence and consistent with education, training, and experience.
  • Consult a physician or refer cases to a supervising physician when a task, procedure, or diagnostic problem exceeds the PA’s competence.
  • Complete a California Physician Assistant Board-approved controlled-substance course to order or furnish controlled medications, as applicable.

Responsibilities

  • Evaluate and treat patients with acute and chronic complaints and health-maintenance concerns related to the specialty.
  • 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.
  • Order or furnish medications under physician supervision and in accordance with the practice agreement, education, training, and applicable requirements.
  • 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 follow written 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.
  • After appropriate training, assist the supervising physician in the operating room as a first or second assistant and perform surgical procedures in the supervising physician’s personal presence.
  • Recognize and consider 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.
  • Facilitate coordination of inpatient and outpatient care and services.
  • Facilitate collaboration between providers and coordination of community resources.
  • Ensure compliance with legal, regulatory, clinical, safety, and quality policies and procedures, including Joint Commission requirements and National Patient Safety Goals.
  • Participate in quality-improvement initiatives.
  • Provide and coordinate patient teaching and counseling.
  • Adopt and execute Stanford Health Care’s C-I-CARE standards and experience pillars: Know Me, Show Me the Way, and Coordinate for Me.
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