RN Part-time
Lucile Packard Children's Hospital Stanford

Relief Nurse Coordinator, Organ Acquisition Heart

Lucile Packard Children's Hospital Stanford Palo Alto, 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: LP_00025587-2659170 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 areaof 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. 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
$35.17 - $39.87 / 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_00017079-2659932 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): $35.17 to $39.87 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, CPEI Nursing Informatics

Lucile Packard Children's Hospital Stanford Menlo Park, 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: P142731-2664 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: CA Registered Nurse (RN) -AND- CNS - Clinical Nurse Specialist 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.
CNA Oncology Part-time
Lucile Packard Children's Hospital Stanford

Nursing Assistant II, Oncology Center

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$36.01 - $40.38 / 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_00024435-2659754 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Under the direction and supervision of a Registered Nurse, and in accordance with Hospital policies and procedures, the Nursing Assistant (NA) provides basic direct and indirect care as a member of the patient care team. The direct patient care activities are related to the following: measuring, recording and reporting patient information, provision of or assistance with activities of daily living, and simple treatments and procedures. The NA recognizes and addresses age appropriate and cultural needs when caring for patients. In addition, the NA assists in maintaining the patient and unit environment in a clean, orderly condition. The NA communicates changes on the status of the patient to the RN or in the RN's absence the resource nurse. 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. Accurately observes, records and reports patient information. Adheres to the standards of nursing care and the policies and procedures of the Hospital and Department of Patient Care Services. Assesses and documents vital signs on stable patients requiring vital signs. Stable is defined as patients that require vital signs no more often than every 4 hours. The initial set of admission vital signs has been completed by the RN. Assists patient with and/or provides efficient care related to activities of daily living as assigned. Carries out responsibilities following safety guidelines for self, patient, visitors and employees. Completes orientation program and participates in learning activities to maintain and improve knowledge skills. Considers age-specific needs when interacting with patients and families. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Contributes in a positive manner to the unit, department and hospital goals. Demonstrates effective communication skills, especially in stressful situations. Communicates in a compassionate manner, is patient and courteous utilizing active listening skills as well as helping to maintain a quiet patient care environment. Dresses appropriately and wears name badge. Ensures patient identification and an allergy band is on patient at all times. Follows unit and departmental guidelines relate to staffing and scheduling. Helps ensure that areas and halls are child-proof (LPCH only). Maintains a clean orderly and safe environment. Orders and maintains equipment and supplies for the desk area and unit, maintains clean work areas and halls. May provide break relief or assistance to the unit clerk as needed and if applicable. On certain units, after cross-training in the area of rehabilitation activities, assists patients with and/or provides efficient care related to rehabilitative activities as delegated and supervised by a Physical, Occupational, or Speech Therapist. Orients patient and family to environment. Performs routine patient care (hygiene, nutrition, elimination, measuring I/O's) utilizing universal precautions under the direction and supervision of a RN as assigned. Note: On selected units, with Patient Care Manager approval, may perform specific skills after documented instruction. Provides sitter duties when needed for a patient. Recognizes and provides age-appropriate care based on the needs of the patient and family. Responds appropriately in actual or potential emergency events. Notifies appropriate personnel, communicates with other personnel to ensure delivery of immediate care needs and intervenes as necessary with families and staff by working with appropriate interdisciplinary team members. Responds to alarms appropriately and reports to RN when alarms are outside of parameters. Responds to customer / staff needs in a prompt attentive manner. Handles messages appropriately using communication etiquette, notifies Resource Nurse and others of patient flow (admissions, transfers, discharges). Stocks room with supplies and other items as needed. Supports family centered care in their everyday work. (LPCH only). Transfers patients to off unit procedures according to transport policy. Uses the computerized electronic health record in accordance with job requirements and hospital policies and procedures. 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: None required. Experience: None required. License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) 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 accurately, completely, and independently perform the reading, writing, and arithmetic required by the job. Ability to be patient and courteous and use active listening skills. Ability to communicate effectively with staff, patients, and families, both verbally and in writing. Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations. Ability to learn standard nursing procedures used in patient care; elicit information related to patient symptoms. Ability to maintain confidentiality of sensitive information. Ability to provide appropriate care based on the needs of the specific individuals, including age. Ability to solve problems effectively using appropriate resources; is productive in workflow, skills, and organization. Ability to speak, read, write, and understand English effectively at a level appropriate for the job. Ability to take and record patients' vital signs. Ability to transport patients as needed for admission, discharge, procedures, etc. Knowledge of basic principles, methods, medical terminology, and procedures of nursing aide work as applied to patient care. Knowledge of computer systems and software used in functional area. Knowledge of standard asepsis, hygiene, and infection control procedures. Knowledge of standard charting procedures. Knowledge of standard instruments and equipment used in routine patient examinations and treatment. 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): $36.01 to $40.38 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 OB/GYN Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Medical Assistant I - OB/GYN

