The Department of Oncology is seeking an Oncology Sr. Nurse Practitioner. The Multi-Disciplinary Clinical Coordinator for care, outreach and education of the sarcoma multidisciplinary cancer program will be responsible for enhancing patient and provider satisfaction, improving access to services, and assuring that patient data is captured and shared among the team members. In addition, this person will be charged with providing materials and programming to increase awareness and education about this particular tumor type. This individual will serve as an integral member of the multidisciplinary team, working closely with the program champion, and a wide ranging group of specialists and providers.
Further, the coordinator will be responsible for coordination of services across disciplines and sites where sarcoma programming is established, collecting, analyzing and presenting data related to the size and scope of the program, and will be knowledgeable about the particular tumor, cancer in general, the program and Johns Hopkins research related to this tumor.
In addition, the Nurse Practitioner, will work collaboratively within a multi-disciplinary health team and is responsible for providing comprehensive and age appropriate care to both well and ill patients. Educates patients and families and intervenes in acute or chronic illness. Practices within the guidelines of the department and institution and in accordance with the required and approved by the State of Maryland and the Nurse Practice Act of the State of Maryland. Is granted Senior Staff privileges by the Johns Hopkins University School of Medicine. These privileges are reviewed annually by the University and the Hospital.
This position will have a health system responsibility for development of the sarcoma program across the Johns Hopkins Hospital and Sibley Memorial hospital. This position will also be involved in the Multi-Disciplinary Clinic Program for Sarcoma Cancer across the health system, and secondarily function clinically in long-term surveillance for sarcoma patients. See Addendum-A for the detailed description of the role.
Duties and Responsibilities:
Program Development: Establishes procedures and workflows to facilitate the entry and management of Sarcoma patients throughout Johns Hopkins Medicine including Sibley, Bayview, and multiple JHH Departments. Collaborates with Physician leader to develop, and implement a multidisciplinary, multi- case conference across the health system including Sibley and Bayview campuses.
Patient Care: Provides comprehensive, age appropriate, and episodic care to patients as a member of the multi-disciplinary health care team. 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. 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.
Makes referrals to appropriate specialties. Follows long term progress of patients including history and physical examination, orders and interprets re-staging tests, and assesses status. Observes for evidence of long term effects including infection, toxicity, etc. 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, veni-puncture, electrocardiograms. Performs advanced procedures such as biopsy, skin biopsy, and other procedures as necessary. 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: 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 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: 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. Performs oncology related procedures, such as biopsy, and other procedures as called upon within the scope of practice.
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: 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.
Additional Knowledge, Skills and Abilities/Competencies: Advanced clinical skills in specialty area or equivalent. Research knowledge, including interpretation, utilization, and conduct. 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. General computer knowledge and capability to use computer. Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Requires minimum of 3 years experience in related clinical area, and obtained proficiency in area of specialty. Prefer at least 5 years experience. Residency or fellowship programs in area of specialization may substitute for some experience. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the credentialing process at Johns Hopkins Hospital, Bayview Medical Center, Sibley Memorial Hospital and related hospitals as necessary prior to the start date.
Physical Requirements: Sitting, standing and walking for extended period of time. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130... years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Baltimore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area.