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About the Role
The APP in the PREPARE Pediatric Pre-Anesthesia Testing Clinic independently evaluates and prepares pediatric patients for procedures requiring anesthesia. The APP collaborates closely with anesthesiologists, surgeons, pediatric specialists, nursing staff, and perioperative teams to optimize patients before surgery, reduce perioperative risk, and improve patient safety. APP independently performs comprehensive pre-anesthesia evaluations via telephone, telehealth, inpatient, or in-person visits. Obtains and assesses the patient's medical, surgical, anesthesia, medication, allergy, and family history; conducts a thorough review of systems; evaluates perioperative risk factors; and identifies patients who require additional evaluation, testing, or consultation by anesthesia or other specialty services to ensure safe perioperative care.
Responsibilities
- Conduct comprehensive preoperative assessments through telephone, video, and in-person consultations.
- Review medical histories, medications, allergies, laboratory results, and relevant diagnostic studies.
- Identify potential anesthesia-related risks and escalate concerns to the appropriate anesthesia team.
- Provide individualized preoperative instructions, including medication management, fasting guidelines, and preparation for surgery.
- Coordinate care with surgical teams, anesthesiologists, specialists, and other healthcare professionals.
- Review and follow up on outstanding medical records, laboratory results, and specialty recommendations.
- Document assessments and care plans accurately in the electronic medical record (APeX).
- Participate in clinical triage, quality improvement initiatives, and workflow optimization.
- Support patient and family education to promote safe and positive perioperative experiences.
- Collaborate with PREPARE leadership to maintain high standards of patient safety, quality, and efficiency.
- Independently or collaboratively evaluates and manages patients.
- Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services.
- Care provided must be documented in the electronic medical record in accordance with UCSF Rules and Regulations.
- Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01.
- Respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days.
- Performs procedures granted via privileges/standardized procedures.
- Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician.
- Initiates consultations as indicated.
- Documents independent assessment findings and recommends appropriate treatments.
- Participates in service rounds and patient evaluation and treatment planning.
- Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans.
- Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care.
- Interprets and acts upon completed tests, procedures, and radiographic studies.
- Completes clinically relevant paperwork/electronic health record (EHR) documentation, including ordering medications, completing episodic care notes and discharge summaries.
- Effectively communicates findings, treatment options, and care plans with patients and their families.
- May first assist in the operating room if privileged to do so through OMAG after completing required certification and proctoring.
- Monitors and evaluates patients for discharge, setting parameters and guidelines for continuum of care with multi-disciplinary team, including evaluating and defining discharge regimen.
- Discharges patients including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow up care, providing discharge teaching, and completing discharge summaries.
- Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning.
- Coordinates episodic care and determines timing of routine clinic follow up.
- Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention.
- Consults with nursing staff on plan and implementation of individualized nursing care plans.
- Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies.
- Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty.
- Evaluates and manages patients in independent APP encounters, including telehealth.
- Provides care to new, follow-up, acute, routine, and specialty patients.
- Reviews or collaborates with attending physician as needed.
- Performs procedures individually granted via standardized procedures/privileges.
- Identifies high-risk groups and complex cases for review with attending physician.
- Evaluates complex cases, establishes individualized plans of care for rehabilitation, and facilitates occupational and physical therapy and physical medicine and rehabilitation consultations.
- Interprets and acts upon ordered tests, procedures, and radiographic studies in a timely fashion.
- Completes clinically relevant paperwork/EHR, including ordering medications, completing episodic care notes and telephone encounters.
- Evaluates and manages patients in shared encounters with attending physician, including telehealth.
- This should increase clinic access with a goal of doubling clinic volume since two providers will be sharing the clinic responsibilities.
- Collaborating on evidence-based assessments and plans.
- Attends department quality improvement meetings and participates in patient evaluation and planning.
- Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. DOES not include management of inpatients.
Requirements
- Graduation from a California Board of Registered Nursing approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP).
- Demonstrated experience performing comprehensive patient assessments, clinical decision-making, and care coordination for surgical patients.
- Minimum of five (5) years of experience as a licensed Pediatric Nurse Practitioner.
- Minimum of three (3) years of recent experience in pediatric ambulatory, perioperative care, including preoperative and/or postoperative patient management.
- Flexibility to work at all UCSF Health facilities/locations.
- Ability to work flexible hours to meet operational needs.
- Other duties to meet operational needs.
- Peer references are expected to reflect an overall meet or exceeds.
- This is a critical position, as defined by UC policy and local procedures, and employment is contingent upon successful completion of background check(s) including but not limited to criminal record history background check(s).
Skills
- Comprehensive patient assessments
- Clinical decision-making
- Care coordination for surgical patients
- Pediatric ambulatory care
- Perioperative patient management
- Preoperative patient management
- Postoperative patient management
- Anesthesia evaluations
- Medical history assessment
- Surgical history assessment
- Anesthesia history assessment
- Medication history assessment
- Allergy history assessment
- Family history assessment
- Review of systems
- Perioperative risk factor evaluation
- Patient evaluation
- Testing
- Consultation
- Safe perioperative care
- Electronic medical record documentation
- Clinical triage
- Quality improvement initiatives
- Workflow optimization
- Patient and family education
- Collaboration with leadership
- Patient safety
- Quality
- Efficiency
- Physical examinations
- Diagnostic test interpretation
- Evidence-based assessments
- Care planning
- Medication ordering
- Diagnostic test ordering
- Treatment ordering
- Therapy ordering
- Consultation ordering
- Referral ordering
- Durable medical equipment (DME) ordering
- Home health services ordering
- Case management
- Disability case summaries
- Insurance agency case summaries
- Workers compensation case summaries
- Work release summaries
- Medical supply agency case summaries
- Protocol formulation
- Protocol implementation
- Waste control
Location
- UCSF Health facilities/locations
Work Type
- Full-time
- Inpatient
- Outpatient
- Telehealth
- In-person
Experience Level
- Minimum of five (5) years of experience as a licensed Pediatric Nurse Practitioner
- Minimum of three (3) years of recent experience in pediatric ambulatory, perioperative care, including preoperative and/or postoperative patient management
Education Level
- Master’s degree in nursing or a Doctor of Nursing Practice (DNP)
Benefits
- Total compensation details available at https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
About the Company
- The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care.
- It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.
- We bring together the world’s leading experts in nearly every area of health.
- We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
- UCSF is a diverse community made of people with many skills and talents.
- We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
- In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce.
- We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care.
- Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Opportunity
- The University of California is an Equal Opportunity Employer.
- All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.