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Nurse Practitioner/Physician Assistant - MG-Peds-PANS Outpatient (1.0 FTE, Days) 9/9/2016

Lucile Packard Children's Hospital Palo Alto, CA

Lucile Packard Children's Hospital
Job Classification
Full Time
Company Ref #
AJE Ref #
Palo Alto, CA
Entry Level (0 - 2 years)
Job Type
Bachelors Degree



1.0 FTE, 8 Hour Day Shifts

Lucile Packard Children's Hospital Stanford is the heart and soul of Stanford Children s Health. Nationally ranked and internationally recognized, our 311-bed hospital is devoted entirely to pediatrics and obstetrics. Our six centers of excellence provide comprehensive services and deep expertise in key obstetric and pediatric areas: brain & behavior, cancer, heart, pregnancy & newborn, pulmonary and transplant. We also provide an additional, wide range of services for babies, kids and pregnant moms.

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.

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 but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).

A. An 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 in collaboration with a physician.

B. An 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 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 upon evaluation of the patient.

* Administers, orders, furnishes and 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, according to written standardized procedures where applicable.

* Obtains informed consent, as indicated.

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

* 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.

* 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.

* Recognizes and considers age-specific needs of patients.

* 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 iNP/PAatient 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.

D. Supervision:

* Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be:

* Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time.

* Chart screens on random charts by the supervising physician or designee.

* Chart audits on random charts as an integral part of selected quality improvement programs.

* Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.

* The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with iNP/PAut from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators.

Department Specifics

Position Summary: The APP is part of a collaborative, multidisciplinary team which is focused on caring for pediatric patients with inflammatory brain disease who meet criteria for the PANS Program (Pediatric Acute-Onset Neuropsychiatric Syndrome). The APP will be participate in multi-disciplinary team meetings to ensure well-coordinated, integrated care. Clinic huddles are held daily. There is opportunity for inclusion in clinic research projects/publications. Other ambulatory functions include chart abstractions, independent and shared visits, triaging outpatient calls from families/providers, appeals/authorizations, and ongoing coordination of care.

Lucile Packard Children s Hospital Stanford 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, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply.