Advanced Registered Practice Nurse - Medicine, Medical Oncology, Neuroendocrine Tumors

Position: Advanced Registered Practice Nurse - Medicine, Medical Oncology, Neuroendocrine Tumors - Full Time
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CORE JOB SUMMARY

The Advanced Practice Provider (APP) delivers medical care to a wide variety of patients. The APP also examines and treats patients independently and in autonomous collaboration with other health care professionals. Ensures proper illness and injury care and disease prevention, diagnosis, treatment, and recovery. May prescribe medications and order diagnostic tests. Advises patients about continuing care. The APP will work within the oncology service line.

CORE JOB FUNCTIONS

• Performs and documents complete physical examinations and comprehensive health histories.
• Functions independently to perform age-appropriate history and physical for patients.
• Orders and interprets diagnostic and therapeutic tests relative to patient's age-specific needs.
• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.
• Implements interventions to support the patient to regain or maintain physiological stability.
• Assists with the provision of care in accordance with facility, state, and federal regulations.
• Monitors the effectiveness of interventions.
• Facilitates the patient's transition within and between health care settings, e.g. admitting,
• transferring, and discharging patients.
• Collaborates with multidisciplinary team members by making appropriate referrals.
• Facilitates staff, patient and family decision making by providing educational tools.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

DEPARTMENT SPECIFIC FUNCTIONS

I.Clinical Role/Research

• Provides care to a select group of patients by determining and rendering advanced nursing and medical interventions.
  
  Assessment/Diagnosis:
  Assesses patients by interviewing/examining the patient, reviewing the patient's medical history, provider's/physician's/PI/Sub-PI diagnosis and orders, diagnostic test results (labs, x-ray, MRI, etc.) to determine medical diagnosis, plan of care and monitor patient's progress.
• Reviews the medical record including physician/consultation notes, lab(s) and diagnostic tests results. Formulates medical diagnoses based on above data.
• Screens for patients for clinical trials based on information collected above.
• Collaborates with referring physician or physician investigator (PI) through discussion and assessment of diagnoses and ascertain study patient eligibility for a clinical trial, including documentation of criteria specified in the protocol.

• Assesses patients for trial-related and non-trial related symptoms and ensures evidence-based symptom management while maintaining trial compliance.
• During Phase I/dose escalation studies, collaborates with the principal investigator to determine if dose limiting toxicity has been achieved based on adverse event assessment data and clinical judgement.
• The APP will also work with the clinic/triage nurse and physician investigator (PI) to assure timely call back to patient calls regarding any medical or study procedure concerns.

Planning/Outcomes:
Develops a plan of care from the assessment/diagnoses and physician/PI/Sub-PI collaboration.

• Identifies expected outcomes based on the assessment/diagnoses and physician/PI/sub-PI collaboration.
• Ensures initial and ongoing consent process is performed and documented in compliance with FDA, Good Clinical Practice (GCP), institutional sponsor, IRB, and other applicable
• regulations, guidance's, and policies.
• Participates in the education of clinical trial patients about their clinical trial and significant new information that is forthcoming during or after the conduct of the trial.
• Ensures ordering and scheduling of all procedures/exams that are required to enroll patients, for further assessment for adverse events, and for evaluation of disease response to study treatment according to protocol.
• Ensures adherence to protocol schedule of events, study drug, and other requirements.
• Ensures the successful completion of correlative components of the clinical trial (pharmacokinetics and quality of life studies).
• Orders, prescribes, and recommends interventions in plan of care that reflects expected outcomes.

Implementation:
Institutes necessary actions as outlines in the plan of care.

• Collaborates with research and primary care team members to ensure implementation of plan
• Implements physician/PI/Sub-PI orders per protocol.
• Works in collaboration with study team to assure good documentation clinical practices and assures there is a source related to the documentation being performed.
• Documents assessment, management, and evaluation in source documents for patients on clinical trials as appropriate to the protocol and role.
• Documents adverse events according to CTCAE criteria.
• Provides patient/family education regarding disease processes, treatment options, treatment…