Summary:
The Nurse Practitioner is an expert and patient advocate in a particular specialty or subspecialty of nursing practice. This position manages a group of clinically complex or resource-intensive patients. Management includes assessing, diagnosing, planning, and prescribing pharmacological (in a collaborative practice) and non-pharmacological treatment for health problems according to established protocols, standards of care, health promotion, and preventive care within a specialized area of practice. Performs the role of advanced practice nurse through clinical practice, education, research, and consultation with multidisciplinary groups utilizing a holistic approach to wellness.
Responsibilities and Duties:
- Perform and document comprehensive medical and psychosocial health histories and examinations.
- Gather data, conduct initial history and physical examination, and formulate and implement treatment plans in collaboration with the physician.
- Order and interpret diagnostic studies related to the patient’s plan of care and response to treatment.
- Provide follow-up care on an inpatient and outpatient basis.
- Initiate consultation with specialists as indicated.
- Recognize oncology-related problems and initiate interventions.
- Identify treatment-related toxicities and initiate interventions.
- Demonstrate expertise in symptom management.
- Assess ill patients and develop a plan of care in collaboration with the MD.
- Monitor and adjust patient medications and treatments according to protocols.
- Diagnose and treat common oncology-associated illnesses.
- Manage telephone calls related to emergency situations, symptom management, and psychosocial and family concerns.
- Provide continuity of care across settings (hospital, home, home health, skilled nursing, hospice, and rehabilitation).
- Supervise chemotherapy administration in the office setting.
- Collaborate with physician and chemotherapy infusion nurse to schedule and administer chemotherapy.
- Write chemotherapy orders and evaluate protocols in collaboration with physicians.
- Provide psychosocial counseling and support to patients and families and make referrals to social work or community agencies as necessary.
- Perform various procedures: bone marrow biopsy and aspirate, removal of PICC, administration of intrathecal chemotherapy.
- Evaluate the effectiveness of integrative therapies and their use in complementing medical treatment.
- Demonstrate knowledge of cancer risk factors, diagnoses, disease processes, and treatment options.
- Evaluate patient intervention outcomes.
- Provide Genetic Pretest Counseling.
- Coordinate discharge plans, follow-up, home health, and outpatient prescriptions.
- Assist with hospital rounds and management of hospitalized patients.
- Participate in daily huddles/conferences with the team to facilitate communication and coordination of care.
- Provide survivorship care to patients who have completed chemotherapy.
Education Responsibilities:
- Provide information on the disease, treatment, health promotion, and disease prevention to patients and families.
- Educate professional staff through consultations and presentations.
- Evaluate patient, nursing, and community educational programs and materials and act as a resource.
- Participate in multidisciplinary committees.
- Educate patients and caregivers on the disease process and chemotherapy.
Research Responsibilities:
- Demonstrate knowledge of the research process.
- Collaborate with investigators, protocol nurses, and physicians to support and promote research.
- Recruit patients for clinical trials.
- Review, disseminate, and incorporate research findings into clinical practice.
Education:
- Graduate of a school of nursing.
- Graduate of an approved Nurse Practitioner Program (MS preferred).
Experience:
- Five years of professional nursing experience in a hospital or clinic setting with 1-2 years in a nurse practitioner role or 1-2 years in an Oncology Nurse Practitioner role.
Certificate/License:
- Possession of NJ, CT, or MD State Registered Nurse license. ANCC or ANA certification and NJ, CT or MD Nurse Practitioner Certification.
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