APP Nurse Practitioner/Physician Assistant - Medical ICU (MICU)

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Rotating - 12 Hour (United States of America)

APP Nurse Practitioner/Physician Assistant

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
· The position is part-time benefited; schedule includes 3, 12-hour shifts per week, 72 hours bi-weekly.
· 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.

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

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). Certification in Advanced Cardiac Life Support (ACLS) from the 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/departments.

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) Certification in Advanced Cardiac Life Support (ACLS) from the 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.

Clinical Nurse Specialist (CNS):
Master's or doctoral degree in nursing from an accredited college or university. Graduate of a CNS program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure as a Registered Nurse (RN) in the State of California. Certification as a Clinical Nurse Specialist (CNS) in the State of California. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Certification in Advanced Cardiac Life Support (ACLS) from the AHA
Additional board certification(s) may be required by certain specialties/departments.
If credentialed through the Medical Staff Office and billing for services, national certification through a certification corporation recognized by the American Board of Nursing Specialties is required.

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