Nurse Practitioner / Physician Assistant, Pediatric Intensive Care

Company Description

We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*.

At Lucile Packard Children’s Hospital Stanford, we know world‑renowned care begins with world‑class caring. That's why we combine advanced technologies and breakthrough discoveries with family‑centered care. It's why we provide our caregivers with continuing education and state‑of‑the‑art facilities, like the newly remodeled Lucile Packard Children’s Hospital Stanford. And it's why we need caring, committed people on our team – like you. Join us on our mission to heal humanity, one child and family at a time.

Job ID

P ‑2935

Job Description

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

• Receiving sign‑out from overnight team.
• Pre‑rounding on assigned patients, developing a plan of care for the day for that patient.
• Presenting patients on rounds.
• Writing a daily note.
• Implementing the plan agreed upon during rounds and responding to any issues raised by the nurses during the course of the day.
• Performing procedures such as intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, and pacing wire removal.
• Acting as a Nurse Practitioner (NP) or Physician Assistant (PA) under the respective standardized process protocols approved by the Interdisciplinary Practice Committee (IDPC).
• Providing routine care and management of patients with acute and chronic complaints in collaboration with supervising physicians.
• Consulting with a physician regarding tasks, procedures or diagnostic problems that exceed the NP or PA’s level of competence.
• Adhering to scope of practice guidelines and participating in quality improvement initiatives.

Essentials Functions

• 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 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.
• 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.
• Enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders necessary tests and medications.
• Assists supervising physician in the operating room as permitted; RN First Assistant directly assists the surgeon and practices under supervision of the surgeon during the intraoperative phase.
• Recognizes and considers age‑specific needs of patients.
• Effectively communicates and interacts with patients, families, staff and community members from diverse backgrounds.
• Recognizes situations that require the immediate attention of a physician, and initiates life‑saving procedures when necessary.
• Facilitates the coordination of inpatient and outpatient care and services as needed.
• Facilitates collaboration between providers and coordination of community resources.
• Ensures compliance with legal, regulatory and clinical policies and procedures.
• Participates in quality improvement initiatives.
• Provides and coordinates patient teaching and counseling.
• Other duties as assigned.
• Supervision: Provided by supervising/sponsoring physician with clinical privileges at LPCH or designated attending physicians. Standardized procedures are mandatory. Other mechanisms include direct onsite, electronic or phone supervision; chart screens and audits; ongoing professional practice evaluation (OPPE).

Qualifications

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education

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).
• Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.

Licensure / Certification

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).
• DEA license for Schedule II‑V controlled substances, required only if prescribing to outpatients.
• Additional board certification 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 an 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.
• DEA license for Schedule II‑V controlled substances, required only if prescribing to outpatients.
• Additional board certification may be required by certain specialties/departments.

Physical Requirements

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Additional Information

Pay Range

Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (Hourly): $93.75 to $114.84

Equal Employment Opportunity Statement

Stanford Medicine Childrens Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.