Advanced Practice Registered Nurse Medicine, Medical Oncology Per Diem

CORE JOB FUNCTIONS

• Performs and documents complete physical examinations and comprehensive health histories.

• Functions independently to perform age-appropriate history and physical for patients.

• Orders and interprets diagnostic and therapeutic tests relative to the patients age-specific needs.

• Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities.

• Implements interventions to support the patient to regain or maintain physiologic stability.

• Assists with the provision of care in accordance with facility state and federal regulations.

• Monitors the effectiveness of interventions.

• Facilitates the patients transition within and between health care settings e.g. admitting transferring and discharging patients.

• Collaborates with multidisciplinary team members by making appropriate referrals.

• Facilitates staff patient and family decision making by providing educational tools.

• Serves as a role model and mentor for staff.

• Ensures and coordinates standardization of the advanced practice process between patient care services and collaborative teams.

• Integrates current knowledge of professional issues trends in healthcare and technological advances into the scope of practice.

• Participates or leads a hospital committee.

• Co-leads collaborative team in developing a new service or strategic performance improvement.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

• Participates in survivorship and long-term care of patients following completion of treatment.

DEPARTMENT SPECIFIC FUNCTIONS

Infusion/Comprehensive Treatment Unit (CTU)-/ Oncology Care Clinic (OCC)*

• Provides Infusion/chemotherapy treatment unit (CTU) coverage at Sylvester Comprehensive Cancer Center (SCCC) main campus and/or at satellite locations. This includes on-call weekends and cross coverage.

• Provides and coordinates patient teaching and counseling Able to collaborate with physicians and other providers regarding the care of a patient receiving treatment in the CTU and in all settings outpatient and inpatient.

• Assures appropriate medical documentation according to Medical Staff policies/bylaws.

• Responds to emergencies and/or rapid responses.

• Assures the patient is transferred to the appropriate physician/specialty/hospital for continuation of care or when a higher level of care is necessary.

• Collaborates with pharmacy nursing staff and other disciplines to optimize the quality of care and time of the patients treated at CTU.

• Refers to support services when needed.

• Precepts or mentors APP students Fellows nursing staff and nursing students.

• Assists in the management of family dynamics coping mechanisms during acute and chronic phases of patient care.

• Facilitates the coordination of outpatient care and services as needed.

• Promotes evidence-based practice.

• Obtains informed consent as indicated.

• Participates in Unit Councils QI/Research projects.

• Assists when needed optimizing infusion center workflows by providing direct patient care that may include but is not limited to injections assuming charge role etc.)

• Conducts monthly educational in-services to staff based on relevant infusion center topics as necessary.

• Performs patient triage develops a plan of care and determines the urgency/escalation to the patients attending physician/provider.

• Provides symptom management for side effects related to their cancer or treatment.

• Performs designated procedures after demonstrated competency and credentialing according to written standardized procedures where applicable

• Ensures compliance with legal billing regulatory and clinical policies and procedures

• Communicates daily with triage nurse regarding patients who need to be added to OCC clinic for symptom management evaluation and treatment.

Outpatient Oncology Clinics and/or Hospital-based Centers

• May travel to the SCCC main campus and satellites to provide care to patients who are new to the system and or require follow-up care. This includes but is not limited to outpatients Survivorship visits and walk-in patients with medical issues.

• Collaborate with physicians staff and leaders in the care of these outpatients.

• Provides patient/family education regarding disease processes treatment options treatment outcomes possible complications medications discharge planning and lifestyle modification.

• Assure appropriate transfer of patient/communication/documentation to the patients physician and team.

• Collects data for patient and program evaluation and participates in quality assessment and improvement activities.

• Provides coverage to areas of need within main campus and the satellites.

• Promotes evidence-based practice.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE/DEPARTMENT QUALIFICATIONS

Education:

• Masters Degree or higher

Certification and Licensing:

• Florida APRN license or Physician Assistant license

• Graduate of Master of Science in Physician Assistant degree.

• Graduate of Master in Science of Nursing or higher curriculum.

• Board certification as APRN from a nationally accredited organization such as the American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP)

• Board certification as a PA from the National Commission on Certification of Physician Assistants (NCCPA)

• Acute Care Nurse Practitioner Certification preferred

• Current Certification in BLS and ACLS

• CITI certification within three months of employment

• ONS Chemotherapy Immunotherapy certification upon hire or during orientation and renewed every two years

Experience:

• Minimum 2 years of relevant advanced practice nursing experience preferred

• Minimum 2 years of experience in treating hematology/oncology acute care or intensive care unit patients preferred

Professional Development

• AOCNP certification within one year of employment applicable to APRN

• Participates in 360 peer review process

• Submits annual protocols to the practice site

• Maintains national certification

• Attend one national conference

• Attend monthly educational grand rounds or relevant educational in-house meetings

• Able to author or contribute to an article.

Knowledge Skills and Attitudes:

• Ability to exercise sound judgment in making critical decisions.

• Skill in completing assignments accurately and with attention to detail.

• Ability to analyze organize and prioritize work under pressure while meeting deadlines.

• Ability to work independently and/or in a collaborative environment.

• Ability to communicate effectively in both oral and written form.