NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Dermatology

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144415-2969 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care 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 Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. 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, orders, furnishes and prescribes medications. 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. 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. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse Specialist, Transport and CRRT

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$90.19 - $112.73 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00022029-2657169 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Clinical Nurse Specialists are Master's Degree prepared advanced practice Registered Nurses in roles characterized by the following responsibilities: Provide care for patients with multiple or complex health needs within a specific clinical area; Use advanced clinical skills in the assessment, diagnosis, treatment and evaluation of patients; Use theoretical and clinical expertise to assist health care providers and patients in promoting or achieving optimal health; Develop and implement standards of nursing practice; Serve as a consultant or expert resource person for other health providers; Facilitate an interdisciplinary and collaborative approach to meeting the needs of patients; Seek consultations and make referrals as needed; and Promote research to improve clinical nursing practice. Clinical Nurse Specialists assess, plan, provide and evaluate specialized nursing care of patients by advancing the quality and scope of nursing practice through clinical practice, education, research, consultation, and administrative roles in the area of clinical expertise (e.g., diabetes, cardiology, respiratory, pediatrics, etc.) for a specified patient population. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Analyzes unit patient care plans currently for evidence of documentation of standards of practice, shares findings with staff, and collaborates in developing a variety of valid and reliable assessment tools to assist staff with documentation records. Demonstrates expertise in the execution of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process. Elects, implements, and evaluates comforting, therapeutic, restorative, and preventative nursing measures for selected patients; expertise in the planning and delivery of special patient care problems. In collaboration with nursing managers and other researchers, performs, assists with, and Initiates, evaluates and revises nursing plans of care that reflect a multidisciplinary approach to patient care; coordinates the nursing plan of care with the medical plan of care. Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area. Offers consultative services within nursing services and to other disciplines to provide or participates in planning, development, execution and evaluation of clinical research. Participates in the hospital's quality improvement program; collaborates in setting unit standards of care and monitors indicators of quality projects. Provides direct patient care using consistency in assessing current patient care situations, priorities, and needs. Provides safety, comfort care, and treatment of patients according to established legal, ethical, and institutional standards. Serves as a consultant to patients, families, and staff. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Master's degree in a work-related discipline/field from an accredited college or university. Experience: Three (3) years of progressively responsible and directly related work experience. License/Certification Registered Nurse by California Board of Registered Nursing Clinical Nurse Specialist by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. Ability to communicate effectively, both orally and in writing. Ability to conduct research, document results, draw conclusions and make recommendations. Ability to develop and perform patient assessment and plan of care. Ability to identify competency-based education needs of and implement educational programs for staff. Ability to perform patient assessment and triage. Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients. Ability to provide direct evaluation and consultation to patients. Knowledge of advanced clinical practice education, consultation, research, and administration. Knowledge of clinical operations, workflow and procedures. Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty. Skill: Advanced nursing skills in area of specialty. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $90.19 to $112.73 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Endocrinology Diabetes

Lucile Packard Children's Hospital Stanford San Francisco, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144270-2791 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred, will consider ADN on a pathway to BSN or ADN with 25 or more years of experience. Experience: Minimum of one (1) or more years of acute care experience as a registered nurse. License/Certification Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. This position may entail assignments at multiple clinic locations in the Bay Area, including: Palo Alto, Los Gatos, Sunnyvale, and San Francisco. Additional locations farther than thirty-five (35) miles from your primary work location(s) (for example Salinas and Modesto) may also be assigned from time to time. You may be entitled to paid travel time and reimbursement for mileage, pursuant to applicable law. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
CMA Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Medical Assistant II Lead

Lucile Packard Children's Hospital Stanford Walnut Creek, CA
$30.39 - $36.47 / hour
Company Description Packard Children’s Health Alliance is a network associated with Lucile Packard Children’s Hospital and the Stanford School of Medicine. We bring the best community physicians together in a network that provides healthcare for children and expectant mothers from the Bay Area. In fact, we’re proud to be the only Bay Area medical network with an exclusive focus on women and children, and we understand the unique value provided by our more than 650 leading pediatricians and obstetrician/gynecologists. What’s more, we’re growing fast. Job ID: PC_00026768-20626 Job Description Under general supervision, the Medical Assistant II Lead performs a variety of routine administrative, clerical and technical supportive services to assist medical and nursing staff in the examination and treatment of patients. The Medical Assistant II Lead functions as both a Clinic Assistant and a Medical Assistant for a designated practice. Works under the clinical supervision of a licensed physician or as delegated by the physician for patient care activities, and under the general direction of the designated manager. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by Stanford Children’s Health guidelines including but not limited to PCARES, 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 Stanford Children’s Health policies, licensure and health screenings. The MA Assistant II Lead serves as the team leader, assists the Practice Manager in monitoring daily duties, patient flow, assisting with projects, train new staff and provide orientation of Medical and Clinical Assistants including providing feedback/guidance to staff. This position requires oversight from management and ongoing communication/guidance on a regular basis. MA Assistant II Lead Key Responsibilities Include Prepares Medical Assistant/Clinical Assistant schedules and coordinate time off requests with oversight and direction from manager. Evaluate and direct patient flow in clinic to ensure efficiency. Trains and orients new employees, provides and assigns coverage as needed. Provides coaching to staff as needed with oversight from manager. Serves as liaison and representative to the staff for day-to-day issues. Handles escalated and non-routine patient concerns appropriately. Works collaboratively with clinic leadership to ensure that clinic requirements are followed and that policies and procedures are in accordance. Immediately alerts manager of policy violations. Report to manager about ongoing operational needs of the clinic, training needs of employees, including patient concerns and other clinic-related issues. Maintain current knowledge and answer questions of other employees on procedures, policies, and obtain needed information or decisions from manager. Keep in touch with the status and progress of daily work, and make day- to- day adjustments in accordance with established priorities, obtaining assistance and with oversight from the manager as needed. Function as a Subject Matter Expert (SME) for all front and back office duties Performs other duties and projects as assigned. Expected to function as an Epic Super User. Administrative Duties Answers multi-line phone, screens and routes calls, takes messages for clinic staff and physicians. Schedules and edits patient physician appointments for new and returning patients. Schedules consultations with other clinics or physicians as needed. Greets patients and request that patients and visitors be seated in the waiting room and communicate unexpected delays as needed. Collects patient demographic and insurance data. Determines and documents need for signatures for conditions of registration. Identifies and obtains services requiring authorization and/or referrals and appropriate process for the payer type. Informs new and returning patients of authorization and payment. Collects and posts co-pays. Obtains required signatures. Maintains records in accordance with guidelines. Files and retrieves electronic medical records. Prints and uses scheduling reports. Retrieves and prepares patients charts. CLINICAL DUTIES Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenishes as required. Maintains clean and orderly exam rooms, hallways and work areas. Escorts patient to exam room; measures and records vital signs. Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients. Reports patient’s concerns and symptoms, reactions, changes (appropriate to age) to licensed clinic personnel. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards. Assists physicians with procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or nurse. Collects and sends specimens to appropriate labs for testing per protocol. Processes requests for prescription refills according to established practice. Other duties as assigned. Qualifications Minimum Qualifications Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: High School diploma or equivalent. Completion of all requirements in a recognized Medical Assistant training program. Experience: Three (3) years of directly related work experience. Licensure/Certification: Current Cardiopulmonary Resuscitation (CPR) certification. Must obtain certification from an accredited Medical Assistant Program from one of the following - Within one (1) year of placement in MA II Lead position: California Certifying Board of Medical Assistants (CCBMA), American Association of Medical Assistants (AAMA), American Medical Certification Association (AMCA), National Healthcare Association (NHA), or American Medical Technologists Certification (AMT) Knowledge, Skills, And Abilities Knowledge of medical terminology. Knowledge of inventory management practices. Knowledge of computer systems and software used in functional area Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment according to physician protocols, guidelines or instructions. Ability to perform standard clinical procedures according to established protocols. Ability to communicate clearly orally and in writing. Ability to follow oral and written instructions. Ability to deal with diverse patient/family interactions and demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations Ability to solve problems and identify solutions Ability to plan, organize, prioritize, work independently and meet deadlines Ability to prioritize multiple tasks and handle a high volume of interactions (phones, patients, etc.) Ability to field phone calls and answer questions. Ability to multi-task and to change priorities regularly. Ability to adjust communications to fit the needs and level of understanding of the receiver. Ability to exercise calmness in fast paced and high-volume environment. Physical Requirements and Working Conditions The Physical Requirements and Working Conditions in which the job is typically performed are available from the Human Resources department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Risk of Exposure to Bloodborne Pathogens Tasks involve exposure to blood, body fluids or tissues. The potential for spills or splashes of blood, body fluids, tissues exist in job related tasks. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $30.39 to $36.47 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Cardiology

