Nurse Practitioner

Location
Maryland, United States
Posted
02 Nov 2018
End of advertisement period
02 Jan 2019
Ref
12452
Contract Type
Permanent
Hours
Full Time

Classified Title: Nurse Practitioner 
Role/Level/Range:
 ACRP/04/MG 
Starting Salary Range: Competitive; Commensurate with experience
Employee Group: Full Time 
Schedule: Monday - Friday, 8:30am - 5:00pm 
Exempt Status: Exempt ​​​​​​​ 
Location: School of Medicine, East Baltimore Campus 
Department Name: Oncology 
Personnel Area: School of Medicine

The Department of Oncology is seeking a Nurse Practitioner to work collaboratively within a multi-physician oncology care team within the Johns Hopkins Greenberg Bladder Cancer Institute (GBCI) that is focused on advancing the care and outcomes of patients with bladder cancer and urothelial cancers throughout the urinary tract.  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.  Interfaces and communicates efficiently with other multi-disciplinary providers and team members (e.g. urology, radiation oncology, pathology, pharmacy, etc.) within the GBCI. 

The Nurse Practitioner practices within the guidelines of the department and institution and in accordance with the Nurse Practitioner- Physician Written Agreement required and approved by the State of Maryland and the Nurse Practice Act of the State of Maryland.  Is granted Senior Staff privileges by the Johns Hopkins University School of Medicine. These privileges are reviewed annually by the University and the Hospital (see A Delineation of Privileges form).

DUTIES AND RESPONSIBILITIES

Patient Care:

  • Provides comprehensive, age appropriate, and episodic care to patients as a member of the multi-physician oncology and multi-disciplinary health care teams within the GBCI
  • 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. This will include new patients seen in context of the multidisciplinary Bladder Cancer Precision Medicine Center of Excellence (PMCOE) clinic   
  • 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.
  • Coordinates follow up of treatment plan, including those developed in the multidisciplinary Bladder Cancer PMCOE clinic.

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

Provides Emergency Care:

  • Maintains CPR certification
  • Maintains airway, breathing, circulation
  • Starts and provides basic CPR
  • Orders and administers anti-anaphylactic and supportive medications

Prescribes Drugs:

  • 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.
  • As proficiency is demonstrated, drafts chemotherapy/immunotherapy treatment plans within the EPIC Beacon system and signs off chemotherapy/immunotherapy treatment plans for patients on treatment with existing treatment plans.

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 and clinical research teams of specific protocols to ensure the completeness of protocol requirements.
  • Initially works with the multi-physician oncology and multi-disciplinary health care teams within the GBCI to screen provider patient rosters to report clinical trial candidates at the weekly Bladder Cancer PMCOE conference.  A PMCOE coordinator position is actively being recruited.  Upon hire of the PMCOE coordinator, the multi-physician oncology NP will provide assistance and back up to the PMCOE coordinator when needed.
  • Works with the multi-physician oncology and multi-disciplinary health care teams to identify research areas/themes of personal interest to the multi-physician oncology NP.  The oncology providers will work with the multi-physician oncology NP to shape the research projects, identify funding, assist with presentations and publications. 

Educational Responsibilities:

  • Develops bladder and upper tract cancer expertise through direct patient care, and on campus educational opportunities, 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.
  • Performs oncology related procedures, such as bone marrow aspiration and biopsy, lumbar puncture, and other procedures as called upon within the scope of practice.
  • Attend at least one academic research conference annually funded by the multi-physician oncology group.

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.  At least 1 year of related oncology clinical nursing experience required. 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, or Abilities / Competencies: 

  • Advanced clinical skills in specialty area or equivalent
  • Research knowledge, including interpretation, utilization, and conduct
  • General computer knowledge and capability to use computer
  • 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 illnesses and to develop and implement plans of action for long and short term management of acute and chronic health care
  • Advanced interpersonal skills necessary to communicate effectively with all members of the interdisciplinary health care team to enhance collaboration and problem solving
  • Ability to communicate effectively, verbally and in writing, in order to provide information to patients and health care personnel
  • Ability to function effectively in a fluid, dynamic, and rapidly changing environment
  • Prior experience in genitourinary malignancies is desired, but not required

Physical Requirements: 

Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction.  Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s).  Ability to move standard equipment through a hospital or clinical environment.

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work.  Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled. 

EEO is the Law
Learn more:
https://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf
Important legal information
http://hrnt.jhu.edu/legal.cfm