Inpatient Nocturnal Endocrine Advanced Practice Provider (Physician Assistant) - Endocrine Neoplasia

MD Anderson Cancer Center • Houston, TX

22d • Onsite

About The Position

MD Anderson's Endocrine Neoplasia and Hormonal Disorders department provides comprehensive diagnostic and treatment services for patients with endocrine system tumors, both malignant and benign. Cancers of endocrine glands are rare, but their optimal treatment requires the same attentive diagnosis and therapy as more common malignancies. Here's just a partial list of diseases treated by our physicians, nurses and other caregivers: Thyroid cancer and management of other thyroid disorders Cancers and benign tumors of the adrenal glands Hyperparathyroidism and parathyroid tumors Pituitary tumors Pancreatic neuroendocrine tumors Multiple endocrine neoplasia (MEN) I and II Inherited endocrine tumors, including childhood endocrine tumors The ideal candidate is a highly skilled and autonomous Advanced Practice Provider (APP) or Physician Assistant with a strong foundation in endocrinology and diabetes management, particularly in the inpatient setting. They possess advanced clinical judgment and are adept at providing direct medical care within their scope of practice, including comprehensive health assessments, development and implementation of treatment plans, and continuous evaluation of patient outcomes. Must be able to work 6pm-6am rotating weekends and holidays. Initial training will start on days and then flip to nights. Our multidisciplinary approach offers patients the best possible outcome, so that successful treatment doesn't have to be a compromise. Our specialists work closely with teams of physicians from other departments to manage patients with these diseases. Our endocrinologists collaborate with our surgeons, oncologists, radiologists and pathologists to provide dedicated state-of-the-art patient care, while performing clinical research to evaluate how best to apply the most recent developments in cancer medicine. As part of this approach we provide comprehensive services for patients who were diagnosed with diabetes mellitus as a result of their cancer treatment. Our Glycemic Management Program assists other providers with their patients with glycemic disorders. PROVIDE DIRECT MEDICAL SKILLS WITHIN SCOPE OF PRACTICE Provide medical skills within scope of practice, as assigned: Has primary responsibility for working with department faculty physicians to assist in covering the inpatient clinical practice for the Endocrinology Service-Diabetes. Clinical aspects include but not limited to Manage endocrinopathies; Manage endocrine effects of chemotherapy agents; Assess glucose needs and lipid control; Manage multiple-dose insulin and insulin pumps; Manage recently discharged patients for insulin titration Conduct comprehensive health assessments, identifies normal/abnormal health characteristics, develops treatment plans, initiates appropriate care and continuously evaluates care outcomes. Use judgment to work autonomously as defined by the nurse practice act or to collaborate with the healthcare team to manage client care throughout the continuum of care and in a variety of settings. Must be able to independently initiate assignments without supervision. He/she must be able to understand and respond to telephone conversations with physicians and other members of the health care team, both within and outside of the institution. He/she must be able to clearly write and/or clearly communicate verbally person-to-person or over the phone. Attend Diabetes Services Meetings Attend Division of Internal Medicine Grand Rounds Share responsibility with other department advanced practice professionals for coverage of inpatient services, triage new patients and consultations, and coordination of the scheduling of these patients. Primary area of assignment varies based upon the needs of the clinical practice and available staff. The primary assignment of this position is: Inpatient Night Shift Endocrinology—Diabetes: Provides initial assessment and management of urgent issues related to complex, critical endocrinology--diabetes needs at night across the institution; oversight by Endocrinology—Diabetes Attending on Service Provides post-admission assessment for night-time admissions of patients with diabetes; oversight by Endocrinology—Diabetes Attending on Service Perform inpatient consultations and follow-up visits, as assigned by Endocrine and/or Diabetes Attending on Service. Perform follow-up of inpatients who have undergone surgery, admitted for observation, and previously seen by department faculty physicians and/or advanced practice providers. Manage care of high-risk Diabetes inpatients previously seen by department faculty physicians and/or advanced practice providers, e.g. insulin pump, Type 1 Diabetes, and those on concentrated insulin. Review endocrine discharge instructions on patients pending discharge. Assist with test claims for inpatients pending discharge to ensure patients have appropriate diabetes medications. Retrieve and review labs, glucose monitoring results on all patients followed by inpatient. Diabetes Service Round on patients not seen by day team to ensure glycemic control. Titrate insulin on patients that have blood sugar outside of target values. Facilitate communication with faculty and day shift APP team Update IPASS (handoff) information and indicate follow up items needed Respond to overnight call from patients or clinical team members Respond to requests from askMDAnderson on patient care concerns who have been recently discharged. Dictate notes on consult and follow-up patients PATIENT CARE Provide excellent patient care in relation to the patient's prescribed diagnosis, treatment, age group, development and other identified needs: Have access to all medical records that would normally be available to the physician. Perform and record histories, physical