Nurse Practitioner/Physician Assistant - Inpatient/Outpatient Internal Medicine

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Day - 12 Hour (United States of America)

Created in July 2021, the Med 7 Inpatient Service is staffed with a unique hybrid model involving collaborative care provided by both physicians and Advance Practice Providers (APP). The APPs on the Med 7 service are trained in Internal Medicine to manage the day-to-day care of hospitalized patients. This is an excellent opportunity for the right candidate to join a collaborative and supportive APP/MD team practice.

Responsibilities include complete/comprehensive history and physical examination, ordering and interpretation of diagnostic studies, and prescribing appropriate treatments in collaboration with the attending physician. Other responsibilities include consultation with specialist providers and other team members regarding findings/changes in patient condition, documentation of patient care/procedures per policy, and communication/education with patients and their families. APPs are also responsible for precepting and mentoring Stanford school of medicine Physician Assistant students.

Common diagnoses managed: Sepsis/Septic shock/Bacteremia, Cellulitis, UTI, Acute & chronic liver failure, Acute kidney injury/failure, COPD/asthma exacerbations, UGIB, Pancreatitis, ETOH withdrawal, DKA, AMS/Delirium, Anemia, Atrial Fibrillation, Syncope, Venous thromboembolism, and Electrolytes Abnormalities.

Orientation on Med 7 inpatient service is dependent on the experience of the employee and typically lasts between six and twelve weeks.  Orientation is tailored to the employee and generally includes participation in team rounds, orientation to procedures, training on difficult conversations including goals of care, and cross training other APP specialty teams. 

The position is 100% clinical. The typical morning consists of pre-rounding on patients followed by rounds with the attending physician. In the afternoon, the APP carries out the plan of care for patients, consults with other services as indicated, admits, and discharges patients, and performs procedures.



Schedule

Day shifts: 7a - 7p

A 0.9 FTE position works 6 clinical shifts in a 2 week pay period.

Rotate weekends and holiday. No night call.

The schedule is made 2-3 months in advance. APPs can provide a requested schedule and every attempt is made to accommodate requested shift frequency and days off. PTO is guaranteed in advance. There is an opportunity to pick up additional shifts based on shift coverage.

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