Advanced Practice Provider, Research - Medical Oncology

Advanced Practice Provider

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:

• Provides Infusion/chemotherapy treatment unit (CTU) coverage at Sylvester Comprehensive Cancer Center (SCCC) main campus and/or at satellite locations. This includes on-call, weekends, and cross coverage.
• Provides and coordinates patient teaching and counseling Able to collaborate with physicians and other providers regarding the care of a patient receiving treatment in the CTU and in all settings, outpatient and inpatient.
• Assures appropriate medical documentation according to Medical Staff policies/bylaws.
• Responds to emergencies and/or rapid responses.
• Assures the patient is transferred to the appropriate physician/specialty/hospital for continuation of care or when a higher level of care is necessary.
• Collaborates with pharmacy, nursing staff, and other disciplines to optimize the quality of care and time of the patients treated at CTU.
• Refers to support services when needed.
• Precepts or mentors APP students, Fellows, nursing staff, and nursing students.
• Assists in the management of family dynamics, coping mechanisms during acute and chronic phases of patient care.
• Facilitates the coordination of outpatient care and services as needed.
• Promotes evidence-based practice.
• Obtains informed consent, as indicated.
• Participates in Unit Councils, QI/Research projects.
• Assists when needed, optimizing infusion center workflows by providing direct patient care that may include but is not limited to injections, assuming charge role, etc.)
• Conducts monthly educational in-services to staff based on relevant infusion center topics as necessary.
• Performs patient triage, develops a plan of care and determines the urgency/escalation to the patient's attending physician/provider.
• Provides symptom management for side effects related to their cancer or treatment.
• Performs designated procedures after demonstrated competency and credentialing, according to written standardized procedures where applicable
• Ensures compliance with legal, billing, regulatory, and clinical policies and procedures
• Communicates daily with triage nurse regarding patients who need to be added to OCC clinic for symptom management, evaluation, and treatment.

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…