Nurse Practitioner/Physician Assistant – Relief Inpatient Neurosurgery

0.0 FTE Part time Rotating – 08 Hour R2442191 Onsite 107450013 APP Inpatient Multi Site Other PALO ALTO, 500 Pasteur Dr, California

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Rotating – 08 Hour (United States of America)

As one of the top-ranked neurosurgery programs in the nation, Stanford Neurosurgery provides comprehensive and compassionate care for our patients. We are at the forefront of scientific research, offering potential therapies not offered anywhere else in the world. Our program is committed to educating, training, and mentoring the next generation of neurosurgery leaders. Join a team-oriented group of APPs caring for Neurosurgery patients on the floor and in the ICU. The Per Diem Inpatient Neurosurgery NP/PA will be working on a primary service and will work a minimum of two 12 hour shifts/month. The NP/PA must be available night and weekend shifts, but can work day shift as well. Each APP will carry 8-10 patients of their own and common diagnoses include CNS tumors, movement disorders, intracranial hemorrhages, and spine pathology. This position offers the opportunity to be involved in many aspects of Neurosurgical care including initial diagnosis, treatment, and preoperative and postoperative care. In addition to daily patient care responsibilities there are many opportunities for learning including teaching on rounds, weekly conferences, monthly staff meetings, and clinical care conferences. The ideal Per Diem Inpatient Neurosurgery NP/PA will have at least 2 years of experience as an Inpatient Neurosurgery APP and will have prior experience with ICP monitoring, EVD management, programming shunts, and drain removals.

This is a Stanford Health Care job. A Brief Overview The Physician Assistant (PA) functions under this Physician Assistant Job Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the PA 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. Locations Stanford Health Care What you will do

• A PA may provide only those medical services which he/she is competent to perform, which are consistent with the PA’s education, training and experience, and which are delegated by a supervising physician who is responsible for the patients cared for by that PA.
• A PA shall consult with a physician regarding any task, procedure or diagnostic problem which the PA determines exceeds his/her level of competence or shall refer such cases to a supervising physician.
• Scope of Practice of the PA:
• 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.
• Administers medications according to the formulary protocol or upon patient-specific approval from the supervising physician, or transmits orally or in writing on a patient’s record, a prescription from the supervising physician to a person who may furnish such medication. All controlled substances in Schedules II-V inclusive require a patient-specific approval by a supervising physician in advance of transmittal of the order or administration of the medication. [see Appendix A: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol]
• 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. [see Appendix A : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] 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.
• After appropriate training, assists the supervising physician in the operating room (OR).
• Acts as first or second assistant under the supervision of an approved supervising physician.
• Performs surgical procedures in the personal presence of the supervising physician.
• 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.

Education Qualifications

• Bachelor’s degree or above from an accredited college or university
• Note: PAs hired prior to July 1, 2012 are not subject to this educational requirement
• Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.

Licenses and Certifications

• PA – Physician Assistant State Licensure
• BLS – Basic Life Support
• DEA – Drug Enforcement Administration

These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford 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 Stanford’s 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. You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) 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, SHC does not discriminate against any person 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, or the perception of any 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.

Base Pay Scale: Generally starting at $91.60 – $121.38 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.