Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Competitive Employee group: Full-time Schedule: Monday-Friday 37.5 hrs. Employee subgroup: Exempt Location: 1800 Orleans St. Department name: Pediatric Oncology Personnel area: School of Medicine
Nurse Practitioner to provide inpatient and outpatient clinical and research support; Department of Oncology. Works 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.
Provides comprehensive, age-appropriate, and episodic care to patients as a member of the multi-disciplinary health care team that includes attending physicians, fellows, residents, nurses and research staff.
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.
Participates in in-patient rounds and assists with patient management
Under the supervision of attending physicians, develops care/treatment plan.
Provides information to staff regarding patient's care plan and condition.
Consistently develops effective care/treatment plan 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 patient's age.
Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
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 tests, and assesses status.
Observes for evidence of long term effects of treatment, including infection and end organ toxicity.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Will be cross-trained to care for BMT (Bone Marrow Transplant) patients in both the inpatient and outpatient setting.
Procedures: Performs, but is not limited to the following advanced procedures:
Routine laboratory procedures such as obtaining body fluid samples for cultures and venipuncture.
Performs advanced procedures such as skin biopsy and lumbar puncture.
Provides Emergency Care:
Maintains CPR certification
Maintains airway, breathing, circulation
Starts and provides basic CPR
Orders and administers anti-anaphylactic and supportive medications
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 (NP) or Title 15 under the Health Occupation Article (PA) and the DEA.
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.
Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for pediatric oncology patients. Participates in rounds, meetings for consultation, and intake.
Supervises and evaluates student/patient interactions in an academic setting. When applicable, assumes responsibility for patient care as provided by the student.
Performs oncology related procedures as called upon within the scope of practice.
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.
Works in collaboration with the physician 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.
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. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
Prior experience in pediatric oncology. This could include working previously in a Pediatric Oncology inpatient or outpatient setting and/or
Prior experience in an acute care/critical care setting and/or
Prior experience in other pediatric subspecialties and/or
Prior experience in medical or radiation oncology and/or
Commensurate experience to the above in other venues
Licensure, Certification, Registration:
Successful completion of the national certification examination and certification as a nurse practitioner.
Current NP licensure in the State of Maryland.
Current CPR certification required.
Approval of the Maryland Board of Nursing for the written signed delegation agreement
Special Knowledge, Skills, or Abilities / Competencies:
Advanced clinical skills in specialty area or equivalent
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 function effectively in a fluid, dynamic, and rapidly changing environment
The successful candidate(s) for this position will be subject to a pre-employment background check.
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