PA / NP Internal Medicine Palo Alto CA

Job Description

I. JOB SUMMARY
The Nurse Practitioner/Physician Assistant (NP/PA) functions under the general Nurse Practitioner Standardized Process Protocol or general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). The NP/PA 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/PA 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.
II.

Essential Functions

A. The 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 under the supervision of a physician who is responsible for the patients cared for by that NP/PA.

B. The 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:

1. Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.

2. 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.

3. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures.

4. Administers, orders, furnishes and prescribes medications, according to written standardized procedures.

5. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.

6. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.

7. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.

8. Obtains informed consent, as indicated.

9. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.

10. 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.
Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician.

11. 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.

12. Recognizes and considers age-specific needs of patients.

13. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.

14. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.

15. Facilitates the coordination of inpatient and outpatient care and services as needed.

16. Facilitates collaboration between providers and coordination of community resources.

17. Ensures compliance with legal, regulatory and clinical policies and procedures.

18. Participates in quality improvement initiatives.

19. Provides and coordinates patient teaching and counseling.

20. Other duties as assigned.
Equal Opportunity Employer Stanford Health Care (SHC) 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, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Qualifications:

Nurse Practitioner
Education: Master's or Doctorate Degree in Nursing from an accredited college or university is, required.
License/Certification: BLS - Basic Life Support, required.
License/Certification: CA Registered Nurse (RN), required.
License/Certification: Certification as a Nurse Practitioner by a nationally recognized nursing organization (e.g., American Academy of Nurse Practitioners-AANP, American Nurses Credentialing Center-ANCC, or any successor organizations), required.
License/Certification: DEA - DEA Number from the US Drug Enforcement Administration, required.
License/Certification: CA NP - Nurse Practitioner, required.
License/Certification: NPF - NP Furnishing Number, required.

Physician Assistant
Education: 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.
License/Certification: Current licensure as a Physician Assistant in the State of California is required.
License/Certification: BLS - Basic Life Support, required.
License/Certification: DEA - DEA Number from the US Drug Enforcement Administration, required.
License/Certification: Must be board certified from the National Commission on Certification of Physician Assistants (NCCPA) at the time of hire and maintain certification during employment at SHC.

3-5 years of Advanced Practice Provider work experience is preferred.