Nurse Practitioner/Physician Assistant - Inpatient/Outpatient Internal Medicine Hospitalist - .[...]

Created 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. Responsibilities Complete, comprehensive history and physical examination; ordering and interpretation of diagnostic studies; 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. Scope of Practice Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty. 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. Orders or furnishes medications under physician supervision, in accordance with the practice agreement, consistent with the PA’s educational preparation and training, and upon completion of a California Physician Assistant Board approved controlled substance course. 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 (OR). 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. Common 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 Electrolyte abnormalities Orientation The orientation on the Med 7 inpatient service is tailored to the employee’s experience and typically lasts between six and twelve weeks. It includes participation in team rounds, orientation to procedures, training on difficult conversations including goals of care, and cross‑training in other APP specialty teams. Position Details The 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. Education & Qualifications Bachelor’s degree in Nursing from an accredited university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. State licensure as a Physician Assistant. Basic Life Support (BLS). Drug Enforcement Administration (DEA) certification. Competency & Consultation A PA may provide only those medical services which he/she is competent to perform, consistent with the PA’s education, training and experience. A PA shall consult with a physician regarding any task, procedure or diagnostic problem that exceeds the PA’s level of competence or shall refer such cases to a supervising physician. Legal and Equal Opportunity Stanford Health Care is an Equal Opportunity Employer and does not discriminate on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale Generally starting at $89.01 – $117.94 per hour. Salary is determined based on internal equity, experience, education, specialty and training. #J-18808-Ljbffr