Physician Assistant/Nurse Practitioner - Emergency Medicine

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Day - 08 Hour (United States of America)

The Emergency Medicine department is inclusive of the Emergency Department (ED), the Clinical Decision/Observation Unit (CDU), and the Walk-In Clinic. The APPs in these roles will rotate through these 3 settings throughout the week diversifying their experience within the field of Emergency Medicine here at Stanford.

The Emergency Medicine NPs/PAs will work nine 8 hour shifts biweekly rotating through the ED, Walk-In Clinic, and CDU. These APPs will enjoy both shared and independent practice and will see patients of a variety of acuity levels. They will also do some procedures including, but not limited to: paracentesis, laceration repairs, I&Ds, and orthopedic reductions. This is an opportunity to join a supportive, collaborative team that values continued learning and teaching.

The ideal Emergency Medicine NP/PA will have extensive experience in the Emergency Department seeing patients independently. Experience in Urgent Care as well would be great as well. The Emergency Medicine APP must also feel comfortable performing procedures.

This is a Stanford Health Care job.

A Brief Overview
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.

Locations
Stanford Health Care

What you will do

• Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
• A. 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.
• B. 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.
• C. Scope of Practice of the PA:
• 1. Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty.
• 2. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.
• 3. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.
• Orders or furnishes medications under physician supervision, in accordance with the practice agreement, consistent with the PA’s educational preparation and training, and upon completion of a California Physician Assistant Board approved controlled substance course.
• a. All PA’s who are credentialed and privileged by April, 2021 who have not completed a controlled substance course must successfully complete the course by August 31, 2021 during which time patient specific approval of a medication order by a supervising physician is obtained, documented in the medical record, and is co-signed. [see Standardized Procedure: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol]
• 4. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.
• 5. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
• 6. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
• 7. Obtains informed consent, as indicated.
• 8. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
• 9. 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 D