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$35.17 - $39.87 / 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_00024055-2659138 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): $35.17 to $39.87 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_00026481-2659893 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) Advanced Cardiovascular Life Support by American Heart Association (AHA) 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 Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Medical Assistant I, Clinic REI Sunnyvale

Lucile Packard Children's Hospital Stanford Sunnyvale, CA
$35.17 - $39.87 / 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: P146338-3262 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): $35.17 to $39.87 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 Pediatric PICU Full-time
Lucile Packard Children's Hospital Stanford

PICU Clinical Nurse Specialist or Quality and Practice Advisor

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$87.14 - $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_00020471-2653083 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Clinical Nurse Specialist: 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. Quality and Practice Advisor: Quality and Practice Advisor (QPA) are Registered Nurses who utilize evidence informed practice to facilitate and lead improvements in patient care and in the work environment. The QPA is a facilitator of improvement work evaluating data trends, developing clinical practice changes ground by evidence-based practice, clinical specialty consultant to the nursing staff and inter-professional teams at LPCHS. QPA works collaboratively with inter-professional teams to enact implementation of evidence-based practice and specialty standards, lead improvement and change initiatives, utilize data and standard processes to assess and improve patient outcomes. Major responsibilities include but are not limited to nursing leadership, represents clinical practice in a subspecialty practice area, education of team members, facilitating and conducting evidence-based practice including dissemination, and professional development of the inter-professional team. 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. Clinical Nurse Specialist: 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. Quality And Practice Advisor: Establishes and monitors care standards and makes recommendations for changes in area of clinical practice based on professional standards and evidence. Demonstrates a minimum of proficient level understanding of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process. Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area. Consults within nursing services and interprofessional teams in planning, development, execution and evaluation of in the delivery of care to improve quality outcomes and practice compliance. Basic understanding of quality improvement cycles and change management. Participates in the hospital's quality improvement program and monitors indicators of quality and safety trends. 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. Clinical Nurse Specialist 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 Quality And Practice Advisor: Education: Bachelors degree in Nursing; Proof of enrollment in an accredited Clinical Nurse Specialist (CNS) program (preferred). Experience: Three (3) years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse (RN); BLS for healthcare providers; advanced life support for area of specialty (NRP/PALS/ACLS) AND must have a certification in their field of specialty 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. Clinical Nurse Specialist: 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. Quality And Practice Advisor: 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. Ability to speak, read, write, and understand English effectively at a level appropriate for the safe and effective performance of the job. 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. 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. Clinical Nurse Specialist: Minimum to Midpoint Range (Hourly): $87.14 to $108.92 Quality and Practice Advisor: Minimum to Midpoint Range (Hourly): $79.03 to $98.79 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.
CNA Pediatric CVICU Full-time
Lucile Packard Children's Hospital Stanford

