Nurse Practitioner (Oncology)

We are seeking a Nurse Practitioner who will provide outpatient clinical and research support to the Oncology clinical practice. Works 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. The NP will have a case load of patients for whom they are the primary provider in the pediatric oncology program with support from faculty in the division of pediatric oncology, the children’s center subspecialities and adult oncology as needed.

Specific Duties & Responsibilities

Patient Care

• Provides comprehensive, age appropriate, and longitudinal survivorship care to patients as a member of the multi-disciplinary health care team.
• Obtains patient history; Performs patient care and physical examinations; Attends out-patient clinics and assists with patient management Prepares and provides treatment summaries, care plans and educational information to childhood cancer survivors in accordance with the COG guidelines (or similar survivorship guidelines).
• Delivers direct clinical care to survivors according to established guidelines for monitoring late effects. Including ordering labs and screening procedures (examples echocardiogram, pulmonary function tests, DEXA scans); evaluating results and referring to subspecialities for abnormal findings.
• Under the direction of pediatric oncology specialties will screen for recurrence of primary disease (e.g. imaging) and consult with specialty provider for any abnormal results.
• Assist in coordination of patient care for survivorship issues within Johns Hopkins as well as external institutions.
• 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 procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, 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 Medications

• 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.
• Serve as resource for cancer survivorship care across JHH.
• Provide educational opportunities to residents and fellows on cancer survivorship issue.
• 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 bone marrow aspiration and biopsy, lumbar puncture, bone marrow harvest, 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.

Minimum Qualifications

• 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.

• Current CPR certification required. Must maintain current licensure and certification during duration of employment

• Additional education may substitute for required experience to the extent permitted by the JHU equivalency formula.

Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: $112,572 - $152,900 Annually ($120,100 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Mon-Fri / Day shift FLSA Status: Exempt Location: School of Medicine Campus Department name: SOM Onc Pediatric Oncology Personnel area: School of Medicine