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144394-2936 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care 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 Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. 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, orders, furnishes and prescribes medications. 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. 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. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse Specialist, Transport and CRRT

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$90.19 - $112.73 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00022029-2657169 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Clinical Nurse Specialists are Master's Degree prepared advanced practice Registered Nurses in roles characterized by the following responsibilities: Provide care for patients with multiple or complex health needs within a specific clinical area; Use advanced clinical skills in the assessment, diagnosis, treatment and evaluation of patients; Use theoretical and clinical expertise to assist health care providers and patients in promoting or achieving optimal health; Develop and implement standards of nursing practice; Serve as a consultant or expert resource person for other health providers; Facilitate an interdisciplinary and collaborative approach to meeting the needs of patients; Seek consultations and make referrals as needed; and Promote research to improve clinical nursing practice. Clinical Nurse Specialists assess, plan, provide and evaluate specialized nursing care of patients by advancing the quality and scope of nursing practice through clinical practice, education, research, consultation, and administrative roles in the area of clinical expertise (e.g., diabetes, cardiology, respiratory, pediatrics, etc.) for a specified patient population. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Analyzes unit patient care plans currently for evidence of documentation of standards of practice, shares findings with staff, and collaborates in developing a variety of valid and reliable assessment tools to assist staff with documentation records. Demonstrates expertise in the execution of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process. Elects, implements, and evaluates comforting, therapeutic, restorative, and preventative nursing measures for selected patients; expertise in the planning and delivery of special patient care problems. In collaboration with nursing managers and other researchers, performs, assists with, and Initiates, evaluates and revises nursing plans of care that reflect a multidisciplinary approach to patient care; coordinates the nursing plan of care with the medical plan of care. Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area. Offers consultative services within nursing services and to other disciplines to provide or participates in planning, development, execution and evaluation of clinical research. Participates in the hospital's quality improvement program; collaborates in setting unit standards of care and monitors indicators of quality projects. Provides direct patient care using consistency in assessing current patient care situations, priorities, and needs. Provides safety, comfort care, and treatment of patients according to established legal, ethical, and institutional standards. Serves as a consultant to patients, families, and staff. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Master's degree in a work-related discipline/field from an accredited college or university. Experience: Three (3) years of progressively responsible and directly related work experience. License/Certification Registered Nurse by California Board of Registered Nursing Clinical Nurse Specialist by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. Ability to communicate effectively, both orally and in writing. Ability to conduct research, document results, draw conclusions and make recommendations. Ability to develop and perform patient assessment and plan of care. Ability to identify competency-based education needs of and implement educational programs for staff. Ability to perform patient assessment and triage. Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients. Ability to provide direct evaluation and consultation to patients. Knowledge of advanced clinical practice education, consultation, research, and administration. Knowledge of clinical operations, workflow and procedures. Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty. Skill: Advanced nursing skills in area of specialty. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $90.19 to $112.73 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Pediatric PICU Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Pediatric Intensive Care

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144393-2935 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care 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 Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. 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, orders, furnishes and prescribes medications. 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. 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. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
CMA Full-time
Lucile Packard Children's Hospital Stanford

