APP (Physician Assistant/Nurse Practitioner)- Liver Transplant Surgical- FT Day (8 Hour)

Stanford Health Care•Palo Alto, CA

About The Position

The Physician Assistant (PA) works under the approved Physician Assistant Job Description and within service-, clinic-, or department-specific functions established with supervising physicians and approved by relevant medical and nursing administrators and committees. The PA may perform only services within their competence and must consult or refer to a supervising physician when a task, procedure, or diagnostic problem exceeds that competence. The role supports liver transplant surgical care at Stanford Health Care and includes patient evaluation, treatment, care coordination, and assistance in the operating room under physician supervision. The PA evaluates and treats acute and chronic complaints and health-maintenance concerns related to the specialty; takes histories and performs physical examinations; orders and evaluates diagnostic studies; and orders or furnishes medications under physician supervision and applicable practice agreements. The role also includes ordering and collecting specimens, arranging therapies and nursing services, performing designated procedures after demonstrating competency, obtaining informed consent, coordinating admissions and discharges, and supporting approved investigational studies as directed. After appropriate training, the PA assists in the operating room as a first or second assistant under an approved supervising physician and performs surgical procedures in that physician’s presence. The PA recognizes age-specific patient needs, communicates effectively with patients and families from diverse backgrounds, responds to situations requiring immediate physician attention, and initiates life-saving procedures when necessary. The position also coordinates inpatient and outpatient services, collaborates with providers and community resources, supports compliance and quality improvement, and provides patient education and counseling. Employees are expected to meet Joint Commission requirements and Stanford Health Care’s C-I-CARE patient-experience standards, which emphasize anticipating patient needs, guiding patients and families, and coordinating complex care. This is a Stanford Health Care position with an eight-hour day schedule. The stated base pay scale generally starts at $91.68 and ranges to $121.48 per hour; final pay depends on factors including internal equity, experience, education, specialty, and training.

Requirements

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

Responsibilities

Evaluate and treat patients with acute and chronic complaints and health-maintenance concerns related to the specialty.
Obtain complete patient histories and perform pertinent physical examinations, assessing normal and abnormal findings for new and return patients.
Perform or request and evaluate diagnostic studies as indicated.
Order or furnish medications under physician supervision and applicable practice agreements, consistent with education and training.
Order and collect specimens for 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 written standardized procedures where applicable.
Obtain informed consent as indicated.
Initiate arrangements for hospital admissions and discharges and complete related paperwork.
Enroll patients in IRB-approved investigational studies and order necessary tests and medications as directed by the supervising physician.
Assist the supervising physician in the operating room after appropriate training, acting as a first or second assistant under supervision.
Perform surgical procedures in the personal presence of the supervising physician.
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, and clinical policies and procedures.
Participate in quality improvement initiatives.
Provide and coordinate patient teaching and counseling.
Follow Joint Commission requirements and Stanford Health Care C-I-CARE patient-experience standards.
Consult with a physician or refer cases to a supervising physician when a task, procedure, or diagnostic problem exceeds the PA’s competence.