Nursing Assistant II - Pediatric CVICU

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$36.01 - $40.38 / 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: P146168-3194 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Under the direction and supervision of a Registered Nurse, and in accordance with Hospital policies and procedures, the Nursing Assistant (NA) provides basic direct and indirect care as a member of the patient care team. The direct patient care activities are related to the following: measuring, recording and reporting patient information, provision of or assistance with activities of daily living, and simple treatments and procedures. The NA recognizes and addresses age appropriate and cultural needs when caring for patients. In addition, the NA assists in maintaining the patient and unit environment in a clean, orderly condition. The NA communicates changes on the status of the patient to the RN or in the RN's absence the resource nurse. 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. Accurately observes, records and reports patient information. Adheres to the standards of nursing care and the policies and procedures of the Hospital and Department of Patient Care Services. Assesses and documents vital signs on stable patients requiring vital signs. Stable is defined as patients that require vital signs no more often than every 4 hours. The initial set of admission vital signs has been completed by the RN. Assists patient with and/or provides efficient care related to activities of daily living as assigned. Carries out responsibilities following safety guidelines for self, patient, visitors and employees. Completes orientation program and participates in learning activities to maintain and improve knowledge skills. Considers age-specific needs when interacting with patients and families. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Contributes in a positive manner to the unit, department and hospital goals. Demonstrates effective communication skills, especially in stressful situations. Communicates in a compassionate manner, is patient and courteous utilizing active listening skills as well as helping to maintain a quiet patient care environment. Dresses appropriately and wears name badge. Ensures patient identification and an allergy band is on patient at all times. Follows unit and departmental guidelines relate to staffing and scheduling. Helps ensure that areas and halls are child-proof (LPCH only). Maintains a clean orderly and safe environment. Orders and maintains equipment and supplies for the desk area and unit, maintains clean work areas and halls. May provide break relief or assistance to the unit clerk as needed and if applicable. On certain units, after cross-training in the area of rehabilitation activities, assists patients with and/or provides efficient care related to rehabilitative activities as delegated and supervised by a Physical, Occupational, or Speech Therapist. Orients patient and family to environment. Performs routine patient care (hygiene, nutrition, elimination, measuring I/O's) utilizing universal precautions under the direction and supervision of a RN as assigned. Note: On selected units, with Patient Care Manager approval, may perform specific skills after documented instruction. Provides sitter duties when needed for a patient. Recognizes and provides age-appropriate care based on the needs of the patient and family. Responds appropriately in actual or potential emergency events. Notifies appropriate personnel, communicates with other personnel to ensure delivery of immediate care needs and intervenes as necessary with families and staff by working with appropriate interdisciplinary team members. Responds to alarms appropriately and reports to RN when alarms are outside of parameters. Responds to customer / staff needs in a prompt attentive manner. Handles messages appropriately using communication etiquette, notifies Resource Nurse and others of patient flow (admissions, transfers, discharges). Stocks room with supplies and other items as needed. Supports family centered care in their everyday work. (LPCH only). Transfers patients to off unit procedures according to transport policy. Uses the computerized electronic health record in accordance with job requirements and hospital policies and procedures. 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: None required. Experience: None required. License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) 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 accurately, completely, and independently perform the reading, writing, and arithmetic required by the job. Ability to be patient and courteous and use active listening skills. Ability to communicate effectively with staff, patients, and families, both verbally and in writing. Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations. Ability to learn standard nursing procedures used in patient care; elicit information related to patient symptoms. Ability to maintain confidentiality of sensitive information. Ability to provide appropriate care based on the needs of the specific individuals, including age. Ability to solve problems effectively using appropriate resources; is productive in workflow, skills, and organization. Ability to speak, read, write, and understand English effectively at a level appropriate for the job. Ability to take and record patients' vital signs. Ability to transport patients as needed for admission, discharge, procedures, etc. Knowledge of basic principles, methods, medical terminology, and procedures of nursing aide work as applied to patient care. Knowledge of computer systems and software used in functional area. Knowledge of standard asepsis, hygiene, and infection control procedures. Knowledge of standard charting procedures. Knowledge of standard instruments and equipment used in routine patient examinations and treatment. 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): $36.01 to $40.38 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.
CNA Pediatric CVICU Full-time
Lucile Packard Children's Hospital Stanford

