Relief Nurse Practitioner / Physician Assistant, Surgery Liver

Stanford Medicine Children's Health•Palo Alto, CA

22h•$98 - $119•Onsite

About The Position

The relief APP in pediatric liver transplant delivers care for pediatric liver and intestinal transplant patients in both the inpatient and outpatient clinical settings. They are responsible for leading inpatient rounds, creating assessment and plans and serve as the primary provider for patients admitted to the transplant service. They are responsible for seeing patients in clinic and via telehealth and creating assessments and plans for transplant patients in the outpatient setting. In both clinical areas they are responsible for documentation and continuation of clinical care in a surgical subspecialty. This relief APP role requires the ability to work weekends and holidays for the service line based on departmental need. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors.

Requirements

Bachelor's degree or above from an accredited college or university (for PA)
Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. (for PA)
Master's or doctoral degree in nursing from an accredited college or university (for NP)
Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE) (for NP)
Licensure as a Physician Assistant (PA) in the State of California (for PA)
Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) (for PA)
Certification in Basic Life Support (BLS) from the American Heart Association (AHA)
An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients
Licensure as a Registered Nurse (RN) in the State of California (for NP)
Certification as a Nurse Practitioner (NP) in the State of California (for NP)
National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS) (for NP)
Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications (for NP)

Nice To Haves

Additional board certification(s) may be required by certain services/departments.

Responsibilities

Leading inpatient rounds
Creating assessment and plans
Serving as the primary provider for patients admitted to the transplant service
Seeing patients in clinic and via telehealth
Creating assessments and plans for transplant patients in the outpatient setting
Documentation and continuation of clinical care in a surgical subspecialty
Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.
Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.
Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.
Administers, orders, furnishes and prescribes medications.
Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.
Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
Obtains informed consent, as indicated.
Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.
Recognizes and considers age-specific needs of patients.
Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.
Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.
Facilitates the coordination of inpatient and outpatient care and services as needed.
Facilitates collaboration between providers and coordination of community resources.
Ensures compliance with legal, regulatory and clinical policies and procedures.
Participates in quality improvement initiatives.
Provides and coordinates patient teaching and counseling.
Other duties as assigned.