APP - NP/PA - General Inpatient (GIP) Hospice Program - Full Time

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Day - 10 Hour (United States of America)

The Stanford General Inpatient Hospice program is a part of a larger vision to improve serious illness conversations and end of life care for hospitalized patients. It provides an inpatient hospice setting for patients who desire hospice care but are unable to be discharged to a hospice facility or home hospice due to uncontrolled symptoms.

We are building our GIP Hospice team and are looking for provider support to help continue development of the program.

Primary goals of the program:
- Provide excellent end of life care in a just-in-time fashion for patients who have uncontrolled symptoms that cannot be controlled in another setting and qualify for hospice services
- Provide equitable and consistent access to this service
- Provide and offer bereavement services and support to family 12 months post-death
- Improve Hospital Mortality O:E Index. 


Duties include:
- Attend service-based rounds and proactively screen patients for GIP criteria.
- Educate unit providers to accurately perform GIP referral and enrollment procedures.
- Develop/Improve workflows for referral and enrollment.
- Monitor program outcomes and metrics with continuous quality improvement in mind.


The ideal General Inpatient Hospice NP/PA/CNS would have prior experience in hospice, inpatient medicine, palliative medicine, or geriatrics as an APP. Experience with program development and education is preferred.

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

• Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty.
• Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.
• Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.
• Administers medications according to the formulary protocol or upon patient-specific approval from the supervising physician, or transmits orally or in writing on a patient’s record, a prescription from the supervising physician to a person who may furnish such medication. All controlled substances in Schedules II-V inclusive require a patient-specific approval by a supervising physician in advance of transmittal of the order or administration of the medication [see Standardized Procedure: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol].
• 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, according to written standardized procedures where applicable.
• Obtains informed consent, as indicated.
• Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
• 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 Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA- approved indication (off-label use) require a patient-specific order in advance from the supervising physician.
• After appropriate training, assists the supervising physician in the operating room (OR).
• Acts as first or second assistant under the supervision of an approved supervising physician.
• Performs surgical procedures in the personal presence of the supervising physician.
• Recognizes and considers age-specific needs of patients.
• Effectively communicates and interacts with patients, families, staff and members of the