Advanced Practice Registered Nurse - Medicine: Medical Oncology - Full Time

University of Miami•Doral, FL

About The Position

The Advanced Practice Registered Nurse (APRN) provides medical care to a wide variety of patients, examining and treating patients independently and in autonomous collaboration with other health care professionals. The role supports illness and injury care, disease prevention, diagnosis, treatment, and recovery; may include prescribing medications and ordering diagnostic tests; and involves advising patients about continuing care. In the Hematology/Oncology practice, the Nurse Practitioner/Physician Assistant helps ensure quality care through consultation, collaboration, continuing education, certification, and evaluation. The role may serve patients in inpatient and outpatient settings at UMHC/Sylvester or the University of Miami Hospital. Duties include assessment, treatment planning in collaboration with physicians, symptom management, patient triage, coordination of care and research protocols, and procedures such as bone marrow biopsies. The position rotates through weekend and holiday call and inpatient consultation and care as required by divisional needs.

Requirements

Master’s degree in a relevant field.
Valid State of Florida APRN License.
CITI certification, or completion within three months of employment.
CPR and ACLS.
Minimum of two years of Hematology/Oncology experience.
Ability to exercise sound judgment in making critical decisions.
Skill in completing assignments accurately and with attention to detail.
Ability to analyze, organize, and prioritize work under pressure while meeting deadlines.
Ability to work independently and/or in a collaborative environment.
Ability to communicate effectively orally and in writing.

Nice To Haves

OCN or AOCNP certification; may be obtained within two years of employment.

Responsibilities

Perform and document complete physical examinations and comprehensive health histories, including age-appropriate histories and examinations.
Order and interpret diagnostic and therapeutic tests based on patients’ age-specific needs.
Prescribe appropriate pharmacologic and non-pharmacologic treatments and implement interventions to maintain or restore physiologic stability.
Provide care in accordance with facility, state, and federal regulations and monitor the effectiveness of interventions.
Facilitate transitions between health care settings, including patient admission, transfer, and discharge.
Collaborate with multidisciplinary team members and make appropriate referrals.
Support staff, patient, and family decision-making by providing educational tools.
Assess patients’ physical and psychosocial status using interviews, health histories, examinations, and diagnostic studies; recognize deviations from normal.
Collaborate with physicians to formulate treatment plans and follow-up for health problems.
Write prescriptions for medications and blood products based on laboratory results, and order routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance with written practice protocols.
Request written consultations from physicians and other health care professionals to support appropriate, quality care.
Assess and follow consult patients, including independently when needed; interpret and evaluate test findings and intervene accordingly.
Keep collaborating physicians informed about patient care and actions taken, and evaluate care quality and recommend improvements.
Initiate actions to implement therapeutic plans consistent with patients’ continuing health care needs.
Respond to patient inquiries by telephone, Uchart In-basket, and other channels.
Assist with family dynamics and coping mechanisms during acute and chronic phases of care.
Conduct or participate in multidisciplinary rounds and ensure appropriate, quality patient care.
Perform patient triage and determine the urgency of physician evaluation.
Manage symptoms and side effects related to oncologic treatment and respond to medical and oncologic emergencies in CTU/clinics.
Assist with peer-to-peer authorizations and complete medical forms for patients.
Help ensure the office runs smoothly and efficiently and communicate with referring physicians and patients.
Perform bone marrow biopsies and other procedures as needed.
Rotate with colleagues for weekend and holiday call for Sylvester patients.
Rotate with colleagues on Hematology/Oncology consultations and inpatient care at UMH on a two-week basis and according to divisional needs.
Communicate daily with the triage nurse about patients who need to be added to the OCC clinic for symptom management, evaluation, and treatment.
Facilitate clinical research protocols and coordinate patient care with research staff.
Adhere to University and unit-level policies and procedures and safeguard University assets.