Clinical/Medical Assistant

Lucile Packard Children's Hospital Stanford Los Gatos, CA
$33.98 - $38.52 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144184-2910 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical/Medical Assistant (CMA), functions as a member of the clinic patient care team and functions as both Clinic Assistant and Medical Assistant as directed by the Clinic Manager or designee. Perform all clerical duties required to complete patient Check-in/Check-out, administer and coordinate the HMO referral and service authorization process, and performs other clinic front desk activities. Performs a variety of routine administrative, clerical and technical supportive services to assist medical and nursing staff in the examination and treatment of patients. Responsible for clinical duties such as taking vital signs, giving injections, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms and supplies Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Escorts patient to exam room; measures and records vital signs. Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients. Assists physicians with procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or surgeon. Administers medication following approved procedures and only after verification of medication and dosage by a licensed person. Performs routine examination and treatment procedures and include: applying and removing bandages and dressings, removing sutures and casts, cleaning wounds and applying medications and dressings, performing ear lavage, preparing patients for examinations, and shaving and disinfecting treatment sites. Schedules and edits and maintains patient physician appointments for new and returning patients, using the scheduling system. Collects patient demographic and insurance data and enters into systems as well as assigns medical record numbers Assures appropriate verifications and authorizations are complete before patient sees provider Assists physicians with procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or surgeon. Administers medication following approved procedures and only after verification of medication and dosage by a licensed person. Performs routine examination and treatment procedures and include: applying and removing bandages and dressings, removing sutures and casts, cleaning wounds and applying medications and dressings, performing ear lavage, preparing patients for examinations, and shaving and disinfecting treatment sites. Collects and sends specimens to appropriate labs for testing per protocol. Reports patient's concerns and symptoms, reactions, changes (appropriate to age) to licensed clinic personnel. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards; Processes requests for prescription refills according to established practice. Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenish as required. Maintains clean and orderly exam rooms, hallways and work areas. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: High School diploma or equivalent. Completion of all requirements in a recognized Medical Assistant training program or equivalent completion of the minimal training requirements as outlined in section 1366 of the Business and Professions Code The equivalent completion of training as outlined in Section 1366 applies only to employees hired prior to 8/4/2013. New employees must complete a recognized Medical assistant training program. Experience: One (1) year of progressively responsible and directly related work experience License/Certification Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. Knowledge of medical terminology. Knowledge of inventory management practices. Knowledge of computer systems and software used in functional area Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment. Ability to perform standard clinical procedures according to established protocols. Knowledge of computer systems and software used in functional area Ability to speak and write effectively at a level appropriate for the job Ability to solve problems and identify solutions Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations Ability to plan, organize, prioritize, work independently and meet deadlines Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $33.98 to $38.52 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Pulmonology - Lung Transplant

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P143850-2827 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care 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 Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. 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, orders, furnishes and prescribes medications. 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. 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. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. KNOWLEDGE 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. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Registered Nurse

Lucile Packard Children's Hospital Stanford Los Gatos, CA
$54.82 - $68.53 / hour
Company Description Packard Children’s Health Alliance is a network associated with Lucile Packard Children’s Hospital and the Stanford School of Medicine. We bring the best community physicians together in a network that provides healthcare for children and expectant mothers from the Bay Area. In fact, we’re proud to be the only Bay Area medical network with an exclusive focus on women and children, and we understand the unique value provided by our more than 650 leading pediatricians and obstetrician/gynecologists. What’s more, we’re growing fast. Job ID: PC_00021779-6262026 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Registered Nurse functions as a primary liaison between patient and physician, via phone or in person. Under general supervision, the Registered Nurse implements the entire nursing process to include assessment, diagnosis, planning, implementation, and evaluation for an assigned group of patients and provides quality patient care that is efficient, effective and evidence based. The Registered Nurse collaborates with the clinician and staff in the delivery of patient care. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by Stanford Children’s Health guidelines including but not limited to PCARES, 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 Stanford Children’s Health policies, licensure and health screenings. Independently, provides general education and nursing care to patients via telephone or in person. Responds to and resolves patient/family questions and needs. Triages and schedules patients as appropriate, ensuring appointment preferences are given to patients in emergency situations. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards. Accurately documents all patient encounter, phone triage, test results and office visits. Observes and/or records and reports patient’s condition and reaction to drugs and treatments to clinicians. Acts as a liaison, coordinates, and integrates service for patients by continually collaborating with physician(s). Communicates the appropriate referral choice to community physician(s). Coordinates and integrates services within the clinic by continually collaborating with physician(s). Develops Facilitative relationships with office staff regarding both patient appointment scheduling and clinical information. Performs peer to peer review and obtains insurance prior authorization as needed. Processes requests for prescription refills according to established practice. Mentors new staff to ensure proper clinical training and processes is followed. Maintains patient confidentiality. Adheres to infection control/safety guidelines. Assists in preparing forms and managing prior authorizations throughout the shift, completing incoming work by the end of the shift. Epic environment: Assists providers with their in-baskets and open charts; monitors other MD and RN in-baskets when assigned. Other duties as assigned based on location and Specialty assigned. Works on special projects as needed. Back Office Duties Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenishes as required. Maintains exam rooms for necessary supplies and materials. Ensures cleanliness. Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients. Instructs patients in collection of samples and tests. Reports patient’s concerns and symptoms, reactions, changes (appropriate to age) to the physician. Assists physicians with procedure set-ups, patient procedures, and examinations. Collects and sends specimens to appropriate labs for testing per protocol. Administers ordered medications, allergy injections, vaccines and other therapeutic injections in a safe, accurate, professional, and timely manner following policies and procedures. Performs routine screenings, places orders and tracks data for patients according to standardized quality measures in a timely, accurate and efficient manner according to policies and procedure. Minimum Qualifications Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education Degree in Nursing from an accredited College or University required. Experience A minimum of 3 years of progressively responsible and related work experience preferred. Experience in an electronic medical record (EMR), such as Epic preferred. License/Certification Current CA Registered Nurse (RN) required. Current CPR certification required. KNOWLEDGE 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. Knowledge of professional nursing theory, regulations, and practices to give and evaluate patient care. Knowledge of common safety hazards and precautions to establish/maintain a safe work environment. Knowledge of EMR chart reporting and records. Knowledge of computer systems and software used in functional area. Skill in applying and modifying the principles, methods, and techniques of professional nursing to provide ongoing patient care. Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment. Ability to perform standard clinical procedures according to established protocols. Ability to demonstrate customer service skills in interactions with all patients, families, and staff, including high volume and stressful situations. Ability to plan, organize, prioritize, work independently, and meet deadlines. Demonstrated ability to make adjustments in care planning in a rapidly changing environment. Demonstrated skills in collaboration, teamwork and problem-solving to achieve goals. Demonstrated skills in written and verbal communication and listening. Ability to maintain quality control standards. Ability to perform work accurately and thoroughly. Ability to respond quickly to emergency situations. Empathy and the ability to relate to children and their families. Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment. Ability to deal with diverse patient/family interactions and demonstrate extraordinary customer service in a fast paced and high-volume environment. Ability to perform standard clinical procedures according to established protocols. Ability to demonstrate customer service skills in interactions with all patients, families, and staff, including high volume situations. Ability to plan, organize, prioritize, work independently, and meet deadlines. Demonstrated ability to adjust in care planning in a rapidly changing environment. Demonstrated skills in collaboration, teamwork and problem-solving to achieve goals. Compassionate and caring communications Ability to maintain quality control standards. Ability to perform work accurately and thoroughly. Ability to respond quickly to emergency situations. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $54.82 to $68.53 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
CMA Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Medical Assistant I

