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Nurse Practitioner Anesthesia Cardiac – Lucile Packard Children’s Hospital Stanford

Lucile Packard Children’s Hospital Stanford is the heart and soul of Stanford Children’s Health. Nationally ranked and internationally recognized, our 311-bed hospital is devoted entirely to pediatrics and obstetrics. Our six centers of excellence provide comprehensive services and deep expertise in key obstetric and pediatric areas: brain & behavior, cancer, heart, pregnancy & newborn, pulmonary and transplant. We also provide an additional, wide range of services for babies, kids and pregnant moms.

Department Description:

LPCH Cardiac Anesthesia is a tight knit and small team of MDs and NPs who work together to coordinate, assess and manage peri-op complexity associated with congenital heart defect patients coming for any procedure or surgery requiring anesthesia. That our service provides consults, see’s inpatients and outpatients, covers multiple procedural and operative locations in the hospital and relies heavily on each other to ensure the highest quality care and outcomes for the patients we serve. That professionalism, critical thinking, excellent written and verbal communication skills are key to success in this role.

This NP will work within a group of 10 physicians and 3.2 NPs to ensure that neonates, children, and adults with congenital and/or acquired heart disease receive the safest anesthetics possible. The areas of expertise include: cardiac surgery, general operating room, heart catheterization lab, Electrophysiology lab, and imaging. I see patients in clinic as well as seeing inpatients completing complex history and physicals while coordinating and educating families/patients about upcoming anesthetics.

The Nurse Practitioner (NP) will perform complex histories and physical examinations and coordinate the care of patients with cardiovascular disease under the supervision of the attending physician for cardiac anesthesia.

The NP will practice under standardized protocols approved by the Interdisciplinary Practice Committee. The practice setting is Lucile Packard Children’s Hospital and Clinics and Stanford University Medical Center. The NP functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides medical evaluation and management of the patient with acute and chronic complaints/conditions, 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 NP and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Lucile Packard Children’s Hospital and Clinics. Medical Executive Committee and the LPCH Board Credentials, Policies and Procedures Committee.

The NP will participate in the care and management of cardiovascular patients who require a variety of diagnostic and surgical interventions including cardiovascular surgery, interventional cardiology and radiology procedures, echocardiography, electrophysiology studies, diagnostic imaging exams and general operating room procedures for non-cardiac conditions.

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 Service Standards of the Hospital(s).

  • Performs pre-operative assessments on CV surgery patients in the Children’s Heart Center diagnostic clinic as well as in the Day Surgery unit.
  • Communicates with the health care team members and families before, during and after surgical or diagnostic procedures.
  • Participates in the evaluation and triage of patients with complex cardiac disease prior to cardiac surgery.
  • The NP works collaboratively with the cardiac anesthesia attending physicians throughout the day, updating the team and reviewing consultation for anesthetic management.
  • Works with a comprehensive team of professionals including specialist in CV surgery, cardiology, radiology, pediatric surgery, community and specialty physicians, advanced practice nurses, nursing staff, physician assistants, students and residents.
  • Participates in interdisciplinary team rounds, weekly CV surgical conferences, per-operative evaluations and consultation with specialty services.
  • Furnishes medications according to the formulary protocol including schedule II-V medications under the DEA guidelines.
  • Participates in LPCH educational program planning, precepts NP’s and attends educational conferences locally, nationally and internationally to maintain knowledge, competency and certifications.
  • Develops and evaluates professional goals and objective annually.
  • Makes recommendations to improve services utilizing best practice and evidence based practice models.
  • 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.
  • Ensures compliance with legal, regulatory and clinical policies and procedures.
  • Participates in quality improvement initiatives.
  • Other duties as assigned.


  • 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) NPs 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 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.

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 or doctoral degree in nursing from an accredited college or university.

Education: 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: Licensure as a Registered Nurse (RN) in the State of California.

Licensure/Certification: Certification as a Nurse Practitioner (NP) in the State of California.

Licensure/Certification: National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).
a. Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.

Licensure/Certification: Certification in Basic Life Support (BLS) from the American Heart Association (AHA).

Licensure/Certification: Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications.

  • NPs with six (6) months or more experience, who will need to furnish medications, shall obtain a current furnishing license within six (6) months of hire.
  • New graduate NPs, who will need to furnish medications, must complete a minimum of 520 hours of physician-supervised experience in furnishing drug and/or devices to obtain a furnishing license. These hours must be accumulated during a period of time that is no less than six (6) months from hire.

Licensure/Certification: 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.

  • NPs with six (6) months or more experience, who will need to prescribe medications to outpatients, shall obtain a current DEA license within six (6) months of hire.
  • New graduate NPs, who will need to prescribe controlled substances to outpatients, must first obtain a furnishing license and then obtain an individual DEA license.
  • Note: Controlled substances ordered for immediate patient use in inpatient/outpatient settings will be covered under LPCH’s DEA license.

Licensure/Certification: Additional board certification(s) may be required by certain specialties/departments.

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.

Lucile Packard Children’s Hospital Stanford 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, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability. Women and men, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply.

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