APP: NP/PA Adult Cardiac Surgery Outpt. Clinics & Operating Room

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. I. ESSENTIAL FUNCTIONS o Outpatient/Clinic: Review clinic charts, pre clinic, and order any additional test and studies needed to properly evaluate patient in clinic. See Clinic patients; Obtain complete history and performs comprehensive physical exam with assessment of normal and abnormal findings on new and return patients post op patients. Write a full H&P on patient to be signed by the end of clinic day. Performs and/or requests and evaluates diagnostic studies, follow up on any needed studies post clinic; update note and team as needed. Preform all risk scores on patients and trial paperwork as needed for studies. Communication with patient, family and cardiology regarding bridging anticoagulation when needed. Communication, teaching and follow up with any questions with patient and family. Provides and coordinates patient teaching and counseling. Ability to evaluate and treat post op surgical debridement and wound care in clinic Administers, orders and/or prescribes medications as needed in Epic. Obtains informed consent (blood and procedure). Initiates arrangements or helps facilitate hospital admissions, transfers and discharges. Maintains communication between attending physicians, Lead, co-workers and staff to facilitate patient care and the plan of surgery for the patient. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds Facilitates the coordination of inpatient and outpatient care and services Orders, interprets and follow up on any echo’s, CTA, caths, scans as needed for attending/patient. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary Provides and coordinates patient teaching and counseling. o Operating Room: Maintain and address current surgeons OR list, update as needed, order any additional studies or tests needed pre-op. See patients in SAU that are over 30 days since clinic visit for new H&P. Preform 24 hour update morning of surgery by 6:30 am. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Ability to work as a team with the other APP’s and cover all cases when needed. First assist in adult cardiac surgery, Minimum 3 years experience. Ability to be in the OR by 7am, scans and imaging displayed in OR, assist anesthesia and nursing with any surgical questions and surgical plan. Help position and prep patients for surgery; for incision goal time of 8:00am. Will to work with residents, and assist in their training and educational process. Ability to be motivated, flexible and willing to be part of a passionate, growing, dynamic and integrated team. Passion to be part of a rapidly growing cardiac surgery patient population and team. Needs to have passion and patience in teaching and training other new PA’s. Will to work under one main attending surgeon, see all his clinic patients and participate in all his/her surgical cases. Will also be part of the Operating Room PA team/pool and cover other cases when needed. Ability to evaluate and treat post op surgical debridement and wound care. Experience and willingness to train other new PA’s in cardiac surgery and vein harvesting. Experienced and proficient in vein harvesting ; both open and endoscopic; (EVH) Minimum 3 years experience Experience and proficient in radial artery harvesting, endoscopic radial harvest preferred (EAH). Ability to take and preform additional coverage: (as the Lead APP has designated) o Weeknight coverage (6pm-7am) o Weekend coverage (Friday starting 6pm – Sunday 7am) Cover and help with co-APPs call time, vacation time and leave. Equal Oppo