The Hematologic Malignancies Department is seeking a Senior Nurse Practitioner. In addition to the duties and responsibilities of a Nurse Practitioner/Physician Assistant, the provider will be involved in work of their clinical subspecialty, involving a greater level of managing complex patients through advanced decision making, greater level of independence in assessments and procedure. The Sr. NP/PA is considered a resource within their disease group.
Specific Duties & Responsibilities:
Patient Care:
Provides expert level comprehensive, age appropriate, and episodic care to complex patients within the subspecialty as a member of the multi-disciplinary health care team.
Interprets data, makes diagnoses and orders appropriate intervention.
Obtains patient history; Performs patient care and physical examinations; Prepares patient summaries; Develops care/treatment plan; Attends out-patient clinics and assists with patient management.
Develops care/treatment plan.
Provides information to staff regarding patient’s care plan and condition.
Consistently develops effective care/treatment plan for assigned patients according to established protocols and procedures.
Regularly confers and consults with appropriate supervisory physician and/or other pertinent professionals before implementing treatment plan.
Consistently structures all patient care plans to meet educational, physical and social needs appropriate to the patient’s age.
Consistently provides relevant patient care information to the appropriate staff member according to department guidelines.
Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
Procedures:
Performs, but is not limited to the following advance procedures:
Routine laboratory procedures such as cultures, smears, venipuncture, electrocardiograms.
Performs advanced oncology related procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, bone marrow harvest, and other procedures as necessary, including paracentesis and thoracentesis as called upon within the scope of practice.
Provides Emergency Care:
Maintains CPR certification.
Maintains airway, breathing, circulation.
Starts and provides basic CPR.
Orders and administers anti-anaphylactic and supportive medications.
Prescribes Drugs:
Is credentialed as an independent writer of chemotherapy orders. Independently writes and signs chemotherapy orders consistent with JHH policy and with their scope of practice.
Prescribes medications, including oral, parenteral, intramuscular, or subcutaneous drugs.
Prescribes Schedule 2, 2N, 3, 3N, 4,5 drugs under the guidelines of the Maryland Nurse Practice Act and the DEA.
Research Coordination:
Will identify patients eligibility for IRB approved clinical research studies.
Will work with specific protocols to ensure that all protocol driven tests, examinations, and procedures are ordered, performed and evaluated and data is retrieved, entered on appropriate forms.
Coordinates scheduling, orders appropriate tests, evaluates results, records data, performs patient evaluations and participates in care of patients on specific protocols regarding specific disease entities and treatment.
Works in collaboration with the Principal Investigators of specific protocols to ensure the completeness of protocol requirements.
Educational Responsibilities:
Precepts new APPs and/or available to shadowing/teaching experiences of new staff and students.
Develops expertise and expands knowledge in specific areas and shares that knowledge and expertise with colleagues as consultant in planning care for patients. Participates in rounds and meetings for consultation.
Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student.
Provides feedback for improvement within disease group.
Adds value to disease group by initiating concepts for the group to function more effectively and efficiently.
Is an EPIC Super User and EPIC resource for the disease group.
Fiscal Responsibility:
Assumes fiscal responsibility with working knowledge of evidence based medical model.
Effectively uses resources of the patient and the institution.
Is aware of and adheres to specific capitations and limitations of the patient’s insurances while organizing and optimizing individualized care based on the disease state and restraints imposed by the HMO or insurances.
Utilizes referrals to Home Health in order to provide optimum care in the appropriate setting.
Has knowledge of and utilizes all available resources in the event that the patient’s resources are limited or unavailable in order to provide medical care and social well-being.
Refers:
Establishes referral network.
Collaborates with referring departments to ensure optimal patient. experience throughout care continuum and among all multi-disciplinary team members.
Works in collaboration with the physician and realizes and is able to detect those deviations from normalcy or from established protocols which require consultation and/or referral to appropriate specialty areas including physicians, nutrition, psycho-social, and other resources.
Minimum Qualifications (Mandatory):
BSN (or equivalent) required with Masters of Science Degree-prepared Registered Nurse.
Must be a graduate of a CRNP or PA accredited program.
3 years of related clinical nursing or clinical physician assistant experience required.
Strongly Preferred: 2 years of JHU Oncology APP experience.
Licensure, Certification, Registration:
PA required to complete JHH credentialing process prior to start date; CRNP required to complete JHH credentialing process during introductory period.
Successful completion of the national certification examination and certification as a physician assistant/nurse practitioner.
Current NP or PA licensure in the State of Maryland.
Current CPR certification required.
Approval of the Board of Physician Quality/Maryland Board of Nursing for the written signed delegation agreement.
Credentialed as an independent writer of chemotherapy order consistent to JHH policy and scope of practice.
Special Knowledge, Skills, or Abilities:
Advanced clinical skills in specialty area or equivalent.
Research knowledge, including interpretation, utilization, and conduct.
General computer knowledge and capability to use computer.
Ability to incorporate into practice theoretical concepts and advanced clinical skills with patients, families, and interdisciplinary health care team members.
Analytical ability necessary to diagnose patients illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care.
Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem solving.
Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel.
Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
Prior experience in the care of sarcoma patients is preferred.
Classified Title: Sr. Nurse Practitioner
Role/Level/Range: ACRP/04/MG
Starting Salary Range: Commensurate with experience
Employee group: Full Time
Schedule: M-F 8am-4:30pm
Exempt Status: Exempt
Location: School of Medicine Campus
Department name: SOM Onc Hematologic Malignancies
Personnel area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at [email protected] . For TTY users, call via Maryland Relay or dial 711.
Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/ .
The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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