Relief Inpatient Palliative Medicine APP

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Day - 10 Hour (United States of America)

NURSE PRACTITIONER

I. JOB SUMMARY

The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine are 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 and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee.

This job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision.
There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook. Here is a description of the various levels:

JOB ATTRIBUTES

Job
Attributes
LEVEL I
LEVEL II
LEVEL III
FLSA Status
Exempt
Exempt
Exempt
Job Code
400077
400169
400170
Requirement
Entry level
Meets Career Ladder criteria for NP II.
Meets Career Ladder criteria for NP III.

II. ESSENTIAL FUNCTIONS

A. An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP's education/population foci, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP.

B. An NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.

C. Scope of Practice of the NP:

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1. Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. [see Standardized Procedure: Assessment & Management of Patients]

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. [see Standardized Procedure: Assessment
& Management of Patients]

3. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Standardized Procedure:: Assessment & Management of Patients]

4. Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Standardized Procedure:: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol]

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. [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.

11. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant (RNFA) directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RNFA 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

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.

III. QUALIFICATIONS

A. Education

1. Master's or doctoral degree in nursing from an accredited college or university.
a. Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement.

2. Graduate of an NP program accredited by the National League of Nursing Commission for Nursing Education Accreditation (CNEA) or the Commission on Collegiate Nursing Education (CCNE).

B. Licensure/Certification

1. Licensure as a Registered Nurse (RN) in the State of California.

2. Certification as a Nurse Practitioner (NP) in the State of California.

3. National Board Certification as a Nurse Practitioner (NP).
a. Note: All NPs hired after November 1, 2013 must be nationally certified upon hire and maintained for employment.

4. Certification in Basic Life Support (BLS) from the American Heart
Association (AHA).

5. Furnishing license issued by the Board of Registered Nursing (BRN).

6. An individual Drug Enforcement Agency (DEA) license issued by the
United States DEA for Schedule II-V controlled substances.

7. Additional board certification(s) may be required by certain specialties/departments.
8. Must maintain and meet requirements for
credentialing with or without privileging through Medical Staff Services.

IV. SUPERVISION

A. Supervision is provided by the supervising/sponsoring physician with clinical privileges at SHC, 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:

1. Direct on-site, electronic or phone supervision by a supervising physician. A
physician cannot supervise more than four (4) Advanced Practice Providers at one time.

2. Chart reviews on random charts by the supervising physician or designee.

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

4. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.
5. Review and co-signature of written medical records.
B. The NP will receive a formal annual performance evaluation by their Manager or Lead Advanced Practice Provider (Lead APP) or supervising manager/director with input 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.

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.

Board Certified APP: Will Consider NP, PA or CNS
Experienced palliative medicine provider, possess knowldege re: symptom management and communication strategies, experience working on multidisciplinary team
Strong background in medicine and or oncology preferred

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.