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$33.98 - $38.52 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00025289-2656097 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Medical Assistant I is the entry, developmental and first working level of the Medical Assistant Job Family. Under general supervision in an outpatient clinical setting, the medical assistant performs a variety of routine administrative, clerical and technical supportive services to assist medical and nursing staff in the examination and treatment of patients. Assists with direct patient care procedures and related tasks and performs medical procedures of a routine nature, as dictated by established clinical procedures. Responsible for clinical duties such as taking vital signs, giving injections, transporting medications, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment and maintaining examination rooms and supplies. Works under the clinical supervision of a licensed physician or as delegated by the physician for patient care activities, and under the general direction of the designated manager/supervisor. May also be responsible for some administrative duties. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Escorts patient to exam room, measures and records vital signs, documents medication, and collects medication information. Prepares patient examination rooms prior to the visit to ensure that proper equipment and supplies are set-up for examinations, required procedures, and/or treatments. Cleans exam room following visits. Performs procedures, such as phlebotomy, venipuncture, and sterile dressing changes, following established procedures and completed competencies. Prepares patient for examination or treatment and performs routine screening tests. Assists physicians/providers with sterile and non-sterile procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or nurse. Administers medication following approved procedures and only after verification of medication and dosage by a licensed person. Provides patient education materials. Performs routine examination and treatment procedures which may include: applying and removing bandages and dressings, removing sutures and casts, cleaning wounds and applying medications and dressings, performing ear lavage, preparing patients for examinations, and disinfecting treatment sites per specialty approved competencies. Pick up medications from Pharmacy; receive medication deliveries from Pharmacy. Per department-specific policy, may place medications into secure storage, including the correct storage location and temperature; return medications to Pharmacy or prepare medications for return to Pharmacy via courier. Processes requests for prescription refills according to established practice. Demonstrates knowledge of the need for secure storage of medications, Demonstrates knowledge of the correct temperature at which to store drugs, how to identify the correct storage temperature for individual drugs, the procedure to follow for monitoring storage temperatures and actions to take when the temperatures are out of range. Demonstrates knowledge of growth and development principles, when gathering data and communicating with infants, toddlers, school age, and adolescent patients - including knowledge of normal vital signs, general appearance, signs/symptoms of abuse/neglect activity, and mobility. Performs the following procedures as directed by Registered Nurse (RN)/Nurse Practitioner (NP)/ Physician (MD) and records in the medical chart: Audiometric and vision screening, Non-sterile dressing removal and/or specialty specific procedures (i.e. removing splints, crutch fitting) Collects and sends specimens to hospital laboratory/appropriate labs for testing per procedure. Follows guidelines for proper handling of specimens for transport. Provides and documents point of care testing. Reports patient's concerns and symptoms, reactions, changes (appropriate to age) to licensed clinic personnel. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards; Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenish as required. Maintains clean and orderly exam rooms, hallways and work areas. Takes patient's messages and provides directions/instructions to patients according to physician orders and established guidelines. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: High School diploma or equivalent. Completion of all requirements in a recognized Medical Assistant training program or equivalent completion of the minimal training requirements as outlined in section 1366 of the Business and Professions Code* The equivalent completion of training as outlined in Section 1366 applies only to employees hired prior to 8/4/2013. New employees must complete a recognized Medical assistant training program. Experience: None required. License/Certification Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. Knowledge of medical terminology Knowledge of and/or ability to use the equipment defined in the Equipment Competency listing, including tube system, nurse call box, emergency masks, One-Way Valve for Basic Life Support, suction devices, automatic BP machine, infant and standing scales, wheelchairs, gurneys, exam table, thermometers, FAX machine, audiometer, tympanogram, portable oxygen tanks and automated dispensing cabinet for medications Knowledge of inventory management practices Knowledge of basic process improvement principles Ability to respond in the event of a medical emergency, including BLS, immediate notification of RN/NP/MD, and access of emergency paging system Ability to prioritize multiple tasks and handle a high volume of interactions (phones, patients, etc.) Ability to perform standard clinical procedures according to established protocols, within the Medical Assistant scope of work. Ability to communicate clearly orally and in writing. Ability to follow oral and written instructions. Ability to deal with diverse patient/family interactions. Ability to recognize and communicate problems promptly. Knowledge of computer systems and software used in functional area Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations Ability to plan, organize, prioritize, work independently and meet deadlines Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $33.98 to $38.52 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Oncology Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II - Oncology Center

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description The Bass Cancer Center for Childhood Cancer and Blood Diseases is a comprehensive patient care area that encompasses both inpatient and outpatient services. The Bass Center - Inpatient area, is a total of 49 beds, which encompasses PCU 500 and PCU 520: PCU 500: A 25 bed inpatient Hematology and Oncology unit. Patients are admitted with a new diagnosis of any type of cancer and readmitted for ongoing therapy and treatment of side effects. PCU 520: A 24 bed inpatient Stem Cell Transplant unit. Patients with metabolic and genetic disorders, in addition to patients with cancer, are admitted for allogeneic bone marrow, autologous bone marrow and stem cell transplants. Job ID: LP_00023055-2657089 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Education: Graduate from an accredited nursing program. Experience Minimum of 1 year acute care oncology RN experience, required. Hematology/Oncology and/or Pediatric RN experience, preferred. License/Certification Chemo training by Association of Pediatric Hematology/Oncology Nurses Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support Pediatric Advanced Life Support by American Heart Association (AHA) or RQI Healthcare Provider Pediatric Advanced Life Support Registered Nurse by California Board of Registered Nursing KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Part-time
Lucile Packard Children's Hospital Stanford

