Nurse Practitioner Clinical Research

Job Description

Under general supervision of several Department of Pediatrics investigators in the Division of Medical Genetics, the clinical research Nurse Practitioner will be responsible for services supporting clinical research investigators and the care of research and research infusion patients. An understanding of research protocols and compliance practices is vital for this role. This role also works closely with the Nursing Director at the Pediatric Clinical Research Center (PCRC), the nursing staff in the Research Infusion Center (RIC), and the clinical research coordinators (CRCs) and support staff of the research unit. This includes assessment of patient needs, implementations of research protocols and nursing interventions, treatment delivery, monitoring and patient education. To accomplish these tasks, the incumbent works directly with patients as an integral member of a multidisciplinary team. Direct patient care includes initiating enzyme replacement therapy and other investigational treatments, administering medications, procedures, patient education, phlebotomy, vitals monitoring and observation.

Research Specific Tasks Include

Research Infusions

▪ Utilize the nursing process in providing care for research patients in accordance with appropriate policies, procedures, and study protocols.

▪ Assess, plan, implement, and evaluate appropriate plan prior to initiating treatment.

▪ Initiate intravenous (IV) via central port or peripheral access, intrathecal (IT), and intracerebroventricular (ICV) treatments and administer medication in a timely fashion; report and follow-up with investigators for any unusual occurrence that is treatment or study procedure related.

▪ Act as the primary point of contact for on-site and off-site research, infusion-related clinical questions (i.e., responsible for research clinic pager and responding to home nursing questions).

▪ Complete monthly nursing assessment notes and participate in primary nursing patient care conference.

▪ Comply with activities mandated by Hospital Policy and relevant research authorities.

▪ Maintain knowledge of and adherence to established research, clinical and administrative policies and procedures.

Research Administrative Tasks

▪ Ongoing protocol training and review.

▪ Attend investigator meetings and research conferences.

▪ Work with CRCs and UCSF/BCH staff to ensure study procedures are completed according to protocol, specimens are properly collected and stored, and required data is collected in a timely manner

▪ Participate in research improvement activities.

▪ Support the management of infrastructure before and during study execution, including database management, space allocation, equipment procurement, and specimen/sample storage and transportation; work with leadership to ensure proper execution of studies.

▪ Support the management of activities for cohorts in various areas of studies and disciplines; and for clinical trials in various disciplines.

▪ May participate in relevant subject matter conferences and contribute to study planning and updates with industry sponsors.

▪ Support the Clinical Research Nurse Manager in managing tasks and time of research nurses depending on program needs.

▪ Support the training of research nurses and CRCs on clinical protocol requirements.

Department Description

The Department of Pediatrics is one of the largest departments in the School of Medicine with 20 specialty divisions and over 400 faculty members, of which 12% have identified as underrepresented in medicine. The Department’s annual revenue is $230 million. The residency program is ranked 5th in the country by US News World and Report, with 42% of Interns identified as underrepresented in medicine. The Department received 5 NIH Diversity Supplements in 2022 and is currently ranked 14th amongst all Departments of Pediatrics by Blue Ridge Institute with $28 million in NIH funding.

Responsibilities

Function

% of time

Duties

Inpatient - Direct Patient Care (may include some or all of the responsibilities listed)

0

Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients.
Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations .
Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 .
APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.

1.2. Performs procedures granted to them via privileges/standardized procedures.

1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.

1.4. Initiates consultations as indicated.

1.5. Documents independent assessment findings and recommends appropriate treatments.

1.6. Participates in service rounds and patient evaluation and treatment planning.

1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.

1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.

1.9. Interprets and acts upon completed tests, procedures, and radiographic studies.

1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations .

1.11. Effectively communicates findings, treatment options, and care plans with patients and their families

1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.

1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with multi-disciplinary team. This includes evaluating and defining discharge regimen.

1.14. Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.

Inpatient – Care Coordination (may include some or all of the responsibilities listed)

0

1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.

1.2. Coordinates episodic care and determines timing of routine clinic follow up.

1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.

1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans.

1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.

1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.

Outpatient – Independent Encounters (may include some or all of the responsibilities listed)

35

Evaluates and manages patients in independent APP encounters, including telehealth.
Includes providing care to new, follow-up, acute, routine, and specialty patients.
Includes taking histories, performing physical examinations, interpreting diagnostic tests, formulating evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
Reviews or collaborates with attending physician as needed.
Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations .
Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 .

1.2. Performs procedures individually granted to them via standardized procedures/privileges.

1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.

1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.

1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion.

1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.

Outpatient – Shared Encounters with Physician(s) (may include some or all of the responsibilities listed)

15

Evaluates and manages patients in shared encounters with attending physician, including telehealth.
This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities.
Includes providing care to new, follow-up, acute, routine, and specialty patients.
Includes taking histories, performing physical examinations, interpreting diagnostic tests, collaborating on evidence-based assessments and plans, responding to changes in patient status, and ordering medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations
Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01 .
May first-assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring.

