The Department of Radiation Oncology seeks a Nurse Practitioner to work collaboratively within a multi-disciplinary health team and is responsible for providing comprehensive and age appropriate care to both well and ill patients. Educates patients and families and intervenes in acute or chronic illness. Practices within the guidelines of the department and institution and in accordance with the State of Maryland and the Nurse Practice Act of the State of Maryland. The Johns Hopkins University School of Medicine grants the Nurse Practitioner Senior Staff privileges. The University and the Hospital review these privileges annually.
Essential Job Functions:
Patient Care: Provides comprehensive, age appropriate and episodic care to patients as a member of the multi-disciplinary health care team.
Coordinates scheduling of and conducts comprehensive and/or episodic health assessments of patients/families with real, potential, acute and/or chronic health problems
Performs history and physical examination as it relates to chief complaint, including following guidelines of specific stereotactic and gamma knife protocols.
Discriminates between normal and abnormal findings in the history and physical
Identifies differential diagnosis
Assesses severity of illness and establishes plan for evaluation
Records and documents assessment data necessary to maintain, coordinate, and/or expedite required services
Orders appropriate laboratory studies, radiographic studies, and other tests specific to the diagnosis or protocol
Follows daily progress of patients, including history and physical exam, ordering, performing, and interpreting laboratory and radiological data and establishing and implementing a plan of care based on those interpretations and observations. Makes referrals to appropriate specialties.
Follows long-term progress of patients including history and physical examination, orders and interprets re-staging tests, and assesses status.
Provides outside referring physicians with reports on patients' status by ordering, interpreting, collecting, and communicating results and recommendations to the physician. Consults with referring physicians regarding questions specific to the treatment course and/or its complications, suggesting treatment plans and making appropriate referrals for further follow up.
Observes for evidence of long term effects of radiation.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Provides education to community providers and to patient support groups in the area.
Procedures: Performs, but is not limited to the following advance procedures
Routine laboratory procedures such as cultures, smears, venipunctures, electrocardiograms.
Expands role by learning to perform advanced procedures such as biopsy, skin biopsy, lumbar puncture, and other procedures as necessary.
Orders and administers anti-anaphylactic and supportive medications
4. Prescribes Drugs: 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.
5. Research Coordination:
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.
Will manage collection and entry of patient information into clinical database in support of outcomes research.
6. Educational Responsibilities:
Provides preceptorship to RN, Masters preparing NP, and PA students through collaboration with and direction from their respective University professors. Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student. Is granted affiliate/adjunct faculty status with the various universities with whom he/she works.
Develops expertise, 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.
Learns to perform oncology related procedures, such as bone marrow aspiration and biopsy, lumbar puncture, bone marrow harvest, and other procedures as called upon within the scope of practice.
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:Works in collaboration with the physician(s) and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources. Understand and works within the scope of the Nurse Practitioner-Physician written agreement and the State Nurse Practice Act and realizes limitations within the medical scope of the practice.
Knows the formal and informal departmental goals, standards, policies, and procedures, which may include some familiarity with other departments within the division or hospital. Is sensitive to the interrelationship of both people and functions within the department.
Decision Making: Prioritizes and organizes work to meet changing priorities. Assumes authority and responsibility for coordinating and making decisions regarding patient care. Assumes responsibility and accountability for organizing time and workload to meet patient, staff, and departmental needs.
Authority: Assumes authority for coordinating and making decisions regarding patient care. May direct the activities of the non-physician health care team regarding health care issues of the patient.
Reporting: Reports to the attending in charge of the patient's care and ultimately to the physician who signed the Nurse Practitioner-Physician written agreement.
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Three years prior experience as a Certified Nurse Practitioner; preferred. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process and other related hospitals as necessary is required prior to start date.
Advance clinical skills in Oncology and/or G.I. area preferred
Research knowledge, including interpretation, utilization, and conduct
-General computer knowledge and capability to use computer
Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members
Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care
Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem solving
Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel
Ability to operate patient care equipment, computers, and general office equipment
Ability to function effectively in a fluid, dynamic, and rapidly changing environment
Physical Requirements and Working Conditions:
Sitting, standing, or walking in normal positions for extended periods. Is aware of possible exposure to communicable diseases, hazardous material, aggressive patients, pharmacological agents, with little likelihood of harm if established health precautions and appropriate body mechanics are followed. Follows Universal Precautions and meets OSHA standards. Continues to expand the role of nurse practitioner in the practice setting of research and clinical care within the Department of Radiation Oncology and Molecular Radiation Sciences.
Internal Number: 3681-en_US
About Johns Hopkins University
Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130 years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Bal...timore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.