APP: Physician Assistant​/Nurse Practitioner - Medical ICU - Relief

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Rotating - 12 Hour (United States of America)

Shifts are 12 hours and are rotating days/nights/weekend coverage. The Advanced Practice Provider (APP) medical ICU position is part of a collaborative team model of care consisting of attending physicians, fellows, residents and a team of NP/CNS/PAs who provide critical care for patients in the medical intensive care unit (MICU).

· The primary location will be in Palo Alto, at Stanford Health Care

· There are multiple learning opportunities including department specific grand rounds, fellows/residents lectures, nursing and APP grand rounds, journal club, and the annual APP conference.

Evaluates and treats patients with acute and chronic complaints and health maintenance concerns in the medical ICU, including sepsis, respiratory failure as well as ischemic and hemorrhagic strokes. Provide critical care consultation for neurocritical and neurosurgery ICU patients. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients in the critical care setting.

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 care and services. Facilitates collaboration between providers and coordination of community resources. Provides and coordinates patient teaching and counseling.

This is a Stanford Health Care job.

The Physician Assistant (PA) functions under this Physician Assistant Job Description 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.

Stanford Health Care

• A PA may provide only those medical services which he/she is competent to perform, which are consistent with the PA’s education, training and experience, and which are delegated by a supervising physician who is responsible for the patients cared for by that PA.

• A PA shall consult with a physician regarding any task, procedure or diagnostic problem which the PA determines exceeds his/her level of competence or shall refer such cases to a supervising physician.

• Scope of Practice of the PA:

• 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…