Lucile Packard Children's Hospital Stanford Physician Assistant/Nurse Practitioner - Neurosurgery - John Muir (1.0 FTE, Days) in Palo Alto, California
Nursing Advance Practice
Title: Nurse Practitioner or Physician Assistant (APP)Specialty: Pediatric NeurosurgeryEnvironment: Inpatient, Outpatient and Operating RoomMain Location: Walnut Creek, CaliforniaShift: 8 hr DaysSchedule: Full Time (No weekends, nights, calls or holidays)
Lucile Packard Children's Hospital Stanford is the heart and soul of Stanford Children’s Health. Nationally ranked and internationally recognized, our 311-bed hospital is devoted entirely to pediatrics and obstetrics. Our six centers of excellence provide comprehensive services and deep expertise in key obstetric and pediatric areas: brain & behavior, cancer, heart, pregnancy & newborn, pulmonary and transplant. We also provide an additional, wide range of services for babies, kids and pregnant moms.
Seeking a highly motivated, self-starter APP with excellent communication skills to join our newly expanding Pediatric Neurosurgical team at John Muir Medical Center in Walnut Creek, CA. The APP will be credential through both Stanford Children’s Health and John Muir Medical Center Medical Staff organizations. This role will collaborate directly with the attending physician and participate in all aspects of comprehensive pediatric neurosurgical care including outpatient clinic, first assist in the OR, inpatient care and community outreach. Stanford Children’s Healthcare system is a tertiary referral center, and the APP will be involved in the care of patients from routine pediatric neurosurgery care such as plagiocephaly and hydrocephalus to complex patient management and clinical decision making. Through focused and ongoing professional practice evaluations, the APP may obtain privileging to perform additional appropriate standardized procedures. It is the expectation of this role to be a steadfast resource, role model and educator for patient, families, and our network of community health care providers.
The Team: The Advanced Practice Provider (APP) position is part of a collaborative team model of care consisting of Attending Physicians and clinic coordinator who provide care for patients in Pediatric Neurosurgery.
Common Diagnoses:Brain tumors, hydrocephalus, Spina Bifida, head traumas, craniofacial abnormalities, Chiari malformation.
Common Procedures:Ventricular taps via shunt or reservoir, lumbar punctures, assist with placement and management of EVDs.
Schedule: Full TimeDays (No weekends, nights, calls or holidays)
Learning Opportunities: Include joint meetings with Pediatric Neurosurgery Service at Stanford Children’s Hospital, continuing education through Stanford Hospital and Stanford Children’s Hospital, APP lectures, MD Grand Rounds, etc.
Additional Opportunities: APP Council and Task forces, process improvements.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
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.
Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner 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 Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors.
Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors.
Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).
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 iNP/PAatient 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.
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 iNP/PAut 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.
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.
One year of post graduate experience in a Pediatric setting strongly preferred.
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/PA program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
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/PA):
Licensure as a Registered Nurse (RN) in the State of California
Certification as a Nurse Practitioner (NP/PA) in the State of California
National Board Certification as a Nurse Practitioner (NP/PA) from an agency accredited by the American Board of Nursing Specialties (ABNS).
Note: New graduate NP/PAs will be allotted six (6) months from their graduation date to obtain national board certification.
*Registered Nurse First Assistant (RNFA) Certification Required.
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.
Licensure/Certification:Additional board certification(s) may be required by certain specialties/departments.
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.
Lucile Packard Children’s Hospital Stanford 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, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply.