Orthopedic Surgery App - Physician Assistant Or Nurse Practitioner

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Day - 08 Hour (United States of America)

A multi-specialty ortho clinic located in Emeryville in a community setting with access to highly skilled surgeons and physicians focusing on delivering state of the art care with patients at the center of the continuum. APP will be functioning at the top of licensure with fully independent clinics with first assist responsibilities.
The APP will have both an independent and shared practice including first assist in the OR. In the clinic the APP will see new patients, follow ups, and post operative care.
The schedule is Monday to Friday, with typical clinic from 7:30AM to 5PM. Schedule flexibility is required.
The ideal candidate would be a NP or PA with prior orthopedics experience. NP candidates are required to have their RNFA upon application.

This is a Stanford Health Care job.
A Brief Overview
The Physician Assistant (PA) functions under this Physician Assistant approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the PA 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.
Locations
Stanford Health Care
What you will do

• Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.
• Facilitates collaboration between providers and coordination of community resources.
• Obtains informed consent, as indicated.
• Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
• Facilitates the coordination of inpatient and outpatient care and services as needed.
• 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].
• Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.
• Acts as first or second assistant under the supervision of an approved supervising physician.
• Provides and coordinates patient teaching and counseling.
• Performs surgical procedures in the personal presence of the supervising physician.
• Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.
• Ensures compliance with legal, regulatory and clinical policies and procedures.
• 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.
• Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.
• Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
• After appropriate training, assists the supervising physician in the operating room (OR).
• Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.
• Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty.
• Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
• Recognizes and considers age-specific needs of patients.
• Participates in quality improvement initiatives.

Education Qualifications

• Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
• Note: PAs hired prior to July 1, 2012 are not subject to this educational requirement
  
  • Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.
• 1. Bachelor’s degree or above from an accredited college or university.

Licenses and Certifications

• BLS - Basic Life Support and
• PA - Physician Assistant State Licensure and
• DEA - Drug Enforcement Administration

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
• Coordinate for Me: Own the complexity of my care through coordination
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

JOB SUMMARY
The Nurse Practitioner (NP) functions under this Nurse Practitioner
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, 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:
Page 1 of 12
– Nurse Practitioner
Page 2 of 12
1. Evaluates and treats patients with acute, chronic complaints and health
maintenance concerns related to specialty, according to written standardized
procedures. [see Appendix A: 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 Appendix A 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 Appendix A: Assessment & Management of Patients]
4. Administers, orders, furnishes and prescribes medications, according to
written standardized procedures. [see Appendix B : 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 Appendix B: Administering, Ordering,
Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that
are not FDA-approved or are used for a non-FDA-approved indication (offlabel
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 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.
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.
– Nurse Practitioner
Page 3 of 12
14. 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
Accrediting Commission (NLNAC) 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.
– Nurse Practitioner
Page 4 of 12
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) NPs at one time.
2. Chart screens 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 within 14 days.
B. The NP will receive a formal annual performance evaluation by the 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.

Base Pay Scale: Generally starting at $81.45 - $107.92 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.