NURSE PRACTITIONER-ONC

Covenant Health•Knoxville, TN

About The Position

The Oncology Nurse Practitioner is a specialized advanced practice registered nurse providing comprehensive cancer care to Thompson Oncology Group patients in inpatient and outpatient settings. The practitioner cares for hematology-oncology patients in collaboration with and under the supervision of a supervising physician, follows established treatment protocols, and represents the provider team in the community and with referring partners. The position requires professionalism, clear communication, and collaboration in a dynamic clinic serving patients with needs ranging from primary care to complex chemotherapy side-effect management. The role includes evaluating and treating acute problems, supporting chemotherapy care, coordinating with other services, educating patients and staff, and contributing to protocols, records, policies, committees, and quality improvement. The position is full-time, 80 hours per pay period, on the day shift, and is part of the float pool.

Requirements

  • Certification by the American Nurses Association or the American Academy of Nurse Practitioners as an Adult, Family, or Acute Care Nurse Practitioner, maintained throughout employment.
  • Meet State of Tennessee requirements as a Nurse Practitioner.

Nice To Haves

  • Oncology certification through the Oncology Nurses Society is preferred.

Responsibilities

  • Triage telephone calls from patients, physicians, hospitals, and home health and hospice agencies requiring medical intervention, collaborating with physicians as necessary.
  • Evaluate and treat acute patient problems, including oncologic emergencies, chemotherapy-related side effects, and complications from cancer diagnoses.
  • Consult with physicians and other medical specialties as needed and adjust processes as indicated.
  • Perform histories and physical examinations; analyze data for diagnosis and treatment; initiate plans of care for inpatient and office consults in collaboration with physicians; and follow established plans of care for oncology and hematology patients in both settings.
  • Identify health hazards in patients’ environments and patient risk factors, and consider cultural patterns, economic status, and available resources when planning care.
  • Collaborate with social services, nurse navigation, and dietary services to provide holistic patient care.
  • Provide routine follow-up examinations and recommend appropriate adjustments to plans of care.
  • Refer patients to appropriate services when their needs exceed the practitioner’s scope of practice.
  • Provide pre-treatment chemotherapy education to patients and their families in the office.
  • Educate office staff as needed.
  • Assist with preparation, administration, and supervision of chemotherapy as staffing and physician coverage require.
  • Assist with office medical procedures as required.
  • Provide first-call coverage and assist with morning or evening hospital rounds as required; serve as an oncology group point person in the inpatient setting.
  • Collaborate with physicians to formulate and review medical protocols.
  • Monitor and ensure accurate recording in patient medical records.
  • Document patient history of present illness, review of systems, physical assessment, and plan of care based on office visit findings.
  • Conduct periodic reviews of policies and procedures.
  • Serve as a resource for other staff members.
  • Serve on oncology-related Covenant Health System committees, such as the Commission on Cancer and the pharmacy and therapeutics committee.
  • Respond first to infusion-related emergencies or reactions in the on-site infusion center.
  • Follow policies, procedures, and safety standards; complete annual required education; work toward goals and objectives; and participate in quality improvement initiatives as requested.
  • Perform other related duties as assigned or requested.

Benefits

  • $15,000 sign-on bonus for registered nurses with 1–2 years of oncology experience; $25,000 for oncology certification.
  • $25,000 sign-on bonus for registered nurses with 3 or more years of oncology experience.
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