Nurse Practitioner Physician Assistant Certified Nurse Midwife Perinatal Psychiatric Mental Health

JOB DESCRIPTION

This paragraph summarizes the general nature, level and purpose of the job.

The Advanced Practice Providers (APP) are members of a collaborative team consisting of Attending Physicians, Fellows, Residents, Nurses, and other support staff. The APP will provide psychiatric mental health services to perinatal patients and routine obstetric care across inpatient and ambulatory domains. The APP will be credentialed to diagnose and prescribe treatment, including medication management and psychotherapy. Experience in women’s health/obstetrics, in particular in the care of perinatal and postpartum patients is preferred.

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.

Certified Nurse Midwife (CNM): The Certified Nurse Midwife functions under the general Certified Nurse Midwife Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Certified Nurse Midwife provides routine prenatal and postpartum care to patients with normal prenatal histories and postpartum courses as well as the management of those patients with acute and chronic conditions related to (and during the course of) pregnancy, in collaboration with the physician(s) and through implementation of standardized procedures.

ESSENTIAL FUNCTIONS

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.

Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital (s).

A. An NP/PA/CNM may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA/CNM's education, training and experience, and which are performed in collaboration with a physician.

B. An NP/PA/CNM shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA/CNM determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.

C. Scope of Practice of the NP/PA/CNM:

• 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.
• Recognizes and considers age-specific needs of patients.
• Effectively…