Nurse Practitioner / Physician Assistant, Pediatric CVICU

Stanford Children's Health | Lucile Packard Children's Hospital Stanford; Palo Alto (CA); On-site; USD 120,608 - 150,764; Full time

Benefits offered by this job

Student Loan Assistance Program up to $9,600

Continuing education opportunities

Job summary

Stanford Children's Health | Lucile Packard Children's Hospital Stanford is seeking an Advanced Practice Provider (APP) for our Cardiovascular Intensive Care Unit in Palo Alto, CA. This role requires a Master's degree in nursing and strong pediatric cardiac experience.

The APP will join a collaborative team, participating in patient care and procedures, providing essential support to critically ill pediatric patients. Candidates should have excellent communication skills and be committed to delivering high-quality care.

Qualifications

• Master's or doctoral degree in nursing from an accredited college.
• Graduate of an NP program accredited by NLNAC or CCNE.
• Pediatric cardiac and/or ICU experience highly preferred.

Responsibilities

• Evaluate and treat patients with acute or chronic conditions.
• Develop and implement care plans for pediatric patients.
• Perform procedures including intubation and central line placements.

Skills

Pediatric cardiac intensive care experience

Communication skills

Education

Master’s or doctoral degree in nursing

Graduate of an NP program accredited by NLNAC or CCNE

Job description

Category: Advanced Practice

Job Type: Full time

Shift: Rotating – 10 Hour

Location: Palo Alto, CA

Req: LP_00026532-303901

Employee Group: Exempt

Benefits Eligible: Yes

Remote Eligible: No

Department: MG Peds CVICU

Scheduled Weekly Hours: 40

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. We provide our caregivers with continuing education and state‑of‑the‑art facilities, like the newly remodeled hospital. 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_00026532-303901

Role Description

Come work in a fast‑paced, 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, including 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 who share our passion for pediatric cardiac intensive care and want to be 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 (NPs and PAs). The APP team is highly respected and is 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 the overnight team, pre‑rounding on assigned patients, developing a plan of care for the day, presenting patients on rounds, writing a daily note, implementing the agreed‑upon plan and responding to issues raised by the nurses during 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 and 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 appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics 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 the supervising physician(s) and approved by appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics Medical Board and Board of Directors.

ESSENTIAL FUNCTIONS

The essential functions listed are typical examples of work performed by this position. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission requirements including 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 Service Standards of the Hospital.

Key responsibilities:

• Evaluates and treats patients with acute or chronic complaints and health maintenance concerns.
• Obtains complete histories and performs pertinent physical exams.
• Performs or requests diagnostic studies as indicated.
• Administers, orders, furnishes and prescribes medications.
• Orders and collects specimens for laboratory tests, screening procedures and therapeutic procedures.
• Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
• Performs designated procedures after demonstrated competency.
• Obtains informed consent.
• Arranges for admissions and discharges and completes appropriate paperwork.
• Enrolls patients in investigational studies approved by the IRB and orders necessary tests and medications.
• After appropriate training, assists the supervising physician in the operating room as RN First Assistant.
• Recognizes and considers age‑specific needs.
• Effectively communicates with patients, families, staff and community members from diverse backgrounds.
• Identifies situations requiring physician attention and initiates life‑saving procedures.
• Facilitates coordination of inpatient and outpatient care and services.
• Facilitates collaboration between providers and 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 at LPCH or designated attending physicians. Standardized procedures approved by the supervising physician(s) and the IDPC are mandatory. Other mechanisms include direct onsite supervision, electronic or phone supervision, random chart screens, random chart audits, and ongoing professional practice evaluation (OPPE). The NP/PA will receive formal annual performance evaluation by the Lead APP, Director of Advanced Practice or supervising manager/director with input from relevant parties.

MINIMUM QUALIFICATIONS

Any combination of education and experience that would likely provide the required knowledge, skills and abilities, as well as possession of required licenses or certifications, qualifies.

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).
• DEA license issued by the United States DEA for Schedule II‑V controlled substances (required only if prescribing to outpatients).
• Additional board certification(s) may be required by certain services or 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).
• Furnishing license issued by the Board of Registered Nursing (BRN) (required only if furnishing medications).

New graduate NPs will have six months from graduation to obtain national board certification.

Additional certifications in BLS from the AHA, DEA license for prescribing, and other board certifications may be required by certain specialties or departments.

Pay Range

Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by education, experience, knowledge, skills, location and abilities. Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (Hourly): $87.55 to $109.44

EEO Statement

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 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, 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 individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.