In addition to the standard duties and responsibilities of a Sr. nurse practitioner, the provider will be involved in work of their clinical subspecialty, involving a greater level of managing complex patients through advanced decision making, greater level of independence in assessments and procedure. This Sr. Nurse Practitioner (Sr. NP)will work full time in the the Weinberg outpatient clinic as an independent nurse practitioner. The Sr. NP will specialize in leukemia and see patients four days per week. The Sr. NP will also work as part of the Leukemia Urgent Outpatient Assessment clinic which reduces the number of patients requiring admission for workup of newly diagnosed leukemia. The Sr. NP will rotate through the Oncology Procedure clinic, performing 6-7 bone marrow biopsies each week. The Sr. NP is considered a resource within their disease group.
Specific Duties & Responsibilities
Provides expert level comprehensive, age appropriate, and episodic care to complex patients within the subspecialty as a member of the multi-disciplinary health care team.
Interprets data, makes diagnoses and orders appropriate intervention.
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.
Develops care/treatment plan.
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 oncology related procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, bone marrow harvest, and other procedures as necessary, including paracentesis and thoracentesis as called upon within the scope of practice.
Provides Emergency Care
Maintains CPR certification.
Maintains airway, breathing, circulation.
Starts and provides basic CPR.
Orders and administers anti-anaphylactic and supportive medications.
Is credentialed as an independent writer of chemotherapy orders. Independently writes and signs chemotherapy orders consistent with JHH policy and with their scope of practice.
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.
Will identify patients' eligibility for IRB approved clinical research studies.
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.
Precepts new APPs and/or available to shadowing/teaching experiences of new staff and students.
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.
Provides feedback for improvement within disease group.
Adds value to disease group by initiating concepts for the group to function more effectively and efficiently.
Is an EPIC Super User and EPIC resource for the disease group.
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.
Establishes referral network.
Collaborates with referring departments to ensure optimal patient experience throughout care continuum and among all multi-disciplinary team members.
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.
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.
Minimum of 3 years experience in related clinical area and obtained proficiency in area of specialty.
Residency or fellowship programs in area of specialization may substitute for some experience.
Five years related experience preferred.
Classified Title: Sr. Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Commensurate with experience Employee group: Full Time Schedule: M-F 8am- 4:30pm Exempt Status: Exempt Location: School of Medicine Campus Department name: SOM Onc Hematologic Malignancies Personnel area: School of Medicine
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
*JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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