APP Inpatient Oncology

Stanford Health Care • Stanford, CA

2d • $89 - $118 • Onsite

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. A. An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP’s education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP. B. An NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. C. Scope of Practice of the NP: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] 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. [see Appendix A Assessment & Management of Patients] Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Appendix B : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] 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. [see Appendix B: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. 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.

Requirements

• Master’s or Doctoral degree in nursing from an accredited college or university.
• 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
• NP - Nurse Practitioner
• NPF - NP Furnishing Number
• 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

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees