APP, Hospitalist

Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged:
To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient.

We believe caring for cancer patients is a privilege.
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* Job Description:

** APP provides care at Centennial Medical Center oncology inpatient unit. APP provides quality care to inpatients with hematologic and oncologic diagnosis who are admitted to the hospital to treat complications of their malignancy, complications of their treatment, palliative care or for chemotherapy.
The APP uses evidence-based literature and works toward evidence-based practice to effect a positive change in the health and healthcare delivered to the patient with a past, current, or potential diagnosis of cancer.

Shift: M-F
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* ESSENTIAL FUNCTIONS:

**** I) Clinical
*** Assesses the physical and psychosocial status of patients.
* Obtains and documents comprehensive health history.
* Performs and documents complete, system-focused, symptom-specific physical exams.
* Assesses for symptoms commonly seen in patients with cancer, impact of physical comorbidities on cancer symptoms and response to treatment, signs and symptoms of disease progression or recurrence, actual or potential late effects of cancer and its treatment in cancer survivors.
* Conducts a pharmacologic assessment, including prescriptions drugs, over-the-counter medications, nutritional supplements, and other complementary or alternative therapies.
* Recognizes deviations from normal in the physical assessment.
* Orders and interprets findings of ancillary data, including laboratory and diagnostic tests.
* Prioritizes findings identify urgent or highest priority patient problems.
* Identifies patients who may be eligible for entry into clinical trials based on clinical findings.
* Relays appropriate information regarding patient care to the collaborating physician.
* Communicates plan of care to patient, caregiver and other members of the health care team.
* Writes prescriptions for medication, blood products based of laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance with written practice protocols.
* Administers therapeutic measures and obtains specimens in accordance with practice guidelines.
* Provides management for symptoms of cancer and side effects related to cancer treatment.
* Refers or requests consultation from physicians and other health care professionals.
* Assists in the management related family dynamics and coping mechanisms during acute and chronic phases of patient care.
* Serves as a resource to other members of the health care team regarding provision of quality care.
* Provides continuity of care to patients in the inpatient and outpatient setting to achieve optimal patient outcomes and patient satisfaction.
* Provides care for patients participating in clinical trials.
* Evaluates the quality of care provided and recommends changes for improvement.
* Performs procedures as warranted.
* Take call as required.
* May provide on call coverage mutually scheduled by supervising physician and Advanced Practice Providers.  (On-call coverage is not a mandatory requirement of “practice”.) Call responsibilities include but not limited to:
* Responding to patient/family phone calls
* Rounding in the hospital on Saturday and Sunday or as requested by the supervising physician.
* Admitting patients to the hospital as needed
* Contacting supervising physician for appropriate back-up as needed
* Maintains current certification in Basic Life Support for the healthcare provider.
* ACLS if required by the hospital.
* Other duties as requested by the supervising MD.
** II) Teaching
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