Physician Assistant/Nurse Practitioner - Pediatric Emergency Medicine

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Rotating - 12 Hour (United States of America)

Position Overview:
We are seeking a dedicated Pediatric Emergency Department Nurse Practitioner/Physician Assistant to join our dynamic team at Stanford Health Care. This role will focus on evaluating pediatric patients upon arrival at the Emergency Department (ED), conducting medical screening exams, and providing appropriate care for lower acuity cases. The clinician will manage these patients independently, performing procedures, placing orders, and ensuring timely follow-up until patient disposition from the lobby. For higher acuity cases, the clinician will work under the direct oversight of an attending physician. This position offers the opportunity for hands-on clinical experience with a wide variety of pediatric cases, ranging from minor injuries to more complex conditions.
Key Responsibilities:
o Perform triage assessments on all pediatric patients entering the ED.
o Conduct thorough medical screening exams to determine the acuity of each case.
o Independently manage lower acuity pediatric patients, providing treatment and disposition from the lobby.
o Collaborate with attending physicians for higher acuity cases.
o Place appropriate orders for diagnostics, labs, imaging, and medications.
o Perform minor procedures
o Monitor and document patient progress, ensuring all actions are timely and appropriate.
o Coordinate patient discharge or transfer, ensuring follow-up care is arranged as necessary.
o Provide detailed instructions for home care, medications, and any follow-up appointments.

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,