assessments and progress notes within 24 hours. For patients co-managed, sign off and forward to the supervising physician for co-signature within ten days. Order routine tests appropriate to the services provided under such orders. Access biopsy and laboratory reports. He/she must also be able to perform simple mathematical computations with and without the assistance of calculators including addition, subtraction, multiplication, and division. Order patient medications and treatments within authorized limited prescriptive authority consistent with institutional delegated prescriptive authority policies and procedures. Perform routine admission procedures. Input patient information into the computer by typing on a keyboard all information as required. Must be able to visually read information on a video screen and/or on hard copy and prepare printouts of patient information using a computer and printer. Interview patients for symptoms, side-effects, toxicities, and determine their status pertaining to the investigational aspects of protocols. Calculate drug doses when appropriate. Chart notes. Measure films to monitor disease response. Assess toxicity, grade and make handwritten entries onto flow sheet or database. Assure protocol compliance and assist physicians as necessary. Requires the ability to walk from his/her office to clinic and/or hospital nursing stations and then return to the office. Schedule and perform delegated medical procedures as required EDUCATION/RESEARCH/COLLABORATION Provide patient and trainee education. Participate in clinical protocol clinical tasks as needed. Commit to collaborative relationships with co-workers, patients, faculty, physicians and all members of the health care team. Deliver education to patients and their families. Conduct in-service training for clinic and in-house nursing personnel regarding protocol requirements. Act as liaison with patients, families, physicians, and other personnel. Participate in trainee education, i.e. student Advanced Practice Nurses, house officers and medical students. Instruct coworkers in allied positions in recording patient information and/or data entry. May supervise personnel in related activities. Participate and collaborate on clinical research protocols, under direct supervision of faculty physicians. Interview patients and review the eligibility criteria to identify potential patients for protocol studies. Schedule and conduct follow-up appointments. PROVIDE OTHER SERVICES TO FACILITATE DIRECT MEDICAL SERVICES Demonstrate an awareness of and responsiveness to the larger system of healthcare to provide patient care that is cost effective and demonstrates resource allocation that does not compromise care. Advocates for patient and assist patients in dealing with system complexities. Accepts responsibility for promoting a safe environment for patient care and recognizes and participates in the correction of system-based factors that negatively impact patient care. Assist with various projects as assigned. MD Anderson offers our employees: Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week Group Dental, Vision, Life, AD&D and Disability coverage Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs Tuition Assistance Program after six months of service Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans Employer paid life, AD&D and an illness-related reduced salary pay program Extensive wellness, recognition, fitness, employee health programs and employee resource groups EDUCATION Required: Degree requirements as defined by the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant. WORK EXPERIENCE Required: 2 years Professional clinical experience. Required experience may be substituted with the successful completion of a one year advanced practice provider fellowship/residency program. Preferred: 3 years Three to five years experience as a clinical advanced practice provider. Previous clinical practice in oncology, critical care, internal medicine, hospital medicine or pediatrics. LICENSES AND CERTIFICATIONS Required: PA - Physician Assistant Written authorization from the Texas State Board of Physician Assistant Examiners (TSBPAE) to function as Physician Assistant. Upon Hire or Required: APRN - Adv Practice Registered Nurse Written authorization from the Texas Board of Nursing (BON) to function as an Advanced Practice Registered Nurse. Upon Hire or Required: ACNP - Acute Care Nurse Practitioner Upon Hire or Required: ACNPC - Acute Care Nurse Practitioner - AACCNCC Upon Hire or Required: ACAGNP - Acute Care Adult/Geron NP Upon Hire or Required: AGACNP -Adult-Gerontology AcuteCare NP Upon Hire or Required: AGPCNP -Adult-Gero Primary Care NP Upon Hire or Required: ACNPC-AG - Cert AD GEY Acute Care NP Upon Hire or Required: AGNP - Adult/Gerontology NP Upon Hire or Required: ACPNP -Acute Care Pediatric Nurs Prac Upon Hire or Required: ANP - Adult Nurse Practitioner Upon Hire or Required: FNP - Family Nurse Practitioner Upon Hire or Required: GNP - Gerontological Nurse Prac Upon Hire or Required: PNP - Pediatric Nurse Practit Upon Hire or Required: PMHNP - Psych/Mental Health NP Upon Hire or Required: WHNP - Womans Health Nurse Pract. Upon Hire or Required: APNP - Advanced Practice NP Upon Hire or Required: Related authorization must be consistent with clinical practice area and patient population. Upon Hire Required: BLS - Basic Life Support Upon Hire or Required: Cardiopulmonary Resuscitation (CPR) Upon Hire or Preferred: BLS - Basic Life Support American Heart Association Basic Life Support Upon Hire Preferred: ACLS - Advanced Cardiac Life Support Certification as required by patient care area. Upon Hire Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area. Upon Hire The University of Texas MD Anderson Cancer Center offers excellent benefits , including medical, dental, paid time off , retirement , tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information