Nursing Assistant II - Pediatric CVICU

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$36.01 - $40.38 / 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: P146166-3192 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Under the direction and supervision of a Registered Nurse, and in accordance with Hospital policies and procedures, the Nursing Assistant (NA) provides basic direct and indirect care as a member of the patient care team. The direct patient care activities are related to the following: measuring, recording and reporting patient information, provision of or assistance with activities of daily living, and simple treatments and procedures. The NA recognizes and addresses age appropriate and cultural needs when caring for patients. In addition, the NA assists in maintaining the patient and unit environment in a clean, orderly condition. The NA communicates changes on the status of the patient to the RN or in the RN's absence the resource nurse. 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. Accurately observes, records and reports patient information. Adheres to the standards of nursing care and the policies and procedures of the Hospital and Department of Patient Care Services. Assesses and documents vital signs on stable patients requiring vital signs. Stable is defined as patients that require vital signs no more often than every 4 hours. The initial set of admission vital signs has been completed by the RN. Assists patient with and/or provides efficient care related to activities of daily living as assigned. Carries out responsibilities following safety guidelines for self, patient, visitors and employees. Completes orientation program and participates in learning activities to maintain and improve knowledge skills. Considers age-specific needs when interacting with patients and families. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Contributes in a positive manner to the unit, department and hospital goals. Demonstrates effective communication skills, especially in stressful situations. Communicates in a compassionate manner, is patient and courteous utilizing active listening skills as well as helping to maintain a quiet patient care environment. Dresses appropriately and wears name badge. Ensures patient identification and an allergy band is on patient at all times. Follows unit and departmental guidelines relate to staffing and scheduling. Helps ensure that areas and halls are child-proof (LPCH only). Maintains a clean orderly and safe environment. Orders and maintains equipment and supplies for the desk area and unit, maintains clean work areas and halls. May provide break relief or assistance to the unit clerk as needed and if applicable. On certain units, after cross-training in the area of rehabilitation activities, assists patients with and/or provides efficient care related to rehabilitative activities as delegated and supervised by a Physical, Occupational, or Speech Therapist. Orients patient and family to environment. Performs routine patient care (hygiene, nutrition, elimination, measuring I/O's) utilizing universal precautions under the direction and supervision of a RN as assigned. Note: On selected units, with Patient Care Manager approval, may perform specific skills after documented instruction. Provides sitter duties when needed for a patient. Recognizes and provides age-appropriate care based on the needs of the patient and family. Responds appropriately in actual or potential emergency events. Notifies appropriate personnel, communicates with other personnel to ensure delivery of immediate care needs and intervenes as necessary with families and staff by working with appropriate interdisciplinary team members. Responds to alarms appropriately and reports to RN when alarms are outside of parameters. Responds to customer / staff needs in a prompt attentive manner. Handles messages appropriately using communication etiquette, notifies Resource Nurse and others of patient flow (admissions, transfers, discharges). Stocks room with supplies and other items as needed. Supports family centered care in their everyday work. (LPCH only). Transfers patients to off unit procedures according to transport policy. Uses the computerized electronic health record in accordance with job requirements and hospital policies and procedures. 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: None required. Experience: None required. License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) 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 accurately, completely, and independently perform the reading, writing, and arithmetic required by the job. Ability to be patient and courteous and use active listening skills. Ability to communicate effectively with staff, patients, and families, both verbally and in writing. Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations. Ability to learn standard nursing procedures used in patient care; elicit information related to patient symptoms. Ability to maintain confidentiality of sensitive information. Ability to provide appropriate care based on the needs of the specific individuals, including age. Ability to solve problems effectively using appropriate resources; is productive in workflow, skills, and organization. Ability to speak, read, write, and understand English effectively at a level appropriate for the job. Ability to take and record patients' vital signs. Ability to transport patients as needed for admission, discharge, procedures, etc. Knowledge of basic principles, methods, medical terminology, and procedures of nursing aide work as applied to patient care. Knowledge of computer systems and software used in functional area. Knowledge of standard asepsis, hygiene, and infection control procedures. Knowledge of standard charting procedures. Knowledge of standard instruments and equipment used in routine patient examinations and treatment. 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): $36.01 to $40.38 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.
CNA Pediatric CVICU Part-time
Lucile Packard Children's Hospital Stanford

