Nurse Practitioner/Physician Assistant - Relief Hospitalist

divh2Nurse Practitioner/h2pReady to join a growing and driven team of Advanced Practice Providers (APPs) in Inpatient Medicine?/ppCreated in July 2021, the Med 7 Inpatient Service is staffed with a unique hybrid model involving collaborative care provided by both physicians and Advance Practice Providers (APP). The APPs on the Med 7 service are trained in Internal Medicine to manage the day-to-day care of hospitalized patients. This is an excellent opportunity for the right candidate to join a collaborative and supportive APP/MD team practice./ppResponsibilities include complete/comprehensive history and physical examination, ordering and interpretation of diagnostic studies, and prescribing appropriate treatments in collaboration with the attending physician. Other responsibilities include consultation with specialist providers and other team members regarding findings/changes in patient condition, documentation of patient care/procedures per policy, and communication/education with patients and their families. APPs are also responsible for precepting and mentoring Stanford school of medicine Physician Assistant students./ppCommon diagnoses managed: Sepsis/Septic shock/Bacteremia, Cellulitis, UTI, Acute chronic liver failure, Acute kidney injury/failure, COPD/asthma exacerbations, UGIB, Pancreatitis, ETOH withdrawal, DKA, AMS/Delirium, Anemia, Atrial Fibrillation, Syncope, Venous thromboembolism, and Electrolytes Abnormalities./ppOrientation on Med 7 inpatient service is dependent on the experience of the employee and typically lasts between six and twelve weeks. Orientation is tailored to the employee and generally includes participation in team rounds, orientation to procedures, training on difficult conversations including goals of care, and cross training other APP specialty teams./ppThe position is 100% clinical. The typical morning consists of pre-rounding on patients followed by rounds with the attending physician. In the afternoon, the APP carries out the plan of care for patients, consults with other services as indicated, admits, and discharges patients, and performs procedures./ppThe schedule is made 2-3 months in advance and shifts are 7a-7p./ppThis is a Stanford Health Care job./ppThe Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP 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 NP and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee./ppThis job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision. There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook. Here is a description of the various levels:/pulliJob Attributes: LEVEL I LEVEL II LEVEL III/liliFLSA Status: Exempt Exempt Exempt/liliJob Code: 400077 400169 400170/li/ulpRequirement:/pulliLEVEL I: Entry level/liliLEVEL II: Meets Career Ladder criteria for NP II/liliLEVEL III: Meets Career Ladder criteria for NP III/li/ulpLocations Stanford Health Care/ppWhat you will do/pulliAn NP may provide only those medical services which he/she is competent to perform, which are consistent with the NPs education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP./liliAn NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds his/her level of competence or shall refer such cases to a collaborating physician./liliScope of Practice of the NP:/liulliEvaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures./liliObtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized procedures./liliPerforms or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures./liliAdministers, orders, furnishes and prescribes medications, according to written standardized procedures./liliOrders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products./liliOrders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services./liliPerforms designated procedures after demonstrated competency, according to written standardized procedures where applicable./liliObtains informed consent, as indicated./liliInitiates arrangements for hospital admissions and discharges and completes appropriate paperwork./liliAs directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician./liliAfter 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./liliRecognizes and considers age-specific needs of patients./liliEffectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds./liliRecognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary./liliFacilitates the coordination of inpatient and outpatient care and services as needed./liliFacilitates collaboration between providers and coordination of community resources./liliEnsures compliance with legal, regulatory and clinical policies and procedures./liliParticipates in quality improvement initiatives./liliProvides and coordinates patient teaching and counseling./liliOther duties as assigned./li/ulpEducation Qualifications/pulliMasters or Doctoral degree in nursing from an accredited college or university./liliNote: NPs hired prior to March 1, 2012 are not subject to this educational requirement./liliGraduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE)./li/ulpLicenses and Certifications/pulli1. Licensure as a Registered Nurse (RN) in the State of California./lili2. Certification as a Nurse Practitioner (NP) in the State of California./lili3. National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS)./lilia. Note: All NPs hired after November 1, 2013 must be nationally certified upon hire./lili4. Certification in Basic Life Support (BLS) from the American Heart Association (AHA)./lili5. Furnishing license issued by the Board of Registered Nursing (BRN)./lilia. NPs with six (6) months or more experience shall obtain a current furnishing license within six (6) months of hire./lili6. Additional board certification(s) may be required by certain specialties/departments./li/ulpThese principles apply to ALL employees:/ppSHC Commitment to Providing an Exceptional Patient Family Experience/ppStanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanfords patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery./ppYou will do this by executing against our three experience pillars, from the patient and familys perspective:/pulliKnow Me: Anticipate my needs and status to deliver effective care/liliShow Me the Way: Guide and prompt my actions to arrive at better outcomes and better health/li/ul/ul/div