Nurse Practitioner Preoperative Anesthesia

Nurse Practitioner Preoperative Anesthesia

Under the general supervision of the Preoperative Anesthesia Clinic Medical Director, Pain Clinic Medical Director, and Chief of Anesthesia, and in accordance with standardized procedures, the Nurse Practitioner (NP) role will work clinically in the Preoperative Anesthesia Clinic (PAC). The Preoperative Anesthesia Clinic is an ambulatory clinic responsible for the preoperative assessment and optimization of patients undergoing surgery. The clinic offers telemedicine and in-person consultations.

The NP role provides clinical and operational support to the Preoperative Anesthesia Clinic at Zuckerberg San Francisco General Hospital. General responsibilities are obtaining a health history, performing a physical assessment, identifying problems and formulating a plan that includes further diagnostic evaluation, risk stratification and counseling. The NP facilitates the coordination of outpatient care and services as needed. In addition to the above responsibilities, there are some specific skills required based on the clinical environment.

In the Preoperative Anesthesia Clinic, the NP is responsible for preoperative assessment and optimization of patients scheduled for surgery or diagnostic/therapeutic procedures requiring anesthesia. The NP will order diagnostic tests, interpret them, and make clinical decisions based on the results. The NP will coordinate care amongst multiple specialty services. The NP will consult with the supervising physician as needed. The NP integrates the nursing process and collaborates with other health care professionals, including the patients’ primary care providers and medical consultants.

The NP takes initiative in pursuing self-directed learning. The NP works with standardized procedures and consults with physicians about appropriate cases. The ideal candidate has strong, timely, and effective communication and interpersonal skills, demonstrates adaptability and flexibility in the work environment, possesses strong analytical and problem-solving skills, and upholds the diversity, equity, and inclusivity missions of the department and hospital.

Regular participation in developing workflow/guidelines/protocols, quality improvement projects, and attendance at clinic meetings is expected. The final salary and offer components are subject to additional approvals based on UC policy.

The Department of Anesthesia and Perioperative Care at UCSF provides outstanding patient care, promotes cutting-edge basic and clinical science research, and educates the next generation of health care providers while focusing on principles of community. The Department of Anesthesia and Perioperative Care ranks as one of the largest departments in the School of Medicine with an annual budget of $145 million.

The two largest components of the annual budget are Professional Fee Income and Extramural Funds, representing 90.4% or $132 million (including ZSFG professional fees and 6.9% or $10.1 million of the annual budget respectively. Currently, the department has over 298 Faculty members, 27 Staff Physicians, 205 Staff Employees, 6 Fellows, 90 Residents, 12 Non-Faculty Academics, 11 postdocs, 68 CRNAs, and 5 Nurse Practitioners  addition to the Moffitt-Long Hospital, very active units of the department exist at the Zuckerberg San Francisco General Hospital and Trauma Center (inpatient and outpatient, including a very active trauma service), San Francisco Veterans Affairs Medical Center (inpatient and outpatient), Mt.

Zion Medical Center (outpatient, including 23-hour stays and the Pain Management Center), Benioff Children's Hospital Oakland, the UCSF Orthopedic Institute and the Benioff Children's, Betty Irene Moore Women's and Bakar Cancer (NIH-designated Cancer Center) Hospitals in the Mission Bay neighborhood. The Department now has essential roles in patient care outside of the operating rooms, with active participation in Ambulatory Care, Acute and Chronic Pain, and in the Preoperative Clinic.

Over the department's fifty-plus years of existence, the department has been at the heart of modern anesthesia's explosive growth…