Nursing Assistant II - Pediatric CVICU

Lucile Packard Children's Hospital Stanford Palo Alto, CA
$36.01 - $40.38 / 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: P146169-3195 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Under the direction and supervision of a Registered Nurse, and in accordance with Hospital policies and procedures, the Nursing Assistant (NA) provides basic direct and indirect care as a member of the patient care team. The direct patient care activities are related to the following: measuring, recording and reporting patient information, provision of or assistance with activities of daily living, and simple treatments and procedures. The NA recognizes and addresses age appropriate and cultural needs when caring for patients. In addition, the NA assists in maintaining the patient and unit environment in a clean, orderly condition. The NA communicates changes on the status of the patient to the RN or in the RN's absence the resource nurse. 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. Accurately observes, records and reports patient information. Adheres to the standards of nursing care and the policies and procedures of the Hospital and Department of Patient Care Services. Assesses and documents vital signs on stable patients requiring vital signs. Stable is defined as patients that require vital signs no more often than every 4 hours. The initial set of admission vital signs has been completed by the RN. Assists patient with and/or provides efficient care related to activities of daily living as assigned. Carries out responsibilities following safety guidelines for self, patient, visitors and employees. Completes orientation program and participates in learning activities to maintain and improve knowledge skills. Considers age-specific needs when interacting with patients and families. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Contributes in a positive manner to the unit, department and hospital goals. Demonstrates effective communication skills, especially in stressful situations. Communicates in a compassionate manner, is patient and courteous utilizing active listening skills as well as helping to maintain a quiet patient care environment. Dresses appropriately and wears name badge. Ensures patient identification and an allergy band is on patient at all times. Follows unit and departmental guidelines relate to staffing and scheduling. Helps ensure that areas and halls are child-proof (LPCH only). Maintains a clean orderly and safe environment. Orders and maintains equipment and supplies for the desk area and unit, maintains clean work areas and halls. May provide break relief or assistance to the unit clerk as needed and if applicable. On certain units, after cross-training in the area of rehabilitation activities, assists patients with and/or provides efficient care related to rehabilitative activities as delegated and supervised by a Physical, Occupational, or Speech Therapist. Orients patient and family to environment. Performs routine patient care (hygiene, nutrition, elimination, measuring I/O's) utilizing universal precautions under the direction and supervision of a RN as assigned. Note: On selected units, with Patient Care Manager approval, may perform specific skills after documented instruction. Provides sitter duties when needed for a patient. Recognizes and provides age-appropriate care based on the needs of the patient and family. Responds appropriately in actual or potential emergency events. Notifies appropriate personnel, communicates with other personnel to ensure delivery of immediate care needs and intervenes as necessary with families and staff by working with appropriate interdisciplinary team members. Responds to alarms appropriately and reports to RN when alarms are outside of parameters. Responds to customer / staff needs in a prompt attentive manner. Handles messages appropriately using communication etiquette, notifies Resource Nurse and others of patient flow (admissions, transfers, discharges). Stocks room with supplies and other items as needed. Supports family centered care in their everyday work. (LPCH only). Transfers patients to off unit procedures according to transport policy. Uses the computerized electronic health record in accordance with job requirements and hospital policies and procedures. 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: None required. Experience: None required. License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) 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 accurately, completely, and independently perform the reading, writing, and arithmetic required by the job. Ability to be patient and courteous and use active listening skills. Ability to communicate effectively with staff, patients, and families, both verbally and in writing. Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations. Ability to learn standard nursing procedures used in patient care; elicit information related to patient symptoms. Ability to maintain confidentiality of sensitive information. Ability to provide appropriate care based on the needs of the specific individuals, including age. Ability to solve problems effectively using appropriate resources; is productive in workflow, skills, and organization. Ability to speak, read, write, and understand English effectively at a level appropriate for the job. Ability to take and record patients' vital signs. Ability to transport patients as needed for admission, discharge, procedures, etc. Knowledge of basic principles, methods, medical terminology, and procedures of nursing aide work as applied to patient care. Knowledge of computer systems and software used in functional area. Knowledge of standard asepsis, hygiene, and infection control procedures. Knowledge of standard charting procedures. Knowledge of standard instruments and equipment used in routine patient examinations and treatment. 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): $36.01 to $40.38 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 Pediatric Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Pediatric Anesthesia Resource 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 Pediatric Anesthesia Resource Center (PARC) Clinical Nurse is responsible for performing, during a phone appointment with the family and patient, the nursing process (assessment, planning, implementation and evaluation) in consultation/collaboration with interdisciplinary members of the patient care team. The PARC RN will also work in conjunction with the PARC NP’s and MD’s to complete the Anesthesia care plan. Demonstrates the knowledge and skills necessary to provide age appropriate care to our patients. Possesses the ability to assess and interpret appropriate data relative to age and to provide nursing care as described in the unit’s policies and procedures: demonstrates knowledge of the principles of growth and development through the life span; and possess an understanding of the range of treatments needed by patients. Pediatric Anesthesia Resource Center also includes the Pre-Operative area (Pre Op). These areas are dedicated to the preparation of patients having surgery or other procedures under general anesthesia. Services include urology, ENT, neurosurgery, general pediatric surgery, orthopedics, cardiac surgery, plastics, cardiology, interventional radiology (IR), radiation therapy, nuclear medicine, and MRI/CT. Our Multidisciplinary team not only supports our 7 OR’s, Cardiac Cath Lab, and APU, but also the Bass Center PACU, and APU PACU. Schedule: 80 hours bi weekly, 4/10 hour schedules. Job ID: LP_00019176-2659760 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: 1 year of current Pediatric Anesthesia Resource Center (PARC) or pre-anesthesia assessment unit experience, OR 2 years of current Pediatric Preop/PACU experience. License/Certification Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days or RQI Healthcare Provider Pediatric Advanced Life Support 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): $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 I