1.3. Identifies high-risk groups and complex cases for review with attending physician. Initiates consultations as appropriate.

1.4. Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.

1.5. Interprets and acts upon the ordered tests, procedures, and radiographic studies in a timely fashion.

1.6. Completes clinically relevant paperwork/EHR, including but not limited to ordering medications, completing episodic care notes and telephone encounters.

Outpatient – Care Coordination (may include some or all of the responsibilities listed)

50

1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not include management of inpatients.

1.2. Coordinates episodic care and determines timing of routine clinic follow up.

1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.

1.4. Attends department quality improvement meetings and participates in patient evaluation and planning.

1.5. Consults with nursing staff on plan and implementation of individualized nursing care plans.

1.6. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.

Total

100

Qualifications

Required Qualifications

▪ Seven (7) years of Nurse Practitioner experience

▪ One to two (1–2) years of experience as a research RN or NP

▪ Doctorate degree (PhD or DNP)

▪ Experience performing venipuncture to collect blood samples in a research setting

▪ Experience performing venipuncture in a pediatric population

▪ Experience accessing mediports

▪ Experience collecting blood samples from a central line

▪ Experience with central line maintenance, including dressing changes

▪ At least one peer-reviewed publication (any authorship order)

Preferred Qualifications

▪ In depth academic knowledge and applied background in clinical research philosophy. Experience changing methods to fit needs of particular situations. Proven ability to translate clinical research philosophy, clinical and research objectives, policies and procedures into an operational plan.

▪ In depth knowledge of clinical research and drug development concepts, federal, state and local laws and regulations, and industry requirements regarding the proper conduct of clinical trials. In depth theoretical and operational knowledge of clinical and patient safety standards and regulations relating to clinical research.

▪ Additional preferred certifications: Good Clinical Practice (GCP), Collaborative Institutional Training Initiative (CITI), Human Subjects Protection (HSP)

▪ Ability to access intracerebroventricular (ICV) ports and administer investigational products via ICV infusion

▪ Ability to complete lumbar punctures (LP) and administer intrathecal (IT) investigational products

▪ Demonstrable record of successfully running complex clinical research trials. Demonstrated experience in designing and implementing quality control, protocol, and quality assurance and program evaluation systems protocols according to accepted clinical standards.

License/Certification

▪ California Registered Nurse (RN) License without restriction

▪ California Certified Nurse Practitioner (NP) without restriction

▪ California Nurse Practitioner Furnishing Number including Schedule II furnishing privileges

▪ NP national board certification from an accepted certifying agency aligned with the patient population and clinical role Pediatric Outpatient (CPNP-PC, PPCNP-BC, CPNP-AC, FNP-C, FNP-BC).

▪ California Driver License (if required for position)

▪ Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address

▪ American Heart Association (AHA) Basic Life Support (BLS) certification

▪ Additional required AHA certifications: None additional to BLS

▪ Additional required certifications (such as ENLS): None

UCSF Medical Center and Campus require certain healthcare providers to be credentialed. In most cases, this is done through its Office of Medical Affairs & Governance (OMAG) prior to the first working day. Credentialing and approval of the Standardized Procedures takes between 60–90 days but can vary.

About UCSF

ABOUT US

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.

Pride Values

UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values .

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here .

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Salary Information

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

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Performs surgical procedures in the personal presence of the supervising physician. 11. Recognizes and considers age-specific needs of patients. 12. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. 13. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. 14. Facilitates the coordination of inpatient and outpatient care and services as needed. 15. Facilitates collaboration between providers and coordination of community resources. 16. Ensures compliance with legal, regulatory and clinical policies and procedures. 17. Participates in quality improvement initiatives. 18. Provides and coordinates patient teaching and counseling. Education Qualifications BACHELOR'S DEGREE IN NURSING FROM AN ACCREDITED UNIVERSITY. Note: PAs hired prior to July 1, 2012 are not subject to this educational requirement • Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. B. Licenses and Certifications PA - Physician Assistant State Licensure BLS - Basic Life Support DEA - Drug Enforcement Administration These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Full-time

1 week ago

Lead Advance Practice Provider (NP/PA) - Digestive Care - Full Time, Days (8HRS)

