Advanced Practice Provider (NP/PA): Medical Oncology - Sarcoma

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Day - 10 Hour (United States of America)

Sarcoma Advanced Practice Provider

We are seeking an Advanced Practice Provider (APP) - Nurse Practitioner or Physician Assistant to join a team of two attending medical oncologists in our sarcoma practice. Our specialty practice treats patients with soft tissue sarcomas, osteosarcoma, Ewing's sarcoma, and chondrosarcoma, as well as angiosarcoma, synovial sarcoma, gastrointestinal stromal tumors, uposarcoma, leiomyosarcoma and other rare tumors. We work closely with a multidisciplinary team including surgical oncology, radiation oncology, orthopedics, cancer genetics and other specialty services. We are a cohesive group with a willingness to support, mentor and collaborate with one another. Together, we provide high-quality and efficient patient care in the Stanford Cancer Center and help to ease the burden of a cancer diagnosis for our patients. The APP will work alongside attending physicians, take care of patients enrolled on clinical trials and have independent APP clinics. This is a challenging, exciting and rewarding position with great potential for growth. Independent chemotherapy signing privileges after one year of experience is expected. The job is a four day/week, 10-hour day without call or weekends. This position offers the opportunity to be involved in every aspect of cancer care including initial diagnosis, treatment, clinical trials, management of complications/acute medical issues, and palliative care. Opportunities for additional learning, research, participation in multidisciplinary tumor boards and mentoring are also available for the interested APP.

Responsibilities include comprehensive history and physical examination, ordering and interpretation of diagnostic studies, and prescribing appropriate treatments in collaboration with the attending physician. Other responsibilities include consultation with specialist physicians and other team members regarding findings/changes in patient condition, initiation and adjustment of chemotherapy orders in collaboration with the physician, documentation of patient care/procedures per policy, and ensuring longitudinal communications with primary hematologist/oncologist and referring providers regarding patient status.

This is a Stanford Health Care job.

A Brief Overview
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

- 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.

Locations
Stanford Health Care

What you will do
  • Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty.
  • 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 medications according to the formulary protocol or upon patient-specific approval from the supervising physician, or transmits orally or in writing on a patient's record, a prescription from the supervising physician to a person who may furnish such medication. All controlled substances in Schedules II-V inclusive require a patient-specific approval by a supervising physician in advance of transmittal of the order or administration of the medication [see Standardized Procedure: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol].
  • 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. [see Standardized Procedure: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] 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.
  • After appropriate training, assists the supervising physician in the operating room (OR).
  • Acts as first or second assistant under the supervision of an approved supervising physician.
  • Performs surgical procedures in the personal presence of the supervising physician.
  • 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 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.

Qualifications


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).

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)

- 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 ACLS certification (Advanced Cardiac Life Support) is strongly encouraged, but not required

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:
  • Know Me: Anticipate my needs and status to deliver effective care
  • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
  • Coordinate for Me: Own the complexity of my care through coordination

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.