Nurse Practitioner or Physician Assistant, Inpatient Bone Marrow Transplant

Cincinnati Children's

20h•Onsite

About The Position

The Division of BMT Bone Marrow Transplant and Immune Deficiency Program, within the Cancer and Blood Diseases Institute, is seeking a Nurse Practitioner or Physician Assistant for their Inpatient Bone Marrow Transplant team. This role involves performing comprehensive patient care, including history and physical exams, diagnosing illnesses, formulating and monitoring treatment plans, ordering and interpreting diagnostic tests, and providing clinical consultation. The position also requires prescription of medications in accordance with legal and policy guidelines, and maintaining competency in subspecialty practice. Key aspects of the role include identifying and planning patient outcomes, developing individualized care plans, and incorporating evidence-based practices. The professional practice component involves maintaining professional behaviors, participating in quality improvement and research, engaging in lifelong learning, and serving as a preceptor or mentor. Care management responsibilities include promoting self-management and family-centered care, employing complex interventions, leading care management efforts for optimal quality and cost-effectiveness, documenting and communicating with the healthcare team, delegating tasks, providing consultation, making referrals, ordering treatments, and educating patients and families about results and therapies. The evaluation process is systematic and ongoing, involving patients, families, and other healthcare providers to revise care plans and recommend changes to processes, structures, policies, or protocols. The scope of this subspecialty role will not exceed that of the collaborating or supervising physician.

Requirements

Master's degree in related field.
May require clinical license, certification or training OR Doctor of Nursing Practice degree
Licensure and certification in accordance with CCHMC Delineation of Privileges
Multi-state licensure in addition to Ohio licensure may be required base on subspecialty

Nice To Haves

Experience as an APP in subspecialty
Specialty experience preferred: Bone Marrow Transplant of Hematology/Oncology experience preferred.

Responsibilities

Perform history and/or physical exams on patients presenting for care in area of expertise.
Assess and diagnose illnesses, including chronic and acute conditions.
Formulate, document and monitor a treatment plan.
Order and monitor therapeutic interventions including but not limited to diets, laboratory, radiological and diagnostic tests as deemed necessary by patient history and/or physical exam.
Provide clinical consultation, order interdisciplinary consults.
Prescribe medications in accordance with Federal and State Law & Rules and CCHMC policy.
Attain and maintain competency in subspecialty practice, skills and procedures in accordance with Joint Commission standards for focused (FPPE) and ongoing (OPPE) professional practice evaluation.
Develop outcomes as measurable goals that provide direction for continuity of care & consistency among providers.
Develop, prioritize, evaluate & modify an individualized comprehensive plan of care.
Address each diagnosis or issue, as appropriate.
Derive outcomes & plans of care that involve the patient/family/caregiver when possible & are realistic to the patient/family/caregiver capabilities & resources.
Consider risks/benefits, costs, clinical effectiveness, current scientific evidence/clinical guidelines & clinical expertise to formulate interventions, treatments & outcomes.
Incorporate new knowledge & strategies to initiate change in practice if desired outcomes not achieved.
Maintain documentation & updates accordingly outcomes, goals & the plan of care.
Maintain professional behaviors aligned with core values and care standards.
Participate in quality improvement activities or research to improve the care delivery process & patient care outcomes.
Participate in lifelong learning and professional development activities that improves skills & competence in clinical practice/role performance.
Serve as preceptor, role model, or mentor; Contribute to the professional development of peers/colleagues to improve pediatric health care & to foster the professions growth.
Integrate ethical considerations & research findings into practice.
Provide leadership by participating on committees or in professional organizations, or writing/publishing/presenting.
Advocate for the pediatric patient/family/caregiver.
Serve as a leader, influencing both healthcare/APP practice & policy.
Maintain competency in skills/procedures.
Promote self-management & family centered care.
Employ diverse & complex strategies, interventions, & teaching to promote health & a safe environment.
Provide leadership in care management to achieve optimal quality, cost-effective care.
Document & communicate with healthcare team members to achieve an integrated delivery of pediatric care services.
Delegate appropriate monitoring, assessment, & interventions according to the patient and scope of practice of the caregiver.
Provide consultation to influence the identified plan of care, to enhance the abilities of others to provide health care, and to effect change in the healthcare system.
Make appropriate referrals and discuss recommendations with patient/family/caregiver.
Order and/or perform appropriate treatments, therapies, & procedures that are based on current knowledge, research, & practice.
Provide patient/family/caregiver with diagnostic & laboratory results as well as actual/potential benefits, limitations, & adverse effects of proposed therapies.
Use a systematic, ongoing evaluation of the assessment data & outcomes to revise or resolve the diagnoses, outcomes, the plan of care, & the implementation as needed.
Evaluate the accuracy of the diagnosis, effectiveness of the interventions & the plan of care strategies in relation to attainment of expected outcomes.
Include the patient/family/caregiver & other healthcare providers in the evaluation process.
Base the evaluation process on advanced knowledge, practice, research, & document appropriately.
Utilize the results of the evaluation to determine the impact on the patient/family/caregiver, organization, & system to make/recommend process or structural changes including policy, procedure, or protocols as appropriate.