Relief Clinical Nurse II - ABL, REI Clinic

Lucile Packard Children's Hospital Stanford Sunnyvale, CA
$111.35 - $126.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P138199-2656970 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred, will consider ADN on a pathway to BSN or ADN with 25 or more years of experience. Experience: Minimum of one (1) or more years of acute care experience as a registered nurse. License/Certification Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $111.35 to $126.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
CMA Full-time
Lucile Packard Children's Hospital Stanford

Clinical/Medical Assistant

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$33.98 - $38.52 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144247-2959 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical/Medical Assistant (CMA), functions as a member of the clinic patient care team and functions as both Clinic Assistant and Medical Assistant as directed by the Clinic Manager or designee. Perform all clerical duties required to complete patient Check-in/Check-out, administer and coordinate the HMO referral and service authorization process, and performs other clinic front desk activities. Performs a variety of routine administrative, clerical and technical supportive services to assist medical and nursing staff in the examination and treatment of patients. Responsible for clinical duties such as taking vital signs, giving injections, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms and supplies Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Escorts patient to exam room; measures and records vital signs. Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients. Assists physicians with procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or surgeon. Administers medication following approved procedures and only after verification of medication and dosage by a licensed person. Performs routine examination and treatment procedures and include: applying and removing bandages and dressings, removing sutures and casts, cleaning wounds and applying medications and dressings, performing ear lavage, preparing patients for examinations, and shaving and disinfecting treatment sites. Schedules and edits and maintains patient physician appointments for new and returning patients, using the scheduling system. Collects patient demographic and insurance data and enters into systems as well as assigns medical record numbers Assures appropriate verifications and authorizations are complete before patient sees provider Assists physicians with procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or surgeon. Administers medication following approved procedures and only after verification of medication and dosage by a licensed person. Performs routine examination and treatment procedures and include: applying and removing bandages and dressings, removing sutures and casts, cleaning wounds and applying medications and dressings, performing ear lavage, preparing patients for examinations, and shaving and disinfecting treatment sites. Collects and sends specimens to appropriate labs for testing per protocol. Reports patient's concerns and symptoms, reactions, changes (appropriate to age) to licensed clinic personnel. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards; Processes requests for prescription refills according to established practice. Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenish as required. Maintains clean and orderly exam rooms, hallways and work areas. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: High School diploma or equivalent. Completion of all requirements in a recognized Medical Assistant training program or equivalent completion of the minimal training requirements as outlined in section 1366 of the Business and Professions Code The equivalent completion of training as outlined in Section 1366 applies only to employees hired prior to 8/4/2013. New employees must complete a recognized Medical assistant training program. Experience: One (1) year of progressively responsible and directly related work experience License/Certification Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. Knowledge of medical terminology. Knowledge of inventory management practices. Knowledge of computer systems and software used in functional area Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment. Ability to perform standard clinical procedures according to established protocols. Knowledge of computer systems and software used in functional area Ability to speak and write effectively at a level appropriate for the job Ability to solve problems and identify solutions Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations Ability to plan, organize, prioritize, work independently and meet deadlines Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $33.98 to $38.52 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Endocrinology Diabetes

Lucile Packard Children's Hospital Stanford San Francisco, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144270-2791 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred, will consider ADN on a pathway to BSN or ADN with 25 or more years of experience. Experience: Minimum of one (1) or more years of acute care experience as a registered nurse. License/Certification Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. This position may entail assignments at multiple clinic locations in the Bay Area, including: Palo Alto, Los Gatos, Sunnyvale, and San Francisco. Additional locations farther than thirty-five (35) miles from your primary work location(s) (for example Salinas and Modesto) may also be assigned from time to time. You may be entitled to paid travel time and reimbursement for mileage, pursuant to applicable law. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
Lucile Packard Children's Hospital Stanford

Nurse Coordinator, Neurology

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144274-2972 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Coordinator describes a variety of specialized nursing positions that aid in planning, coordinating, and delivering patient care for selected patient populations across the continuum of care using the nursing process, ensuring compliance with physician orders and established policies and procedures. Nurse Coordinators provide coordination and care of patients requiring assistance and support in accessing and managing their health care needs. They collaborate with other health care providers to ensure continuity of care and coordination of a wide variety of patient services. They will use performance improvement methodology to design data collection systems / processes and identify opportunities to improve care/service for patients. Responsibilities include coordinating patient contact, patient education, and preparing patients / families for procedures/tests in collaboration with the health care team; collaborating with others to ensure continuity of care and coordination of a wide variety of patient services; identifying opportunities to improve patient care services; assisting management to identify and develop operational needs for the unit and to improve patient care services; and they may provide direct patient care. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Collaborates with inpatient and other staff to develop informational/educational materials appropriate for the patient population. Develops, plans, and evaluates workshops, staff training/orientation and conferences. Assesses learning needs of patient populations and develops curriculum accordingly. Participates in formal and informal evaluation of staff competency. Communicates with patients and their relatives to explain diagnostic and therapeutic measures related to condition, provide instruction, and promote participation in patient care. Coordinates activities of nursing staff with other personnel and services engaged in caring for patients. Schedules physicians to ensure efficient use of time. Develops and implements processes / procedures to promote effective and efficient use of resources. Assists with implementation of new programs and assists with efforts to promote the service to other health care professionals and to the public. Coordinates and participates in the delivery of safe, competent, compassionate age and specialty appropriate nursing care to a specified patient population. Serves as a liaison between groups of providers and/or care settings to ensure continuity of patient care. Facilitates access and communication when multiple services/agencies are involved. Collaborates with case managers and others to provide patient care. Serves as a consultant to nursing staffs, medical staff, and other health care providers in care of the specified patient population. Coordinates operations, develops and implements process/procedures to promote effective and efficient use of resources. Assists in implementation of new programs and assists with efforts to promote the service to other health care professionals and to the public. Demonstrates leadership by inspiring others to achieve their best and acknowledging the positive contributions of staff in the manner they wish to receive it. Promotes team building. Develops project plans including major tasks, resources, and timelines. Revises project plan when required and documents progress of project. Provides pertinent information on projects to key stakeholders and others. Establishes/interprets Standards of Care and protocols. Applies organization's methodology to Performance Improvement projects. Utilizes results of quality assurance and research to identify opportunities for performance improvement. Keeps staff informed about Performance Improvement and Service Improvement efforts. Identifies and defines problem situations considering all perspectives in terms of scope and consequences. Develops ideas and evaluates solutions to identified problems. Interprets and enforces Infection Prevention and Safety policies. Reports unsafe conditions immediately. Manages information utilizing appropriate manual or electronic systems. Maintains confidentiality and documents clinical information accurately and completely and within the specified time. Designs system for data collection to be used for clinical or operations performance measurements and/or research projects. Prepare for patient visit by collecting test results, old records and other reports and provides telephone triage for patient calls. Maximizes productivity by focusing on goals, purpose and priorities. Completes written reports and projects within appropriate time frames. Reviews tasks, sets priorities, and revises plans for effective time management. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Bachelor's Degree in Nursing from an accredited college or university. Experience: Three (3) years of progressively responsible and directly related work experience. License/Certification Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support Registered Nurse by California Board of Registered Nursing KNOWLEDGE 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. Ability to anticipate, assess, plan for, and manage physical, psychological, and social needs of the patient and family/caregiver and provide appropriate support, comfort, and reassurance. Ability to apply a professional nursing code of ethics and professional guidelines to clinical practice. Ability to be a resource for all employees assigned area of specialization. Ability to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients. Ability to integrate patient care with other members of the interdisciplinary health care team and provide direction or guidance to non-licensed personnel in assigned area of responsibility to ensure quality care. Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians. Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience. Knowledge of computer systems and software used in functional area. Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care in the area of assignment. Knowledge of medical and professional nursing ethics and patient privacy rights. Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. This position may entail assignments at multiple clinic locations in the Bay Area, including: Palo Alto, Los Gatos, Sunnyvale, and San Francisco. Additional locations farther than thirty-five (35) miles from your primary work location(s) (for example Salinas and Modesto) may also be assigned from time to time. You may be entitled to paid travel time and reimbursement for mileage, pursuant to applicable law. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Labor and Delivery Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Labor and Delivery