Lucile Packard Children's Hospital Stanford Sunnyvale, CA
$35.17 - $39.87 / 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_00014616-2659948 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): $35.17 to $39.87 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, Acute Care

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_00020517-2657795 Job Description Specialty Areas: PCU 300, PCU 350, PCU 360 – Patient populations include: Solid Organ Transplant, General Surgery, Ortho, Plastic Surgery, General Peds 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: CA Registered Nurse (RN) -AND- CNS - Clinical Nurse Specialist 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 Pediatric 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_00026138-2659753 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 oncology RN experience in an acute care facility required. License/Certification Chemo training by Association of Pediatric Hematology/Oncology Nurses (APHON) required 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 Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II, Neonatal Float Team

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 This position floats to the following three units: Neonatal Intensive Care Unit, Intermediate Care Nursery and Lucile Packard Special Care Nursery The Neonatal Intensive Care Unit (NICU) is a 40-bed Level IV nursery specializing in care for newborns, which includes the tiniest premature babies and critically ill neonatal infants with a variety of diagnoses and conditions, such as congenital heart disease, pulmonary hypertension, metabolic disorders, and other congenital defects. Some of the interventions we do include ECMO, CVVH, Peritoneal Dialysis and Therapeutic Hypothermia. The Intermediate Care Nursery (ICN) is a 34-bed level II Neonatal Intensive Care Nursery designed to provide care to recovering newborns and those infants requiring level II care. The team cares for infants requiring direct admission from the Delivery Room, the Emergency Department, other hospitals, re-admissions from home, post-surgery cases, as well as more chronic conditions or premature infants from our Level IV NICU. The Lucile Packard Special Care Nursery is a 6-bed, Level II Neonatal Intensive Care Unit (NICU) located within Sequoia Hospital. The team includes Stanford University doctors and Lucile Packard Children's Hospital Stanford nurses. In addition to providing care to the SCN babies our team serves Sequoia Hospital with newborn nursery care and delivery attendance. Job ID: LP_00019282-2659353 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 2 years of current neonatal nursing experience in a level III NICU. License/Certification Registered Nurse by California Board of Registered Nursing or Temporary Registered Nurse License by California Board of Registered Nursing NRP Provider Card by American Academy of Pediatrics (AAP) RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) 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 Pediatric CVICU Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Pediatric CVICU

