Nurse Practitioner I/ Physician Assistant I – J2 CVICU

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Rotating - 12 Hour (United States of America)

Overview:
Stanford's Cardiac Surgery Intensive Care Unit (CVICU) on J2 is seeking a highly skilled and motivated Advanced Practice Provider (APP) to join our dynamic team. As part of the CVICU team, the APP will play a vital role in the management of post-operative cardiac surgery patients, providing high-quality care in a fast-paced and critical environment. This position offers the opportunity to work with a multidisciplinary team of physicians, nurses, and other healthcare providers in a cutting-edge clinical setting.

Key Responsibilities:

Patient Care Management:
Provide comprehensive care to 4-6 post-cardiac surgery patients per shift in the CVICU setting, including assessment, diagnosis, treatment, and ongoing management. Manage patient care through rounding, formulating care plans, performing procedures, putting in orders, and adjusting treatment protocols as necessary. Monitor patients’ progress and response to treatment, addressing complications or changes in condition promptly. Coordinate care with anesthesiologists, attending surgeons and other specialists as needed.

Perform various procedures, including but not limited to:
Central and Arterial lines
Bedside echocardiography and ultrasound
Bronchoscopies
Cardioversions

Documentation, Billing & Communication:
Complete timely and accurate documentation, including progress notes, procedure reports, and discharge summaries.
Complete timely and accurate Critical Care Split Shared Billing
Ensure clear and effective communication with the multidisciplinary team regarding patient status, changes, and discharge planning.

Team Collaboration:
Work closely with attending surgeons, intensivists, and nursing staff to deliver optimal patient care in the CVICU
Precept and mentor APP Fellows in the Cardiac Surgery APP Fellowship program, providing guidance, feedback, and educational opportunities.
Supervise and support student learners (nurse practitioner and physician assistant students) during clinical rotations.

This is a Stanford Health Care job.

A Brief Overview
The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description 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: LEVEL I LEVEL II LEVEL III FLSA Status: Exempt Exempt Exempt Job Code: 400077 400169 400170 Requirement: LEVEL I: Entry level LEVEL II: Meets Career Ladder criteria for NP II LEVEL III: Meets Career Ladder criteria for NP III

Locations
Stanford Health Care

What you will do

• 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:
• 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]
• Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized