Stanford Health Care APP: PA/NP - Cardiac Surgery (Operating Room & Clinics) (42345) in Palo Alto, California
APP: PA/NP - Cardiac Surgery (Operating Room & Clinics) (42345)
Job Type:Full Time
Hours in Shift:10
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.
Evaluates and treats patients with acute, chronic complaints and health maintenance concerns
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
Administers, orders, furnishes and/or 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
Obtains informed consent
Initiates arrangements for hospital admissions and discharges
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
Facilitates collaboration between providers and coordination of community resources
Provides and coordinates patient teaching and counseling.
· Operating Room:
· Maintain and address current surgeons OR list, update as needed, order any additional studies or tests needed pre-op.
· See patients in SAU that are over 30 days since clinic visit for new H&P.
· Preform 24 hour update morning of surgery by 6:30 am.
· Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.
· Ability to work as a team with the other APP's and cover all cases when needed.
· First assist in adult cardiac surgery, Minimum 3 years experience.
· Ability to be in the OR by 7am, scans and imaging displayed in OR, assist anesthesia and nursing with any surgical questions and surgical plan.
· Help position and prep patients for surgery; for incision goal time of 8:00am.
· Will to work with residents, and assist in their training and educational process.
· Ability to be motivated, flexible and willing to be part of a passionate, growing, dynamic and integrated team. Passion to be part of a rapidly growing cardiac surgery patient population and team. Needs to have passion and patience in teaching and training other new PA's.
· Will to work under one main attending surgeon, see all his clinic patients and participate in all his/her surgical cases. Will also be part of the Operating Room PA team/pool and cover other cases when needed.
· Ability to evaluate and treat post op surgical debridement and wound care.
· Experience and willingness to train other new PA's in cardiac surgery and vein harvesting.
· Experienced and proficient in vein harvesting ; both open and endoscopic; (EVH) Minimum 3 years experience
· Experience and proficient in radial artery harvesting, endoscopic radial harvest preferred (EAH).
· Ability to take and preform additional coverage: (as the Lead APP has designated)
o Weeknight coverage (6pm-7am)
o Weekend coverage (Friday starting 6pm - Sunday 7am)
· Cover and help with co-APPs call time, vacation time and leave.
All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, protected veteran status or on the basis of disability.
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NOTE: THIS IS A SURGICAL APP Position. If NP, department will need an RNFA or First Assist
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 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):
Licensure as a Registered Nurse (RN) in the State of California
Certification as a Nurse Practitioner (NP) in the State of California
National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).
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.