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: LP_00025367-2659946 Job Description Role Description Come work in a fast pace, innovative and dynamic unit! The Cardiovascular Intensive Care Unit (CVICU) provides state-of-the-art critical care to children with congenital and acquired heart disease. We also care for adults with congenital heart disease in the immediate post-operative period. Our facility is one of the largest and most technologically advanced units dedicated to the care of critically ill pediatric cardiac patients in the western United States. We care for more than 750 patients each year. Our CVICU is currently a 29-bed unit with plans to expand to 36 beds in the next few years. We are a post-surgical and cardiac medical unit. Our Pediatric Heart Transplant program is complemented by the Pediatric Advanced Cardiac Therapies (PACT) program. PACT provides artificial circulatory assist devices as alternatives to or bridges to transplant. These include ECMO, the Berlin Heart and Heart Mate. We are one of the most experienced teams nationally in the care of these complex patients. Our APP team is currently made up of 19 highly qualified NP’s and PA’s. We are a strong team that works well together to provide outstanding care to our patients and families. Together we have over 90 years of nursing and pediatric cardiac experience. Our interests range from research, VAD’s, anatomy and physiology, neonates, chronically critically ill, adults with congenital heart disease, and OR. We are looking for team players that share our passion for pediatric cardiac intensive care who want to be a part of a fast paced, fun, challenging, growing unit. Specific unit responsibilities of the advanced practice provider include: Pre rounding, creating a plan of care to advance the patient in their recovery, presenting on rounds and implementing the agreed upon plan. Procedure opportunities include but are not limited to: intubation/extubation, line placement, chest tube insertion and removal, pacer wire removal. Advance Practice opportunities at the hospital wide level include: participation in the clinical ladder, APP grand rounds, APP Council, APP task forces etc. We require a 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) and that you meet the License and Certification requirement. Pediatric cardiac and/or ICU experience highly preferred. Encouraged: Please include a personal statement outlining your interest in this position. 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. 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 Pediatric ICU Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II - Critical Care Float Team

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 Critical Care Float RN will provide patient care in the PICU and CVICU. PICU is a 36-bed unit specializing in caring for the immediate needs of critically ill infants, children, and adolescents alongside their families. PICU serves an extremely diverse patient population which includes, solid organ transplant, neurosurgical programs, trauma, respiratory failure, and multi-system organ failure. CVICU is part of the Betty Irene Moore Children’s Heart Center consisting of 36 bed unit that cares for critically ill infants, children, adolescents, and adults with congenital or acquired heart disease. CVICU is recognized globally for providing innovative pediatric advanced cardiac therapies such as heart failure treatments, heart transplant, and ventricular assist devices (VADS). PICU and CVICU have specialized trained nurses that can provide advance treatments such as extracorporeal membrane oxygenation (ECMO), high frequency oscillator ventilation (HFOV), continuous rental replacement therapy (CRRT), and peritoneal dialysis (PD). Job ID: LP_00023828-2659595 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 2 years of previous pediatric ICU and/or cardiac experience required. License/Certification RQI Healthcare Provider Pediatric Advanced Life Support or Pediatric Advanced Life Support by American Heart Association (AHA) Registered Nurse by California Board of Registered Nursing RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) Advanced Cardiovascular Life Support by American Heart Association (AHA) or RQI Healthcare Provider Advanced 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): $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 Outpatient Pediatric Outpatient Full-time
Lucile Packard Children's Hospital Stanford

Pediatric Clinical Nurse Specialist, Ambulatory

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: P146172-3218 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 Pediatric Part-time
Lucile Packard Children's Hospital Stanford

Relief Nurse Coordinator, Organ Acquisition Heart

Lucile Packard Children's Hospital Stanford Palo Alto, 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: LP_00025587-2659170 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 areaof 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. 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.
NP Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant, Liver 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: LP_00018588-2656845 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Liver Transplant APP Responsible for management of inpatient liver and intestinal transplant patients. Provides direct patient care, evaluation and medical management of patients on acute care and intensive care units. Provides ongoing continuity of care for transplant patients and assists with transition of care from inpatient to outpatient provider teams. Responsible for daily pre rounding, rounding, lab review, immunosuppression management, completing orders, consultations, and documentation for all inpatient liver and intestinal transplant patients. Leads the multidisciplinary team on rounds. Responsible for inpatient consultations for transplant on other service lines. Primary point of contact for patients and families admitted to the hospital under the transplant service. Primary point of contact for nursing staff. Responsible for admissions, transfers, and discharging patients from the inpatient liver and intestinal transplant service. Responsible for holding the pager for the transplant service during daytime hours when on service. Responsible for responding to communications in a respectful and timely manner and escalating acute care concerns for patients. Participates in patient care conferences, pathology conferences, radiology conferences, and departmental education. Works collaboratively with other APPs on the liver and intestinal transplant service to provide patient care coverage. Actively communicates with other APPs on the liver and intestinal transplant service, attending staff, support staff and resident/fellow staff. Provides education regarding liver and intestinal transplantation to nursing staff, students, residents. Able to see patients in outpatient transplant clinics in independent and shared visits with Hepatology and Surgery attendings. Responsible for documentation and care management for outpatient transplant patients. This position includes the ability to work in both inpatient and outpatient clinical settings. This position requires weekend and holiday coverage. 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 Part-time
Lucile Packard Children's Hospital Stanford

