Advanced Practice Provider (NP/PA) - Inpatient Hematology Oncology - .9FTE, Days (12HRS)
About The Position
Hiring for a 0.9 FTE Advanced Practice Provider (Nurse Practitioner or Physician Assistant) on the inpatient Hematology/Oncology APP service; the service covers seven days per week, 0700-1900, including weekends and holidays. It is a collaborative model consisting of four attending physicians and a team of APPs that provides care for patients with hematologic and oncologic diagnoses who are admitted to the hospital due to complications of their malignancy, complications of their treatment, for palliative care, or for chemotherapy. This is an excellent opportunity for the right candidate to join a collaborative and supportive APP/MD team practice. Common cancer diagnoses are lymphoma, sarcoma, testicular cancer, GI cancer, breast cancer, lung cancer, and head/neck cancer. In addition to treating patients with chemotherapy or on clinical trials, the team manages acute medical problems such as neutropenic fever, pulmonary embolism/DVT, spinal cord compression, hypercalcemia, nausea and vomiting, pain management, palliative care, biliary obstruction, bowel obstruction, pleural and pericardial effusions, pneumonia, atrial fibrillation, and other acute medical diagnoses. This position offers the opportunity to be involved in every aspect of cancer care including initial diagnosis, treatment, clinical trials, management of complications/acute medical issues, and palliative care. Responsibilities include complete/comprehensive history and physical examination, ordering and interpretation of diagnostic studies, and prescribing appropriate treatments in collaboration with the attending physician. Other responsibilities include consultation with specialist physicians and other team members regarding findings/changes in patient condition, initiation and adjustment of chemotherapy orders in collaboration with the physician, documentation of patient care/procedures per policy, and ensuring longitudinal communications with primary hematologist/oncologist and referring providers regarding patient status. The position is 100% clinical. The typical morning consists of pre-rounding on patients followed by rounds with the attending physician. In the afternoon, the APP carries out the plan of care for patients, consults with other services as indicated, admits and discharges patients, and performs procedures (including bone marrow biopsy, lumbar puncture, and paracentesis). The night shift (1900-0700) is covered by hospitalists. The ideal candidate is motivated, self-directed, compassionate, enthusiastic and committed to evidence-based practice and lifelong learning. There are many opportunities for learning including teaching on rounds, weekly conferences, monthly staff meetings, and clinical care conferences. The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine are and management of the patient with acute and chronic complaints, in collaboration with the supervising physician, and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the NP and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee. This job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision. There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook.
Requirements
- Master’s or Doctoral degree in nursing from an accredited college or university. (Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement.)
- Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
- Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure and NP - Nurse Practitioner and NPF - NP Furnishing Number and BLS - Basic Life Support
Nice To Haves
- Advanced Oncology Nurse or Nurse Practitioner Certification (AOCN or AOCNP)
- CAQ in Hospital Medicine (Physician Assistant candidates)
- Hematology/Oncology experience
- Inpatient Internal Medicine experience
Responsibilities
- Complete/comprehensive history and physical examination
- Ordering and interpretation of diagnostic studies
- Prescribing appropriate treatments in collaboration with the attending physician
- Consultation with specialist physicians and other team members regarding findings/changes in patient condition
- Initiation and adjustment of chemotherapy orders in collaboration with the physician
- Documentation of patient care/procedures per policy
- Ensuring longitudinal communications with primary hematologist/oncologist and referring providers regarding patient status
- Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.
- Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized procedures.
- Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures.
- Administers, orders, furnishes and prescribes medications, according to written standardized procedures.
- Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.
- Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.
- Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.
- Obtains informed consent, as indicated.
- Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.
- As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.
- After appropriate training, assists the supervising physician in the operating room.
- Recognizes and considers age-specific needs of patients.
- Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.
- Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.
- Facilitates the coordination of inpatient and outpatient care and services as needed.
- Facilitates collaboration between providers and coordination of community resources.
- Ensures compliance with legal, regulatory and clinical policies and procedures.
- Participates in quality improvement initiatives.
- Provides and coordinates patient teaching and counseling.
- Other duties as assigned.
