Vanderbilt University Medical Center Nurse Practitioner / Physician Assistant – Off-Site Hematology Oncology Clinics in Nashville, Tennessee
Nurse Practitioner / Physician Assistant – Off-Site Hematology Oncology Clinics
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This position will have responsibility of managing the complex care of adults with both solid tumors as well as benign and malignant hematologic disorders
The nurse practitioner (NP) or physician assistant (PA) will have the following clinical responsibilities after orientation and competency to provide independent care with oversight from a supervising MD.
The NP/PA will have 8 half day clinics per week primarily in the Cool Springs Hematology Oncology clinic and will be paired to work with the MD on call that week. The primary location will be in the Cool Springs Clinic, but the NP/PA might also have to work in the other off-site clinics, on occasion, depending on staffing gaps.
The NP/PA will provide care for patients with benign hematological disorders (e.g. bleeding and clotting disorders, iron deficiency anemia, and other blood count abnormalities)
The NP/PA will provide care for patients with hematological malignancies and solid tumors who are receiving chemotherapy, and will be expected to manage complications of the disease and treatment.
The NP/PA will have their own independent practice, but will also be expected to see acute visits of patients of other providers if needed.
The position is primarily an outpatient practice which will entail working Monday through Friday with no expectation to work on weekends. However, as the off-site practice evolves, there is a possibility of needing coverage in the future for both inpatients and during weekends.
The hematological services will include coordinating transfusion and chelation therapy, coordinating phlebotomy for patients with polycythemia, coordinating care with anticoagulation clinic, coordinating peri-procedure and peri-operative anticoagulation management, coordinating care with other health care providers within or outside of Vanderbilt Health Systems.
The hematological malignancy and solid tumor oncology services will include routine follow up visits, subsequent chemotherapy encounters and visits for acute symptom management.
The NP/PA will work independently (after competency is established) but will have oversight from a collaborating physician as per medical center policies
The NP/PA will utilize leadership and analytical skills to coordinate and optimize health care team interventions across the continuum and to develop and meet outcomes management and system improvement goals.
Key Functions and Expected Performances:
- Coordinates care of patients across continuum in collaboration with triad and health care team
a. provides leadership in the development of processes/systems; planning/managing/evaluating care-continuum of care planning
b. provides coordination of patient care, working with case-managers, consistent with Advanced Practice, VUMC, accrediting and regulatory standards
c. provides leadership in assuring that resources are optimally used to facilitate patient care goals and appropriate cost and LOS
d. provides leadership in area of preventive care; educating and stressing the importance of preventive health care to patients and families.
e. provides leadership in the area of pain management- emphasizing home pain action plan; developing individualized pain order sets; educating patient and families about adverse effects of opiates and opiate weaning; supportive role for the inpatient team and emergency department; education of other Advanced Practice Providers (APP) and emergency department staff
f. provides support for hospitalized patients in a consultative role; ensuring timely clinic follow-up for discharged patients; advice and education for other inpatient MLP on patient care pathways
g. provides leadership in area of best transfusion practices; maintain database for simple transfusion and apheresis procedures; catheter management and coordination with blood bank.
h. acts as a liaison between the patient, primary care provider, and specialists.
- Participates in clinical research activities after appropriate training that will include Vanderbilt IRB Boot Camp.
a. enrolls participants in clinical studies, and coordinate care with the research team.
- Leads Patient Care Center (PCC)/triad/health care team in outcomes based practice in accordance with VUMC/PCC/APP strategic initiatives
a. leads in the development of processes/systems to measure/monitor practice
b. identifies/collects/analyzes appropriate data and assesses against service, PCC and clinical goals
c. utilizes data/research to develop, implement and evaluate programs/systems and improvement plans
d. shares outcomes data with the PCC to help drive planning/use of resources
- Leads interdisciplinary team in development, use and maintenance of collaborative pathways
a. leads in identification of paths to be developed
b. leads in development of pathways, teaching records and order sets
c. assists in implementation of new and revised pathways
d. guides nurses and health care team in use of pathways, teaching records and order sets
- Maintains consistent collaborative focus in all activities
a. assures the individual and team goals are consistent with goals of APP/PCC
b. understands and respects roles and responsibilities of others
c. establishes credible relationship with health care team members
d. manages differences of opinion/conflict constructively
e. provides education to nurses/health care team in best care practices, clinical areas of expertise and changes in health care environment
f. assists in orienting case managers
- Continuously improves knowledge/skills of self and others
a. obtains/evaluates/synthesizes new knowledge/research that is applicable to practice and leads others in applying findings
b. adds to knowledge of others via professional activities--presentations, publication, research, policy development/change, and/or professional/community boards
- Maintains timely oral and written communication
a. maintains clinical documentation per APP/VUMC and accrediting standards
b. communicates information in a timely fashion to assure that patient care and/or projects move forward
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Master's Degree (or equivalent experience) and < 1 year experience. 12 months of nursing experience preferred; Inpatient acute care advanced practice nursing experience desirable.
Licensure, Certification, and/or Registration (LCR):
- Registered Nurse Required
Additional Qualification Information:
- Prefer National Specialty Board Certification, TN APN certificate/certificate of fitness to prescribe, eligible for DEA
Physical Requirements/Strengths needed & Physical Demands:
Occasional: Sitting: Remaining in seated position
Occasional: Standing: Remaining on one's feet without moving.
Occasional: Walking: Moving about on foot.
Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
Occasional: Push/Pull: Exerting force to move objects away from or toward.
Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
Occasional: Crawling:Moving about on hands and knees or hands and feet.
Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.
Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
Occasional: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.
Frequent: Noise: May include exposure to occupational noise levels which equal or exceed an 8-hr time-weighted average of 85 decibels, requiring enrollment in VUMC's Hearing Conservation Program which includes training, use of hearing protection, and periodic audiometry.
Continuous: Communication: Expressing or exchanging written/verbal/electronic information.
Occasional: Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area.
Occasional: Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses.
Occasional: Radiation: May be exposed to occupational radiation, requiring enrollment in VUMC's Radiation Safety Program which includes training, use of personal protective equipment with lead shielding, and personal dose monitoring.
Occasional: Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes.
Job Other Nursing Services
Organization: Hematology/Oncology 104379
Title: Nurse Practitioner / Physician Assistant – Off-Site Hematology Oncology Clinics
Location: TN-Nashville-Preston Cancer Research Building
Requisition ID: 1805116