Nurse Practitioner/Physician Assistant: Pelvic Health

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Day – 10 Hour (United States of America)

We are seeking an APP (NP or PA) for our multidisciplinary Pelvic Health Center.

Our clinic provides care for patients with gynecologic, urologic, gastrointestinal and colorectal conditions in an outpatient setting. As an APP in Pelvic Health, you will care for complex patients with a wide variety of conditions alongside a team of fellow APPs, nurses, medical assistants, physical therapists, and physicians / surgeons. The APP will primarily see return visits, post-op visits and procedure visits, with occasional pre-op and new patient visits as needed. The APP will also help coordinate and lead our monthly multidisciplinary conference with the goal of building unified care plans for complex patients seeing multiple providers within our Center. This conference is a unique leadership opportunity to collaborate with radiologists, physicians, and physical therapists to deliver the highest quality patient care.

Responsibilities include: comprehensive history and physical examination, ordering and interpreting diagnostic studies, and prescribing appropriate treatments. Other responsibilities include collaboration with physicians and other members of the care team, documentation of patient care, communication/education with patients, responding to patient and staff MyHealth messages, and conducting quality improvement efforts.

Common diagnoses managed: overactive bladder, urinary incontinence, pelvic organ prolapse, recurrent urinary tract infections, urinary retention, painful bladder syndrome, hematuria, pelvic pain, endometriosis, pelvic floor dysfunction, chronic constipation, irritable bowel syndrome, gastroesophageal reflux disease, hemorrhoids, anal fissures, anal fistulas, and rectal prolapse.

Common procedures performed: percutaneous tibial nerve stimulation, pessary fittings, urinary catheter management, vaginal/vulvar biopsies, endometrial biopsies, rubber band ligation for hemorrhoids, and others.

Orientation is dependent on the experience of the APP and typically lasts around 4 months. New APPs will progress through training as follows:
(1) shadowing physicians / APPs in each subspecialty ->
(2) shared clinics with MDs ->
(3) parallel clinics with MDs ->
(4) independent clinics

Schedule:

• Orientation: 5x8hr shifts each week (8am-4:30pm)
• Once orientation completed, you will work 4x10hr shifts each week (7:30am-6pm)
• No nights, weekends, or holidays

NP or PA with prior GI/Colorectal experience strongly preferred.

This is a Stanford Health Care job.

A Brief Overview
The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine are 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. This 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: Job Attributes: LEVEL I LEVEL II LEVEL III FLSA Status: Exempt Exempt Exempt Job Code: 400077 400169 400170 Requirement: LEVEL I: Entry level LEVEL II: Meets Career Ladder criteria for NP II LEVEL III: Meets Career Ladder criteria for NP III

Locations
Stanford Health Care

What you will do

• A. An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP’s 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.
• B. An 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.
• C. Scope of Practice of the NP:
• Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients]
• Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized procedures. [see Appendix A Assessment & Management of Patients]
• Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients]
• Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Appendix B : 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 B: 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. 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.

Education Qualifications

• Master’s or Doctoral degree in nursing from an accredited college or university. (Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement.)
• Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).

Licenses and Certifications

• NursingRN – Registered Nurse – State Licensure And/Or Compact State Licensure and
• NP – Nurse Practitioner and
• NPF – NP Furnishing Number and
• BLS – Basic Life Support and

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 $81.45 – $107.92 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.