Nurse Practitioner / Physician Assistant, Cardiology

JOB SUMMARY

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

The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal.

NP and PA roles are described as follows:

NP: The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol 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 pertain to the Service, Clinic or Department and are established by the NP and supervising physician(s), approved by appropriate medical and nursing administrators, the IDPC, and the SHC Medical Executive Board and Board of Directors.

PA: The Physician Assistant functions under the general Physician Assistant Role Description approved by the IDPC. Specific functions pertain to the Service, Clinic or Department and are established by the PA and supervising physician(s), approved by medical and nursing administrators, the IDPC, and the SHC Medical Board and Board of Directors.

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 sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, ongoing education and training, communication and safety/quality programs, compliance with National Patient Safety Goals, licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and Code of Conduct.

A. NP/PA may provide only those medical services which they are competent to perform, in collaboration with a physician.

B. NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem exceeding the NP/PA7s level of competence or refer cases to a collaborating physician.

C. Scope of Practice of the NP/PA:

• 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.
• Administers, orders, furnishes and prescribes medications.
• Orders and collects specimens for routine laboratory tests and radiology/nursing services.
• Performs designated procedures after demonstrated competency where applicable.
• Obtains informed consent, as indicated.
• Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
• Enrols patients in investigational studies approved by IRB, and orders tests and medications as directed by the supervising physician.
• Assists the supervising physician in the operating room after appropriate training, and adheres to standardized procedures.
• Communicates effectively with patients, families, staff and diverse communities.
• Recognizes situations requiring physician attention and initiates life-saving procedures when necessary.
• Facilitates coordination of inpatient/outpatient care and collaboration with community resources.
• Ensures compliance with legal, regulatory and clinical policies and participates in quality improvement initiatives.
• Provides patient teaching and counseling and performs other duties as assigned.

D. Supervision:

• Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH or designated attending physicians. Standardized procedures are a mandatory mechanism of supervision.
• Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four NP/PAs at one time.
• Chart screening and audits, and ongoing evaluation through OPPE with inputs from supervising physicians and APP peers.
• Annual performance evaluation by the Lead APP, with input from the supervising physician(s) and other stakeholders.

MINIMUM QUALIFICATIONS

Any combination of education and experience that provides the required knowledge, skills and abilities, as well as required licenses or certifications, is qualifying.

Education:

Physician Assistant (PA):

• Bachelor's degree or higher from an accredited college or university.
• Graduate of a PA program accredited by ARC-PA.

Nurse Practitioner (NP):

• Master's or doctoral degree in nursing from an accredited college or university.
• Graduate of an NP program accredited by NLNAC or CCNE.

Licensure/Certification:

Physician Assistant (PA):

• California PA licensure.
• NCCPA certification.
• BLS certification from AHA.
• DEA license for Schedule II-V if prescribing controlled substances to outpatients.
• Additional board certifications may be required by services/departments.

Nurse Practitioner (NP):

• California RN licensure.
• California NP certification.
• National Board Certification for NP (ABNS-accredited).

Note: New graduates have six months to obtain national board certification.

Other requirements include BLS (AHA), BRN furnishing license if applicable, and DEA license if prescribing controlled substances to outpatients. Additional board certifications may be required by certain specialties/departments.

PHYSICAL REQUIREMENTS

The Physical Requirements and Working Conditions are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform essential functions.

Pay Range is provided with compensation based on role requirements and range, education, experience, and location. Typical starting range is included: Minimum to Midpoint Range (Hourly): $87.55 to $109.44.

Stanford Medicine Childrens Health (SMCH) values diversity and is an equal opportunity employer. SMCH does not discriminate on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national origin, political beliefs, marital status, medical condition, genetic information, veteran status, disability, or the perception of any of the above. Applicants from all backgrounds are encouraged to apply. Qualified applicants with criminal convictions will be considered in compliance with applicable laws.