The Institute of Genetic Medicine is seeking a Nurse Practitioner (NP) to work collaboratively within a multidisciplinary health team and is responsible for providing comprehensive and age appropriate care to both well and ill patients. The Nurse Practitioner works under the direction, supervision and responsibility of a physician, and within the guidelines of the unit department and institution and in accordance with the Nurse Practitioner - Written Agreement required and approved by the State of Maryland.
The Nurse Practitioner strives to increase the efficiency of the clinical and research program of lysosomal storage diseases by improving and expanding the existing services and protocols within the genetic department. Provides diagnosis, treatment, consultation and follow-up to patients referred for genetics care for lysosomal storage diseases. Evaluate patients' health status through diagnostic procedures and tests and provide therapeutic care. Educates patients and/or intervenes in acute or chronic illness. Will collaborate with other members of the metabolic research team to create and maintain protocols that add to current understanding of various biochemical genetic disorders to improve care for patients and their families.
The Nurse Practitioner will be the first responder for lysosomal storage disease patients who are receiving enzyme replacement therapy in the infusion center. This involves being on-call daily for any problems that may arise during infusions, checking lab values and medical condition of patient prior to therapy, and managing any other medical problems that may arise between enzyme replacement infusions and genetic follow-up appointments. The NP will work with other members of the lysosomal storage disease team and the adult and pediatric infusion centers to provide follow-up continuing care of patients with lysosomal storage diseases.
The Nurse Practitioner will make the schedule for all infusion and genetic clinic appointments. Will take calls regarding new patients who are being referred to rule out a lysosomal storage disease in conjunction with the Director of the LSD Center, the Clinical Director and/or metabolic geneticist. The NP will receive medical information from the patient, help evaluate the urgency of an appointment, and work with the staff and Access Scheduling to get the patient scheduled to be seen at an appropriate time.
Primary Duties and Responsibilities:
Performs history and physical exams. Discriminate between normal and abnormal findings in the history and physical. Identify the differential diagnosis. Assess severity of patient's illness and establish a plan for patient evaluation. Establish a plan of care specific to the patient and age of the patient served. Order appropriate laboratory and imaging studies. Perform tests and procedures as indicated. Establish a plan of care related to the patients' identified problems including medications, diet, therapeutic procedures, etc. Consults with other health team members regarding proposed treatment guidelines as necessary. Prescribes and regulates medications and formulas and performs other related procedures per Nurse Practitioner- Physician written agreement.
Establishes priorities in patient's care and management. Records patient visit/interaction in concise, clear and timely manner in the electronic patient records. Evaluates effectiveness of plan and need for referral and/or follow-up. Evaluates effectiveness of previously implemented medical treatment. Evaluates need for follow-up. Arranges referrals when indicated. Assumes responsibility and accountability for organizing time and workload to meet patient, staff and departmental needs. Adheres to departmental, organizational, State, and Federal policy, rules, and regulations. Communicates with health care team members to assure patient and organizational needs are met. Supervises activities of team members as appropriate. Participates in the evaluation process. Acts as an educational and clinical resource to patients and families. Continually assesses the learning needs of patients and families. Implements the teaching plan in a timely manner, using effective teaching methods. Evaluates the teaching plan, modifying as necessary.
Participates in research activities in the role of Study Coordinator. Works in collaboration with the principal investigator and co-development of research protocols, maintaining data input on a continuous basis. Implements protocols per organizational/IRB rules. Collects, analyzes, and presents research data. Documents data collection per organizational, State and Federal regulations. Responsible for communication between PI and IRB to ensure that all protocols are up to date and in compliance.
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. One year of clinical experience. Two years clinical experience; preferred. Certification in clinical trials is a plus. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
Additional Knowledge, Skills, and Abilities: 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 range in age from newborn to 70's and to develop and implement plans of action for long- and short- term management of acute and chronic health. Advanced interpersonal skills necessary to communicate effectively with all members of the team to enhance collaboration and problem solving. Ability to communicate effectively, both verbally and in writing, to provide information to families and members of the health care team.
Physical Requirements: Able to stand and walk for extended periods of time. Good hand/eye coordination. Fine motor skills and gross motor movements.
This description is a general statement of required duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.
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