Stanford Health Care Redwood City, CA

$100.03 - $132.51 / hour

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) As a premier academic center for complex gastrointestinal and liver disorders, we provide state-of-the-art clinical care, supported by pioneering scientific research and multidisciplinary collaboration. We are seeking Advanced Practice Provider (APP) to join our team as the Lead APP for Gastroenterology and Hepatology. This position will oversee 10-13 APPs who work in General GI, Hepatology, IBD, Pancreatology, Motility, Esophageal Disorders, and Advanced Endoscopy primarily at our Redwood City outpatient clinic. This role involves a balanced mix of clinical and administrative responsibilities, with 60% of the time dedicated to clinical practice within one of our subspecialities and 40% administrative duties. Experience: At least 3 years as a Physician Assistant (PA) or Nurse Practitioner (NP), with a preference for experience in GI or Liver. Leadership: Demonstrated interest in leadership roles. This is a Stanford Health Care job. A Brief Overview Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line. Provides clinical direction and education, works closely with operational and physician leaders, and has oversight of hiring, termination, and professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant (PA) Job Description approved by the Interdisciplinary Practice Committee (IDPC). Locations Stanford Health Care What you will do The essential functions of a Lead Advanced Practice Professional fall in three categories: Clinical Oversight and Leadership; Administration; and Internal/External Legal/Regulatory Issues. The Lead APP must supervise a minimum of 10 APPs. Clinical Oversight and Leadership: Co-direct the clinical, operational, and administrative initiatives of the service line Medical Director and unit nursing management team. Conduct regularly scheduled meetings with the staff APPs. Ensure clinical competency and adherence to policy through practice analysis and case review of APPs with physicians. Investigate and respond to patient/family complaints from patients and families about care. Orient new staff APPs. Provide education to staff APPs. Participates as a representative the in hospital-wide committees. Serve as a representative on the professional and evaluation committees. Ensures all operational mandates and initiatives are completed (e.g., C-I-CARE rounds). Administration: Review and participate in financial planning and issues for the service. Participate in the hiring, evaluation, coaching, mentoring, and discipline of staff APPs. Investigate and resolve operational issues. Coordinate quality improvement/process improvement programs. Provide 24-hour administrator on-call coverage for the service line. Coordinate the scheduling of the APPs. Other duties as assigned. Internal and External Legal/Regulatory Issues: Ensure compliance and participate in Medical Staff Services initiatives, policies and procedures. Be informed of and advocate for practice models that allow clinicians to practice to the fullest extent of their scope of practice. Participate in regional and national discussions that affect APP practice. Work with hospital operations in regards to funding/billing/reimbursement models. Participate in the legislative and health policy issues affecting advanced practice. Education Qualifications Advanced Practice Nurse: Master's or Doctorate Degree in Nursing or other healthcare-related field from an accredited university. Physician Assistant: Bachelors degree in Science, Physician Assistant Studies, or Healthcare related field from an accredited university. Experience Qualifications A minimum of one (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist). Three (3) years of APP experience preferred. Management experience preferred. Required Knowledge, Skills and Abilities Knowledge of: These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification. Management principles and practices such as, but not limited to, employee hiring, evaluation, counseling, and termination; budgeting; and employee recognition and rewards. Practice evaluation and process improvement. National professional organizational and regulatory agency initiatives. Standards of care and practice of APP roles. Ability to: Knowledge and demonstrated clinical competence and in depth knowledge in specialty. Knowledge of the organization and operation of trauma services necessary to ensure the delivery of quality, cost-effective and efficient patient care. Ability to communicate effectively, both orally and in writing. Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation. Ability to plan, organize, prioritize, work independently and meet deadlines. Ability to promote a spirit of inquiry and practice based on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient care and/or participating in research, clinical investigatory or quality projects. Ability to use educational strategies to influence the development of staff and the provision of quality care for patients and families. Communicate effectively in many venues from individual 1-on-1 sessions to a large audience. Recognize/reward or counsel staff. Have strong written and verbal communication skills. Conduct efficient and supportive process improvement activities. Contribute positively, proactively, and adeptly in institution-wide and Center of Advanced Practice initiatives. Translate and implement national initiatives at SHC. Ability to work full-time. Licenses and Certifications PA - Physician Assistant State Licensure or RN - Valid California license to practice as a Registered Nurse - AND - one of the following advanced practice nursing licenses is qualifying: (a) NP - Valid California license to practice as a Nurse Practitioner as well as having current national certification,(b) CNS - Valid California license to practice as a Clinical Nurse Specialist as well as having current national certification, or (c) CRNA - Valid California license to practice as a Certified Registered Nurse Anesthetist as well as having current national certification. These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $100.03 - $132.51 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Full-time

2 months ago

APP Nurse Practitioner/Physician Assistant- Sleep Medicine- FT Day

Stanford Health Care Redwood City, CA

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 10 Hour (United States of America) 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 procedures. [see Appendix A Assessment & Management of Patients] Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Appendix B : 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 Appendix B: 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. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Education Qualifications Master’s or Doctoral degree in nursing from an accredited college or university. Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licenses and Certifications Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure and NP - Nurse Practitioner and NPF - NP Furnishing Number and BLS - Basic Life Support and These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.