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description Our Labor and Delivery department consists of 10 labor/delivery/recovery rooms (LDRs), three ORs, three short stay/triage rooms, and three post-anesthesia care unit (PACU) beds. We deliver approximately 5000 babies per year. Job ID: LP_00027431-2657412 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred. Experience: Minimum of 1.5 years or 18 months of recent L&D experience, preferably in a center serving high risk patients. License/Certification Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support NRP Provider Card by American Academy of Pediatrics (AAP) within 90 days of hire Advanced Cardiovascular Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Advanced Life Support Advanced Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Intermediate Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Certification Electronic Fetal Monitoring (C-EFM) from National Certification Corporation (NCC) KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
CMA Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Medical Assistant II Lead

Lucile Packard Children's Hospital Stanford Walnut Creek, CA
$30.39 - $36.47 / hour
Company Description Packard Children’s Health Alliance is a network associated with Lucile Packard Children’s Hospital and the Stanford School of Medicine. We bring the best community physicians together in a network that provides healthcare for children and expectant mothers from the Bay Area. In fact, we’re proud to be the only Bay Area medical network with an exclusive focus on women and children, and we understand the unique value provided by our more than 650 leading pediatricians and obstetrician/gynecologists. What’s more, we’re growing fast. Job ID: PC_00026768-20626 Job Description Under general supervision, the Medical Assistant II Lead performs a variety of routine administrative, clerical and technical supportive services to assist medical and nursing staff in the examination and treatment of patients. The Medical Assistant II Lead functions as both a Clinic Assistant and a Medical Assistant for a designated practice. Works under the clinical supervision of a licensed physician or as delegated by the physician for patient care activities, and under the general direction of the designated manager. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by Stanford Children’s Health guidelines including but not limited to PCARES, 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 Stanford Children’s Health policies, licensure and health screenings. The MA Assistant II Lead serves as the team leader, assists the Practice Manager in monitoring daily duties, patient flow, assisting with projects, train new staff and provide orientation of Medical and Clinical Assistants including providing feedback/guidance to staff. This position requires oversight from management and ongoing communication/guidance on a regular basis. MA Assistant II Lead Key Responsibilities Include Prepares Medical Assistant/Clinical Assistant schedules and coordinate time off requests with oversight and direction from manager. Evaluate and direct patient flow in clinic to ensure efficiency. Trains and orients new employees, provides and assigns coverage as needed. Provides coaching to staff as needed with oversight from manager. Serves as liaison and representative to the staff for day-to-day issues. Handles escalated and non-routine patient concerns appropriately. Works collaboratively with clinic leadership to ensure that clinic requirements are followed and that policies and procedures are in accordance. Immediately alerts manager of policy violations. Report to manager about ongoing operational needs of the clinic, training needs of employees, including patient concerns and other clinic-related issues. Maintain current knowledge and answer questions of other employees on procedures, policies, and obtain needed information or decisions from manager. Keep in touch with the status and progress of daily work, and make day- to- day adjustments in accordance with established priorities, obtaining assistance and with oversight from the manager as needed. Function as a Subject Matter Expert (SME) for all front and back office duties Performs other duties and projects as assigned. Expected to function as an Epic Super User. Administrative Duties Answers multi-line phone, screens and routes calls, takes messages for clinic staff and physicians. Schedules and edits patient physician appointments for new and returning patients. Schedules consultations with other clinics or physicians as needed. Greets patients and request that patients and visitors be seated in the waiting room and communicate unexpected delays as needed. Collects patient demographic and insurance data. Determines and documents need for signatures for conditions of registration. Identifies and obtains services requiring authorization and/or referrals and appropriate process for the payer type. Informs new and returning patients of authorization and payment. Collects and posts co-pays. Obtains required signatures. Maintains records in accordance with guidelines. Files and retrieves electronic medical records. Prints and uses scheduling reports. Retrieves and prepares patients charts. CLINICAL DUTIES Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenishes as required. Maintains clean and orderly exam rooms, hallways and work areas. Escorts patient to exam room; measures and records vital signs. Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients. Reports patient’s concerns and symptoms, reactions, changes (appropriate to age) to licensed clinic personnel. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards. Assists physicians with procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or nurse. Collects and sends specimens to appropriate labs for testing per protocol. Processes requests for prescription refills according to established practice. Other duties as assigned. Qualifications Minimum Qualifications Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: High School diploma or equivalent. Completion of all requirements in a recognized Medical Assistant training program. Experience: Three (3) years of directly related work experience. Licensure/Certification: Current Cardiopulmonary Resuscitation (CPR) certification. Must obtain certification from an accredited Medical Assistant Program from one of the following - Within one (1) year of placement in MA II Lead position: California Certifying Board of Medical Assistants (CCBMA), American Association of Medical Assistants (AAMA), American Medical Certification Association (AMCA), National Healthcare Association (NHA), or American Medical Technologists Certification (AMT) Knowledge, Skills, And Abilities Knowledge of medical terminology. Knowledge of inventory management practices. Knowledge of computer systems and software used in functional area Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment according to physician protocols, guidelines or instructions. Ability to perform standard clinical procedures according to established protocols. Ability to communicate clearly orally and in writing. Ability to follow oral and written instructions. Ability to deal with diverse patient/family interactions and demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations Ability to solve problems and identify solutions Ability to plan, organize, prioritize, work independently and meet deadlines Ability to prioritize multiple tasks and handle a high volume of interactions (phones, patients, etc.) Ability to field phone calls and answer questions. Ability to multi-task and to change priorities regularly. Ability to adjust communications to fit the needs and level of understanding of the receiver. Ability to exercise calmness in fast paced and high-volume environment. Physical Requirements and Working Conditions The Physical Requirements and Working Conditions in which the job is typically performed are available from the Human Resources department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Risk of Exposure to Bloodborne Pathogens Tasks involve exposure to blood, body fluids or tissues. The potential for spills or splashes of blood, body fluids, tissues exist in job related tasks. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $30.39 to $36.47 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
CMA Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Medical Assistant II

