APP- Nurse Practitioner​/Physician Assistant - Neurocritical Care

Overview

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Rotating - 12 Hour (United States of America) The Stanford neurocritical care program provides unparalleled care for patients with critical neurologic illness. The neurocritical care program is dedicated providing excellent clinical care for the sickest, most vulnerable patients and performing cutting edge research to bring discovery to the bedside and improve patient outcomes. The APP team started in 2016 and is made up of 21 total APPs which are an essential to the neurocritical care program.

• Participate in multidisciplinary rounds with attendings, fellows, residents, and APPs
• Manage 4-6 patients of their own as well as consults in a variety of critical care settings
• Perform procedures including central lines, arterial lines, and lumbar punctures
• Have access to many learning opportunities and resources

The Neurocritical Care APP will go through an 8 week orientation tailored to their individual experience. Neuro and/or ICU experience is preferred, but not required.
This is a Stanford Health Care job.

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.

Stanford Health Care

• Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ 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.
• A. 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.
• B. 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.
• C. Scope of Practice of the PA:
• 1. Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty.
• 2. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.
• 3. 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.
• a. All PA’s who are credentialed and privileged by April, 2021 who have not completed a controlled substance course must successfully complete the course by August 31, 2021 during which time patient specific approval of a medication order by a supervising physician is obtained, documented in the medical record, and is co-signed. [see Standardized Procedure:
  Administering, Ordering, Furnishing or Prescribing of Drugs;
  Formulary Protocol]
• 4. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.
• 5. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
• 6. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
• 7.…