Nurse Practitioner / Physician Assistant, Neurosurgery

OUTPATIENT ROLE

Initial and follow‑up management of neurosurgical clinic patients in shared MD and independent NP clinics including outreach locations. Perform appropriate history and physical exams, order and interpret diagnostic imaging, order and manage medications, treatments, devices, admissions, and referrals. Complete appropriate documentation and billing within 7 calendar days of the date of visit. Assist with triage: triage and address calls, messages, orders, referral and advice calls from outside facilities in conjunction with the clinic RN.

INPATIENT ROLE

Collaborate with surgeon and resident team to cover all inpatients on the neurosurgery service including evaluation, management, orders, wound care, procedures, documentation, and discharge. Care for patients with complex, multisystem disease and trauma. Perform procedures consistent with privileges. Perform consultations for inpatients and ED patients. RESPONSIBILITIES OF THE ADVANCED PRACTICE PROVIDER (APP) The APP is part of a collaborative team consisting of attending physicians, fellows, and other advanced practice providers (NPs and PAs). Responsibilities include receiving sign‑out from the overnight team, pre‑rounding on assigned patients, developing a plan of care for the day, presenting patients on rounds, writing a daily note, implementing the plan agreed upon during rounds, responding to issues raised by nurses, and performing the following procedures: Intubation Central line placement Arterial line placement Chest tube insertion PD drain placement Chest tube removal Pacing wire removal

ESSENTIAL FUNCTIONS

Employees must abide by all Joint Commission Requirements including, but not limited to, sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Employees must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. A. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall 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. 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. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. 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. 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/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (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. Ongoing Professional Practice Evaluation (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.

EDUCATION

Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).

LICENSURE / CERTIFICATION

Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA). 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. Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California. Certification as a Nurse Practitioner (NP) in the State of California. National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications. 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. Additional board certification(s) may be required by certain specialties/departments.

PHYSICAL REQUIREMENTS

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 your 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. Minimum to Midpoint Range (Hourly): $87.55 to $109.44

BENEFITS

Student Loan Assistance Program: Eligible for up to $9,600 applied directly to your student loan account.

EEO STATEMENT

Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non‑discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national and ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of the above. 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 Stanford Children's Health | Lucile Packard Children's Hospital Stanford