Advance Practice Practitioner - NP​/PA Inpatient Neurosurgery

0.9 FTE Part time Rotating - 12 Hour R2551978 Onsite  APP Inpatient Multi Site Other PALO ALTO, 500 Pasteur Dr, California

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Rotating - 12 Hour (United States of America)

Looking for a 0.9 FTE Advanced Practice Provider (Nurse Practitioner, Physician Assistant or Clinical Nurse Specialist) on the inpatient neurosurgery service. The service covers 24 hours a day, seven days per week, including weekends and holidays. It is a collaborative model consisting of APPs and house staff providing care for patients with neurosurgery diagnoses in the ICU and on the floors.

Common diagnoses include CNS tumors, movement disorders, intracranial hemorrhages, and spine pathology.

This position offers the opportunity to be involved in every aspect of neurosurgical care including initial diagnosis, treatment, and preoperative and postoperative care.

Responsibilities include complete/comprehensive history and physical examination, ordering and interpretation of diagnostic studies, and prescribing appropriate treatments in collaboration with the attending physician. Other responsibilities include consultation with specialist physicians and other team members regarding findings/changes in patient condition and performing procedures per policy.

There are many opportunities for learning including teaching on rounds, weekly conferences, monthly staff meetings, and clinical care conferences.

The Nurse Practitioner (NP) functions under this NP Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP 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 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.

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

• LEVEL I:
  Entry level
• LEVEL II:
  Meets Career Ladder criteria for NP II
• LEVEL III:
  Meets Career Ladder criteria for NP III

Stanford Health Care

• An NP may provide only those medical services which they are 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.
• An NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds their level of competence or shall refer such cases to a collaborating physician.
• 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]
• Admi…