Lucile Packard Children's Hospital Stanford Menlo Park, CA
$27.57 - $33.08 / hour
Company Description Packard Children’s Health Alliance is a network associated with Lucile Packard Children’s Hospital and the Stanford School of Medicine. We bring the best community physicians together in a network that provides healthcare for children and expectant mothers from the Bay Area. In fact, we’re proud to be the only Bay Area medical network with an exclusive focus on women and children, and we understand the unique value provided by our more than 650 leading pediatricians and obstetrician/gynecologists. What’s more, we’re growing fast. Job ID: PC_00025995-5132026 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Under general supervision, the Medical Assistant II performs a variety of routine administrative, clerical and technical supportive services to assist medical and nursing staff in the examination and treatment of patients.The Medical Assistant II functions as both a Clinic Assistant and a Medical Assistant. Works under the clinical supervision of a licensed physician or as delegated by the physician for patient care activities, and under the general direction of the designated manager/supervisor. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Administrative Duties Answers multi-line phone, screens and routes calls, takes messages for clinic staff and physicians. Schedules and edits patient physician appointments for new and returning patients. Schedules consultations with other clinics or physicians as needed. Greets patients and request that patients and visitors be seated in the waiting room and communicate unexpected delays as needed. Collects patient demographic and insurance data. Determines and documents need for signatures for conditions of registration. Identifies and obtains services requiring authorization and appropriate process for the payer type. Informs new and returning patients of authorization and payment. Collects and posts co-pays. Obtains required signatures. Maintains records in accordance with guidelines. Files and retrieves electronic medical records Prints and uses scheduling reports. Retrieves and prepares patients charts. CLINICAL DUTIES Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenishes as required. Maintains clean and orderly exam rooms, hallways and work areas. Escorts patient to exam room; measures and records vital signs. Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients. Reports patient’s concerns and symptoms, reactions, changes (appropriate to age) to licensed clinic personnel. Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards. Assists physicians with procedure set-ups, patient procedures and examinations. Administers medication by intradermal, subcutaneous, or intramuscular injections, performs skin tests, venipunctures and other technical supportive services upon the specific authorization and supervision of a licensed physician or nurse. Collects and sends specimens to appropriate labs for testing per protocol. Processes requests for prescription refills according to established practice. Other duties as assigned. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: High School diploma or equivalent. Completion of all requirements in a recognized Medical Assistant training program. Experience: One (1) year of progressively responsible and directly related work experience. Licensure/Certification: Current Cardiopulmonary Resuscitation (CPR) certification. KNOWLEDGE 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. Knowledge of medical terminology. Knowledge of inventory management practices. Knowledge of computer systems and software used in functional area Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment according to physician protocols, guidelines or instructions. Ability to perform standard clinical procedures according to established protocols. Ability to communicate clearly orally and in writing. Ability to follow oral and written instructions. Ability to deal with diverse patient/family interactions and demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations Ability to solve problems and identify solutions Ability to plan, organize, prioritize, work independently and meet deadlines Ability to prioritize multiple tasks and handle a high volume of interactions (phones, patients, etc.) Ability to field phone calls and answer questions. Ability to multi-task and to change priorities regularly. Ability to adjust communications to fit the needs and level of understanding of the receiver. Ability to exercise calmness in fast paced and high-volume environment. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $27.57 to $33.08 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Oncology Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II - Oncology Center

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description The Bass Cancer Center for Childhood Cancer and Blood Diseases is a comprehensive patient care area that encompasses both inpatient and outpatient services. The Bass Center - Inpatient area, is a total of 49 beds, which encompasses PCU 500 and PCU 520: PCU 500: A 25 bed inpatient Hematology and Oncology unit. Patients are admitted with a new diagnosis of any type of cancer and readmitted for ongoing therapy and treatment of side effects. PCU 520: A 24 bed inpatient Stem Cell Transplant unit. Patients with metabolic and genetic disorders, in addition to patients with cancer, are admitted for allogeneic bone marrow, autologous bone marrow and stem cell transplants. Job ID: LP_00016174-2656977 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Education: Graduate from an accredited nursing program. Experience Minimum of 1 year acute care oncology RN experience, required. Hematology/Oncology and/or Pediatric RN experience, preferred. License/Certification Chemo training by Association of Pediatric Hematology/Oncology Nurses within 180 days Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Pediatric Advanced Life Support Registered Nurse by California Board of Registered Nursing KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Labor and Delivery Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Labor and Delivery