Relief Clinical Nurse II - ABL, Vascular Access

Lucile Packard Children's Hospital Stanford Palo Alto, CA
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 LPCH Vascular Access Team serves as the primary PICC insertion team for all of Packard Hospital. Inpatient and outpatient procedures are performed as needed, either with sedation or under general anesthesia. The team works in concert with physicians and surgeons, radiologists and nurses to consult, insert, help maintain and discontinue PICC lines. Peripheral IVs are also inserted when needed in cases of difficulties or special patient need, often with ultrasonic assistance. The Vascular Access nurse serves as an expert resource to other nurses and disciplines throughout the house. This position is needed to help augment the vascular access team, covering for vacations, leaves, etc. Schedule: 72 bi-weekly hours, 12-Hour, Night shifts variable, includes every other weekend. Job ID: P143573-2751 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. Prefer BSN. Experience: Excellent PIV skills in pediatrics--required. Peripheral IV insertion with Ultrasound skills--highly preferred. PICC insertion experience highly preferred. License/Certification Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days or RQI Healthcare Provider Pediatric Advanced Life Support 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. 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): $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.
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_00023106-2658851 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) Advanced Cardiovascular Life Support by American Heart Association (AHA) 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 ICU Full-time
Lucile Packard Children's Hospital Stanford

Clinical Nurse II - Critical Care Float Team

Lucile Packard Children's Hospital Stanford Palo Alto, CA
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 Critical Care Float RN will provide patient care in the PICU and CVICU. PICU is a 36-bed unit specializing in caring for the immediate needs of critically ill infants, children, and adolescents alongside their families. PICU serves an extremely diverse patient population which includes, solid organ transplant, neurosurgical programs, trauma, respiratory failure, and multi-system organ failure. CVICU is part of the Betty Irene Moore Children’s Heart Center consisting of 36 bed unit that cares for critically ill infants, children, adolescents, and adults with congenital or acquired heart disease. CVICU is recognized globally for providing innovative pediatric advanced cardiac therapies such as heart failure treatments, heart transplant, and ventricular assist devices (VADS). PICU and CVICU have specialized trained nurses that can provide advance treatments such as extracorporeal membrane oxygenation (ECMO), high frequency oscillator ventilation (HFOV), continuous rental replacement therapy (CRRT), and peritoneal dialysis (PD). Job ID: LP_00023828-2659595 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 2 years of previous pediatric ICU and/or cardiac experience required. License/Certification RQI Healthcare Provider Pediatric Advanced Life Support or Pediatric Advanced Life Support by American Heart Association (AHA) Registered Nurse by California Board of Registered Nursing RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) Advanced Cardiovascular Life Support by American Heart Association (AHA) or RQI Healthcare Provider Advanced 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): $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 OB/GYN Full-time
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant / Certified Nurse Midwife, Obstetrics

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: P145605-3108 Job Description DEPARTMENT DESCRIPTION The Obstetrics Clinic at LPCH Stanford is a fast-paced clinic that provides services for both low and high-risk expectant mothers through the continuum of their gestation. The OB APP will provide comprehensive care to both low- and high-risk obstetric patients across the continuum of inpatient and outpatient services. Clinical responsibilities may include postpartum rounding, obstetric triage evaluation and management, and care delivery within low- and high-risk obstetric clinics. The APP will support patient-centered care through both traditional one-on-one visits and Centering group prenatal care models, while collaborating closely with multidisciplinary teams to optimize patient outcomes, continuity of care, and clinical workflow efficiency. 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. Certified Nurse Midwife (CNM): The Certified Nurse Midwife (CNM) provides routine prenatal and postpartum care to patients with normal prenatal histories and postpartum courses as well as the management of those patients with acute and chronic conditions related to (and during the course of) pregnancy, in collaboration with the physician(s) and through implementation of standardized procedures. 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. Certified Nurse Midwife (CNM): Licensure as a Registered Nurse (RN) in the State of California CNM - Certified Nurse Midwife. 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.