Requirements

• Degree requirements as defined by the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant.
• 2 years Professional clinical experience.
• Required experience may be substituted with the successful completion of a one year advanced practice provider fellowship/residency program.
• PA - Physician Assistant Written authorization from the Texas State Board of Physician Assistant Examiners (TSBPAE) to function as Physician Assistant. Upon Hire or Required: APRN - Adv Practice Registered Nurse Written authorization from the Texas Board of Nursing (BON) to function as an Advanced Practice Registered Nurse. Upon Hire or Required: ACNP - Acute Care Nurse Practitioner Upon Hire or Required: ACNPC - Acute Care Nurse Practitioner - AACCNCC Upon Hire or Required: ACAGNP - Acute Care Adult/Geron NP Upon Hire or Required: AGACNP -Adult-Gerontology AcuteCare NP Upon Hire or Required: AGPCNP -Adult-Gero Primary Care NP Upon Hire or Required: ACNPC-AG - Cert AD GEY Acute Care NP Upon Hire or Required: AGNP - Adult/Gerontology NP Upon Hire or Required: ACPNP -Acute Care Pediatric Nurs Prac Upon Hire or Required: ANP - Adult Nurse Practitioner Upon Hire or Required: FNP - Family Nurse Practitioner Upon Hire or Required: GNP - Gerontological Nurse Prac Upon Hire or Required: PNP - Pediatric Nurse Practit Upon Hire or Required: PMHNP - Psych/Mental Health NP Upon Hire or Required: WHNP - Womans Health Nurse Pract. Upon Hire or Required: APNP - Advanced Practice NP Upon Hire or Required: Related authorization must be consistent with clinical practice area and patient population. Upon Hire Required: BLS - Basic Life Support Upon Hire or Required: Cardiopulmonary Resuscitation (CPR) Upon Hire
• BLS - Basic Life Support
• Cardiopulmonary Resuscitation (CPR)

Nice To Haves

• 3 years Three to five years experience as a clinical advanced practice provider.
• Previous clinical practice in oncology, critical care, internal medicine, hospital medicine or pediatrics.
• BLS - Basic Life Support American Heart Association Basic Life Support Upon Hire Preferred: ACLS - Advanced Cardiac Life Support Certification as required by patient care area. Upon Hire Preferred: PALS - Pediatric Advanced Life Support Certification as required by patient care area.
• ACLS - Advanced Cardiac Life Support Certification as required by patient care area.
• PALS - Pediatric Advanced Life Support Certification as required by patient care area.

