Sr. Nurse Practitioner; Oncology

Specific Duties & Responsibilities

Patient Care

• Provides expert level comprehensive, age appropriate, and episodic care to complex patients within the subspecialty as a member of the multi-disciplinary health care team
• Interprets data, makes diagnoses and orders appropriate intervention.
• Obtains patient history; performs patient care and physical examinations; prepares patient summaries; develops care/treatment plan; attends out-patient clinics and assists with patient management.
• Provides information to staff regarding patient's care plan and condition.
• Consistently develops effective care/treatment plans for assigned patients according to established protocols and procedures.
• Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
• Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patients age.
• Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
• Provides education to patient and family members regarding diagnosis, complications, treatment and medications to provide them with continuous information.
• Collaborates with referring departments to ensure optimal patient experience throughout the care continuum and among all multi-disciplinary team members.
• Works in collaboration with the physician and recognizes deviations from normalcy or established protocols that require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.

Procedures, Performs, but is not limited to the following advance procedures

• Routine laboratory procedures such as cultures, smears, venipuncture, electrocardiograms.
• Performs advanced oncology related procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, bone marrow harvest, and other procedures as necessary, including paracentesis and thoracentesis as called upon within the scope of practice.

Provides Emergency Care

• Maintains CPR certification.
• Maintains airway, breathing, circulation.
• Starts and provides basic CPR.
• Orders and administers anti-anaphylactic and supportive medications.

Prescribes Drugs

• Is credentialed as an independent writer of chemotherapy orders. Independently writes and signs chemotherapy orders consistent with JHH policy and with their scope of practice.
• Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
• Prescribes Schedule 2, 2N, 3, 3N, 4,5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.

Research Coordination

• Will identify patients eligibility for IRB approved clinical research studies
• Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms.
• Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment.
• Works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.

Educational Responsibilities

• Precepts new APPs and/or available to shadowing/teaching experiences of new staff and students.
• Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients.
• Participates in rounds and meetings for consultation.
• Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
• Provides feedback for improvement within disease group.
• Adds value to disease group by initiating concepts for the group to function more effectively and efficiently.
• Is an EPIC Super User and EPIC resource for the disease group.

Fiscal responsibility

• Assumes fiscal responsibility with working knowledge of evidence based medical model.
• Effectively uses resources of the patient and the institution.
• Is aware of and adheres to specific capitations and limitations of the patient s insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
• Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
• Has knowledge of and utilizes all available resources in the event that the patient s resources are limited or unavailable in order to provide medical care and social well-being.

Refers

• Establishes referral network.
• Collaborates with referring departments to ensure optimal patient experience throughout care continuum and among all multi-disciplinary team members.
• Works in collaboration with the physician and recognizes deviations from normalcy or established protocols which require consultation and/or referral to appropriate…