PRN, Nurse Practitioner

Location: Palo Alto, CA
Date Posted: 02-12-2018
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 Lucile Packard Children’s Hospital (LCPH) Medical Board and Board of Directors.

Essential Functions: • Evaluates and treats patients with acute and chronic complaints 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 patients according to written standardized procedures. • Obtains interval histories and performs pertinent examinations on return patients. • Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient according to written standardized procedures. • Orders and furnishes medications according to written standardized procedures and acquires counter-signature on prescriptions from the supervising physician for medications not included in the approved formulary. • Performs designated procedures after demonstrated competency and according to written standardized procedures where applicable. • 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. Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician. • After appropriate training, assists the supervising physician in the operating room when there is not a resident available. The Nurse Practitioner role is limited to serving in the role of scrub assistant. • 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. Refer to Cardiopulmonary Resuscitation Protocol (Code Blue) in the online LPCH Administrative Manual. Regional NICU Neonatal Nurse Practitioner who provides care for infants in the NICU shall: • Be a R.N. licensed by the State of California, as per CCR, Title 16, Division 14, Section 1482. • Have evidence of current successful completion of the Neonatal Resuscitation Program course of the AAP and AHA. • Have completed the NNP program in accordance with CCR, Title 16, Division 14, Article 8, Sections 1480 through 1485.

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: 1.Master’s or doctoral degree in nursing from an accredited college or university. a. Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement. 2.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: • License as California Registered Nurse (RN) • Certification as California Nurse Practitioner (NP) • National Certification Corporation neonatal certificate within 6 months of hire (RNC) • Certification in Basic Life Support (BLS) • Certification in Neonatal Resuscitation Program (NRP) • Furnishing number issued by the Board of Registered Nursing required in order to furnish medications (NPF). • Certification as a Nurse Practitioner by a nationally accredited nursing organization (e.g., ANA or National Academy of Nurse Practitioners) is preferred.
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