Lucile Packard Children's Hospital
Nurse Practitioner / Physician Assistant - MG-Surgery-Liver (1.0 FTE, Days)
Lucile Packard Children's Hospital, Palo Alto, California, United States, 94306
Overview
Nursing Advance Practice 1.0 FTE, 8 Hour Day Shift At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account. This benefit is for eligible positions as outlined in our program guidelines. Job Summary
The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team; pre-rounding on assigned patients, developing a plan of care for the day for that patient, presenting patients on rounds, writing a daily note, and implementing the plan agreed upon during rounds while responding to any issues raised by the nurses during the day. The APP is credentialed to perform procedures including intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, and pacing wire removal. NP/PA Roles Nurse Practitioner (NP)
: The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine care and management of patients 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 IDPC. Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the SHC Medical Board and Board of Directors. Essential Functions
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s). A. An NP/PA may provide only those medical services which they are competent to perform, in accordance with their education, training and experience, and in collaboration with a physician. B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which exceeds their level of competence or refer such cases to a collaborating physician. C. Scope of Practice of the NP/PA : 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. Enters patients in investigational studies approved by the IRB, and orders the necessary tests and medications as directed by the supervising physician. Assists the supervising physician in the operating room after appropriate training; the RN First Assistant directly assists the surgeon during the intraoperative phase and must adhere to standardized procedures. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and community members from diverse backgrounds. Recognizes situations requiring immediate physician attention and initiates life-saving procedures when necessary. Facilitates 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. D. Supervision : Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PA at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as part of quality improvement programs. OPPE through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead APP, Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. OPPE also occurs through tracking of performance indicators. Minimum Qualifications Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Physician Assistant (PA): Bachelor’s degree or above from an accredited college or university. Graduate of a PA program accredited by ARC-PA. Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the NCCPA. Certification in Basic Life Support (BLS) from the AHA. DEA license for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients. Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Master’s or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by NLNAC or CCNE. Liscensure as a Registered Nurse (RN) in California. Certification as an NP in California. National Board Certification as an NP from an agency accredited by ABNS. Basic Life Support (BLS) certification. Furnishing license issued by the BRN, if furnishing medications. DEA license required only if prescribing controlled substances to outpatients. Additional board certification(s) may be required by certain specialties/departments. Note :
New graduate NPs will be allotted six (6) months from graduation date to obtain national board certification. Licensure/Certification: Additional board certification(s) may be required by certain specialties/departments. Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Salary Range (1.0 FTE):
$186,784.00 to $227,624.80 Equal Opportunity Employer Lucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including employment. LPCH does not discriminate on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
#J-18808-Ljbffr
Nursing Advance Practice 1.0 FTE, 8 Hour Day Shift At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account. This benefit is for eligible positions as outlined in our program guidelines. Job Summary
The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team; pre-rounding on assigned patients, developing a plan of care for the day for that patient, presenting patients on rounds, writing a daily note, and implementing the plan agreed upon during rounds while responding to any issues raised by the nurses during the day. The APP is credentialed to perform procedures including intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, and pacing wire removal. NP/PA Roles Nurse Practitioner (NP)
: The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine care and management of patients 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 IDPC. Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the SHC Medical Board and Board of Directors. Essential Functions
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s). A. An NP/PA may provide only those medical services which they are competent to perform, in accordance with their education, training and experience, and in collaboration with a physician. B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which exceeds their level of competence or refer such cases to a collaborating physician. C. Scope of Practice of the NP/PA : 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. Enters patients in investigational studies approved by the IRB, and orders the necessary tests and medications as directed by the supervising physician. Assists the supervising physician in the operating room after appropriate training; the RN First Assistant directly assists the surgeon during the intraoperative phase and must adhere to standardized procedures. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and community members from diverse backgrounds. Recognizes situations requiring immediate physician attention and initiates life-saving procedures when necessary. Facilitates 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. D. Supervision : Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PA at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as part of quality improvement programs. OPPE through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead APP, Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. OPPE also occurs through tracking of performance indicators. Minimum Qualifications Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Physician Assistant (PA): Bachelor’s degree or above from an accredited college or university. Graduate of a PA program accredited by ARC-PA. Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the NCCPA. Certification in Basic Life Support (BLS) from the AHA. DEA license for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients. Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Master’s or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by NLNAC or CCNE. Liscensure as a Registered Nurse (RN) in California. Certification as an NP in California. National Board Certification as an NP from an agency accredited by ABNS. Basic Life Support (BLS) certification. Furnishing license issued by the BRN, if furnishing medications. DEA license required only if prescribing controlled substances to outpatients. Additional board certification(s) may be required by certain specialties/departments. Note :
New graduate NPs will be allotted six (6) months from graduation date to obtain national board certification. Licensure/Certification: Additional board certification(s) may be required by certain specialties/departments. Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Salary Range (1.0 FTE):
$186,784.00 to $227,624.80 Equal Opportunity Employer Lucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including employment. LPCH does not discriminate on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
#J-18808-Ljbffr