Responsibilities

• Provide medical skills within scope of practice, as assigned: Has primary responsibility for working with department faculty physicians to assist in covering the inpatient clinical practice for the Endocrinology Service-Diabetes. Clinical aspects include but not limited to Manage endocrinopathies; Manage endocrine effects of chemotherapy agents; Assess glucose needs and lipid control; Manage multiple-dose insulin and insulin pumps; Manage recently discharged patients for insulin titration
• Conduct comprehensive health assessments, identifies normal/abnormal health characteristics, develops treatment plans, initiates appropriate care and continuously evaluates care outcomes. Use judgment to work autonomously as defined by the nurse practice act or to collaborate with the healthcare team to manage client care throughout the continuum of care and in a variety of settings.
• Must be able to independently initiate assignments without supervision. He/she must be able to understand and respond to telephone conversations with physicians and other members of the health care team, both within and outside of the institution. He/she must be able to clearly write and/or clearly communicate verbally person-to-person or over the phone.
• Attend Diabetes Services Meetings Attend Division of Internal Medicine Grand Rounds Share responsibility with other department advanced practice professionals for coverage of inpatient services, triage new patients and consultations, and coordination of the scheduling of these patients.
• Provides initial assessment and management of urgent issues related to complex, critical endocrinology--diabetes needs at night across the institution; oversight by Endocrinology—Diabetes Attending on Service
• Provides post-admission assessment for night-time admissions of patients with diabetes; oversight by Endocrinology—Diabetes Attending on Service Perform inpatient consultations and follow-up visits, as assigned by Endocrine and/or Diabetes Attending on Service. Perform follow-up of inpatients who have undergone surgery, admitted for observation, and previously seen by department faculty physicians and/or advanced practice providers.
• Manage care of high-risk Diabetes inpatients previously seen by department faculty physicians and/or advanced practice providers, e.g. insulin pump, Type 1 Diabetes, and those on concentrated insulin. Review endocrine discharge instructions on patients pending discharge. Assist with test claims for inpatients pending discharge to ensure patients have appropriate diabetes medications. Retrieve and review labs, glucose monitoring results on all patients followed by inpatient. Diabetes Service
• Round on patients not seen by day team to ensure glycemic control. Titrate insulin on patients that have blood sugar outside of target values. Facilitate communication with faculty and day shift APP team Update IPASS (handoff) information and indicate follow up items needed Respond to overnight call from patients or clinical team members Respond to requests from askMDAnderson on patient care concerns who have been recently discharged. Dictate notes on consult and follow-up patients
• Provide excellent patient care in relation to the patient's prescribed diagnosis, treatment, age group, development and other identified needs: Have access to all medical records that would normally be available to the physician. Perform and record histories, physical assessments and progress notes within 24 hours. For patients co-managed, sign off and forward to the supervising physician for co-signature within ten days.
• Order routine tests appropriate to the services provided under such orders. Access biopsy and laboratory reports. He/she must also be able to perform simple mathematical computations with and without the assistance of calculators including addition, subtraction, multiplication, and division. Order patient medications and treatments within authorized limited prescriptive authority consistent with institutional delegated prescriptive authority policies and procedures.
• Perform routine admission procedures. Input patient information into the computer by typing on a keyboard all information as required. Must be able to visually read information on a video screen and/or on hard copy and prepare printouts of patient information using a computer and printer.
• Interview patients for symptoms, side-effects, toxicities, and determine their status pertaining to the investigational aspects of protocols. Calculate drug doses when appropriate. Chart notes. Measure films to monitor disease response. Assess toxicity, grade and make handwritten entries onto flow sheet or database. Assure protocol compliance and assist physicians as necessary. Requires the ability to walk from his/her office to clinic and/or hospital nursing stations and then return to the office. Schedule and perform delegated medical procedures as required
• Provide patient and trainee education. Participate in clinical protocol clinical tasks as needed. Commit to collaborative relationships with co-workers, patients, faculty, physicians and all members of the health care team.
• Deliver education to patients and their families. Conduct in-service training for clinic and in-house nursing personnel regarding protocol requirements. Act as liaison with patients, families, physicians, and other personnel.
• Participate in trainee education, i.e. student Advanced Practice Nurses, house officers and medical students. Instruct coworkers in allied positions in recording patient information and/or data entry. May supervise personnel in related activities. Participate and collaborate on clinical research protocols, under direct supervision of faculty physicians. Interview patients and review the eligibility criteria to identify potential patients for protocol studies. Schedule and conduct follow-up appointments.
• Demonstrate an awareness of and responsiveness to the larger system of healthcare to provide patient care that is cost effective and demonstrates resource allocation that does not compromise care.
• Advocates for patient and assist patients in dealing with system complexities. Accepts responsibility for promoting a safe environment for patient care and recognizes and participates in the correction of system-based factors that negatively impact patient care.
• Assist with various projects as assigned.

Benefits

• Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week
• Group Dental, Vision, Life, AD&D and Disability coverage
• Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals
• Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs
• Tuition Assistance Program after six months of service
• Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans
• Employer paid life, AD&D and an illness-related reduced salary pay program
• Extensive wellness, recognition, fitness, employee health programs and employee resource groups

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees