Advanced Healthcare Practitioner NPPA - Oncology - Full Time

Job: Advanced Health Practitioner Oncology
Job Category:2 Professionals

Position Summary
TheAdvanced Health Practitionerwho works under the supervision of a physician to provide direct patient care patient and family education psychological support and survivorship planning from the time of diagnosis throughout the continuum of cancer care. The Advanced Health Practitionerscope of practice includes performing comprehensive assessments and physical examinations ordering and interpreting diagnostic laboratory tests performing invasive procedures prescribing medications and treatments ordering chemotherapy and biotherapy regimens conducting health screenings and providing patient and family education. The Advanced Health Practitioner serves as an educator consultant and liaison to healthcare providers caring for the patients across the continuum of care which can include inpatient and outpatient services. TheAdvanced Health Practitionerperforms administrative duties including quality improvement activities teaching and hospital committee membership.Advanced Health Practitionerprovides care and management of patients in collaboration with supervising physicians and through implementation of standardized procedures.

Essential Functions
Manages the clinical course of patients with cancer with acute or chronic complaints and endoflife and other health concerns.
Communicates and interacts effectively with patients families and staff considering cultural differences.
Formulates an evidencebased treatment plan according to the interpretation and evaluation of all patient data.
Manages cancer survivors by performing a cancerrelated review of systems to detect late and longterm effects of cancer treatment.
Performs comprehensive history and physical examinations on patients with cancer to assess normal and abnormal findings and identifies differential diagnoses on established and new patients.
Recognizes and initiates lifesaving procedures for oncologic emergencies and brings emergencies to the immediate attention of a physician.
Initiates arrangements for hospital admissions.
Performs core clinical practice competencies specific to the patient population.
Collaborates with other healthcare team members involved in patient treatment to ensure continuity of care.
Facilitates the coordination of advanced practice professional inpatient and outpatient care and services.
Fosters an environment of respect for patient privacy.
Obtains informed consent as indicated.
Orders and interprets diagnostic tests orders blood products collects specimens for routine laboratory tests and performs screening and therapeutic procedures.
Orders consults for services such as physical therapy occupational therapy respiratory therapy Iimaging studies and nursing services.
Prescribes medications and administers orders as indicated by patients clinical status.
Presents cases to the tumor board.
Promotes directs evaluates and manages safe patient care for patients being treated in the chemotherapy unit.
Provides and coordinates patient teaching and counseling.
Provides clinical support to treat patients for symptoms related to their disease and to assist the flow of patients who have oncologic or hematologic diagnoses.
Provides patient consultation via telephone or telehealth.
Participates in rounds with the interprofessional oncology team.
Serves as a cancer pain management resource to the medical center in outpatient and inpatient settings.
Uses and promotes approved standards of care procedures methods and techniques safety precautions and protocols in their application to the oncology patient population in all settings.
Writes orders and consultations to radiation oncology writes orders for vascular access device placement for chemotherapy and arranges for procedures and biopsies with the surgery and interventional radiology departments.
Writes orders for administration of blood products and chemotherapy agents under the direction and supervision of attending physicians.
Promotes and participates in the delivery of patient and family education on the cancer diagnosis treatment expected outcomes and endoflife issues such as donotresuscitate orders healthcare proxies and advance directives.
Assists with completion of patients disability and insurance forms as needed.
Mentors other staff and advanced practice colleagues as appropriate.
Participates in clinical research studies as determined by the needs of the program.
Participates in staff development and inservice education as requested.
Reviews patient eligibility for clinical trials.
Submits billing documentation within the employment model and state and Centers for Medicare and Medicaid Services regulations.
Delegates duties according to authority appropriate for Texas Nursing Practice.
Adheres to and follows all patient experience initiatives.
Reports to and departs from work on time and as scheduled.
Performs other duties as assigned.
Must be able to deal with stress while maintaining composure.
Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).

Skills
Proficiency in clinical management of complex patients.
Current knowledge of the latest trends skills procedures and protocols in hematologyoncology and internal medicine practice.
Ability to communicate with members of the interprofessional team with written and verbal proficiency.
Knowledge and skills necessary to provide care to patients within specific age groups human development stages and cultural groups.
Ability to discuss sensitive topics such as sexuality and endoflife concerns.
Knowledge of clinical guidelines for survivorship care and treatment.
Awareness of quality benchmarks for oncology care.
Experience with conflict resolution.
Integrity and trustworthiness in resolving problems.
Skill in coordinating oncology patient care with other interprofessional staff.
Skill in interpersonal relationships program development critical thinking and problem solving.
Strong ability to use data computer systems and electronic health records in support of care delivery.
Proficiency in billing rules and regulations.

Work Experience
Five years experience in a hospital or clinic setting is desirable.
Two years of related experience as an RN in an oncology setting preferred.
At least two years of successful practice as a nurse practitioner preferably with experience in hematologyoncology preferred.

Education
Oncology nurse practitioner:
Masters or doctoral degree from a program accredited by the Accreditation Commission for Education in Nursing or the Commission on Collegiate Nursing Education an accrediting arm of the American Association of Colleges of Nursing required.
National board certification as a nurse practitioner from an agency accredited by the American Board of Nursing Specialties required.
Board certification as an oncology nurse practitioner (advanced oncology certified nurse practitioner) administered by the Oncology Nursing Certification Corporation required.
State nurse practitioner licensure required.
Basic life support (BLS) certification required upon hire.
Additional board certifications as required by certain specialties or departments.

Physician assistant:
State physician assistant licensure required.
Educational requirements foroncology physician assistants can occur by one of three routes: graduation from a program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARCPA); completion of anoncology residency for physician assistants (optional after attending physician assistant school); or onthejob training (after graduating from an ARCPAaccredited program).

Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. Time Lbs. Time
110 3
1 033
2 033
5 033
760033

Movement Time
Bend/Stoop/Twist 033
Crouch/Squat 033
Kneel/Crawl 033
Reach Above Shoulder 033
Reach Below Shoulder 033
Repetitive Arm None
RepetitiveHand 033
Grasping 033
Squeezing 033
Climb Stairs None
Walking Uneven 033
Walking Even 3466

Environment Time
Indoors 67100
Outdoors 033
Extreme Heat None
Dusty None
Excessive Noise 033

Equipment Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 033

Work near Time
Machinery None
Electricity None
Sharps 033
Chemicals 033
Fumes 033
Heights None

Vision
Depth Perception Required
< 20 Required
Color Required
Peripheral Required

Endurance Hours at Once Total in 12HR
Sit 1 3
Stand 4 4.5
Walk 4 4.5