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description Our Labor and Delivery department consists of 10 labor/delivery/recovery rooms (LDRs), three ORs, three short stay/triage rooms, and three post-anesthesia care unit (PACU) beds. We deliver approximately 5000 babies per year. Job ID: LP_00026204-2655513 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred. Experience: Minimum of 1.5 years or 18 months of recent L&D experience, preferably in a center serving high risk patients. License/Certification Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support NRP Provider Card by American Academy of Pediatrics (AAP) within 90 days of hire Advanced Cardiovascular Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Advanced Life Support Advanced Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Intermediate Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Certification Electronic Fetal Monitoring (C-EFM) from National Certification Corporation (NCC) KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse Specialist, Transport and CCRT

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$90.19 - $112.73 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00022029-2657169 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Clinical Nurse Specialists are Master's Degree prepared advanced practice Registered Nurses in roles characterized by the following responsibilities: Provide care for patients with multiple or complex health needs within a specific clinical area; Use advanced clinical skills in the assessment, diagnosis, treatment and evaluation of patients; Use theoretical and clinical expertise to assist health care providers and patients in promoting or achieving optimal health; Develop and implement standards of nursing practice; Serve as a consultant or expert resource person for other health providers; Facilitate an interdisciplinary and collaborative approach to meeting the needs of patients; Seek consultations and make referrals as needed; and Promote research to improve clinical nursing practice. Clinical Nurse Specialists assess, plan, provide and evaluate specialized nursing care of patients by advancing the quality and scope of nursing practice through clinical practice, education, research, consultation, and administrative roles in the area of clinical expertise (e.g., diabetes, cardiology, respiratory, pediatrics, etc.) for a specified patient population. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Analyzes unit patient care plans currently for evidence of documentation of standards of practice, shares findings with staff, and collaborates in developing a variety of valid and reliable assessment tools to assist staff with documentation records. Demonstrates expertise in the execution of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process. Elects, implements, and evaluates comforting, therapeutic, restorative, and preventative nursing measures for selected patients; expertise in the planning and delivery of special patient care problems. In collaboration with nursing managers and other researchers, performs, assists with, and Initiates, evaluates and revises nursing plans of care that reflect a multidisciplinary approach to patient care; coordinates the nursing plan of care with the medical plan of care. Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area. Offers consultative services within nursing services and to other disciplines to provide or participates in planning, development, execution and evaluation of clinical research. Participates in the hospital's quality improvement program; collaborates in setting unit standards of care and monitors indicators of quality projects. Provides direct patient care using consistency in assessing current patient care situations, priorities, and needs. Provides safety, comfort care, and treatment of patients according to established legal, ethical, and institutional standards. Serves as a consultant to patients, families, and staff. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Master's degree in a work-related discipline/field from an accredited college or university. Experience: Three (3) years of progressively responsible and directly related work experience. License/Certification Registered Nurse by California Board of Registered Nursing Clinical Nurse Specialist by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE 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. Ability to communicate effectively, both orally and in writing. Ability to conduct research, document results, draw conclusions and make recommendations. Ability to develop and perform patient assessment and plan of care. Ability to identify competency-based education needs of and implement educational programs for staff. Ability to perform patient assessment and triage. Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients. Ability to provide direct evaluation and consultation to patients. Knowledge of advanced clinical practice education, consultation, research, and administration. Knowledge of clinical operations, workflow and procedures. Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty. Skill: Advanced nursing skills in area of specialty. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $90.19 to $112.73 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
RN Oncology Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II - Oncology Center

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$96.35 - $111.14 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description The Bass Cancer Center for Childhood Cancer and Blood Diseases is a comprehensive patient care area that encompasses both inpatient and outpatient services. The Bass Center - Inpatient area, is a total of 49 beds, which encompasses PCU 500 and PCU 520: PCU 500: A 25 bed inpatient Hematology and Oncology unit. Patients are admitted with a new diagnosis of any type of cancer and readmitted for ongoing therapy and treatment of side effects. PCU 520: A 24 bed inpatient Stem Cell Transplant unit. Patients with metabolic and genetic disorders, in addition to patients with cancer, are admitted for allogeneic bone marrow, autologous bone marrow and stem cell transplants. Job ID: LP_00016174-2656977 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Education: Graduate from an accredited nursing program. Experience Minimum of 1 year acute care oncology RN experience, required. Hematology/Oncology and/or Pediatric RN experience, preferred. License/Certification Chemo training by Association of Pediatric Hematology/Oncology Nurses within 180 days Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Pediatric Advanced Life Support Registered Nurse by California Board of Registered Nursing KNOWLEDGE 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. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Cardiology

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144394-2936 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care 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 Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. 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, orders, furnishes and prescribes medications. 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. 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. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, General Surgery

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$93.75 - $114.84 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P144391-2885 Job Description This is a Fixed Term position Department Duties The General Surgery NP/PA position is part of a collaborative team model of care consisting of pediatric general surgeons and advanced practice providers who provide care for patients with a wide range of pediatric surgical diagnoses. This position is located at Lucile Packard Children’s Hospital, Palo Alto, CA. This position will work with the general surgery inpatient service, working in tandem with team members to primarily manage pediatric surgery patients. General surgery patients range from premature infants to young adults. Common conditions seen include emergency, acute, and chronic surgical conditions, infant and congenital surgical conditions, colorectal and intestinal conditions, tumors, and vascular lesions and vascular associated syndromes. The general surgery department also has numerous specialty outpatient programs including aerodigestive and airway reconstruction center, adolescent bariatric surgery, chest wall program, colorectal and bowel management program, intestinal failure and short gut program, and pilonidal disease program. Role responsibilities include collaborating with the physician team to primarily manage general surgery inpatients, new patients consult, triage calls from inpatient team members, and coordinating discharge needs. Learning opportunities include weekly educations conferences, monthly APP Grand Rounds, and radiology and case conferences. Additional opportunities include involvement in the local and broader APP community at both Stanford Children’s Health and with national organizations. The ideal candidate is a motivated and self-directed practitioner with excellent communication skills, clear judgment, and extensive attention to detail. Previous general surgery experience is preferred but not required. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care 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 Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient 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. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. 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, orders, furnishes and prescribes medications. 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. 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. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) 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, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, 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, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.