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Job Summary
Ambulatory MGBCI Waltham - Solid tumor APP
Outpatient only- Full time, 40 hours, 4-10-hr shifts- M-F only
With an interdisciplinary team approach, the NP or PA will promote a collaborative relationship between all providers, professional nurses and administrative staff, to ensure continuity of patient care. Focus is primarily on the care of breast medical oncology patients in our ambulatory clinic at MGH Waltham though cross coverage across solid tumor malignanies may be anticipated.
In addition to providing direct and indirect patient care, the medical oncology APP serves as a role model for professional advanced practice and participates in the professional development of the team through teaching, committee involvement or quality and safety initiatives. The medical oncology APP will provide thorough, compassionate, culturally sensitive clinical care and should demonstrate operational flexibility and strong leadership, problem-solving and communication skills in order to work effectively with other members of the team.
The NP/PA is responsible for:
• Performs and records the patient history and physical examination and discusses findings with the collaborating team. Obtaining and coordinating laboratory results, charting of clinical findings in the EMR, orders, nursing instructions, and other required elements.
• Utilizes advanced practice knowledge to identify, prevent or solve complex and/or recurring breast oncology patient care problems.
• Follows and manages patients (in collaboration with MD) enhancing continuity of care.
• Performs (oversees/assures completion of) specialized procedures particular to the select medical oncology population mutually agreed upon with collaborating physician.
• Collaborates with staff and physicians to facilitate a comprehensive plan of care and coordinate resources and write appropriate orders improving access to care, establishing goals for the delivery of care to patients, participating in clinical research, and managing communications between physicians, patients, family, and staff.
• Appreciates complex medication interactions.
• Ensuring appropriate diagnostic procedures occur in a timely matter through careful coordination with other services such as radiology, facilitating various clinic appointments, communicating with patients regarding test results, and providing coverage for the team.
• Educating patients regarding a variety of medical oncology issues associated with local or systemic therapy.
• Indications and interpretation of radiology, pathology, and laboratory results.
• Understands the complex medical environments of cancer patients including, but not limited to, those with advanced malignancy or organ dysfunction.
• Writes orders which are in accord with current guidelines including antineoplastics.
• Maintains and practices in accord with practice guidelines per state and hospital regulations.
Provides consultation to both nurses and physicians and serves as a resource to staff in area(s) of expertise.
• Serves on appropriate intra- and inter-departmental committees
Collaborates with staff and other health care professionals to meet staff and patient educational needs.
• Participates in the development of formal and informal educational programs for nursing and support staff.
Monitors patient outcomes in accordance with defined standards of patient care.
• Identifies system-wide factors contributing to undesirable outcomes, such as complications and over utilization of services.
Supports and conducts research efforts to advance knowledge and to promote research-based practice.
• Evaluates own practice and program effectiveness.
• Identifies pertinent patient care and health delivery problems for investigation.
• Evaluates current research findings for clinical specialty and determines applicability to practice.
• Assists nursing and medical colleagues in research efforts.
• Encouraged to conduct research.
Responsible for own professional growth and maintenance of required credentials.
• Maintains the standards and educational requirements specific to the position and licensure.
• Identifies own learning needs and goals.
• Takes responsibilities for leadership and participation on committees and task forces within patient care services and the hospital.
• Maintains and updates clinical knowledge and skills based on current health care practice/research.
• Is willing to obtain procedural proficiency for medical oncology specific procedures. Training will be provided.
2+ years advanced practice and medical oncology experience is preferred.
Prior oncology RN experience is preferred for NP applicants.
Proficiency with Epic and EMRs preferred.
EPIC In-basket management, telemedicine experience preferred.
Familiarity with clinical trials preferred.
-Demonstrated competence in specialized area.
-Ability to effectively communicate clinical information, care plans, etc. to medical and lay audiences; able to educate patients and their families regarding routine and complex medical information.
-Skilled in creating appropriate documentation and use of electronic medical records to consistently provide high quality and timely documentation including progress notes, sign-off notes, and discharge planning.
-Strong organizational and time management skills.
-Ability to work independently as well as a member of a team; can effectively influence and lead as necessary.
-Effectively uses analytical skills and problem-solving techniques in both clinical and operational matters.
The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation.
Does this position require Patient Care? Yes
Essential Functions
-Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting
-Performs complete histories and physical examinations
-Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
-Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
-Consistently provides high quality and timely documentation including admission and progress notes, procedure notes, operative notes and discharge summaries
-Performs bedside procedures as are appropriate to the patient population
-Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
Education
-Master's Degree Nursing required or
-Master's Degree Physician Assistant required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
-Registered Nurse [RN - MA] - preferred
-Nurse Practitioner [NP] / Advanced Practice Registered Nurse [APRN] [MA] - preferred or
- Physician Assistant- Massachusetts preferred
Experience
Experience as a nurse practitioner 0-1 year preferred
Knowledge, Skills and Abilities
- Skilled in taking medical histories to assess medical condition and interpret findings.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret, adapt and apply guidelines and procedures.
- Ability to communicate clearly and establish/maintain effective working relationships with patients, medical staff and the public.
Additional Job Details (if applicable)
Onsite
52 Second Avenue
40
Regular
Day (United States of America)
Pay Range
$126,838.40 - $173,867.20/Annual
Grade
7
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