Senior Nurse Practitioner
Job Req ID: 14961
Sr. Nurse Practitioner
The Department of Oncology is seeking a Sr. Nurse Practitioner to work collaboratively within a multi-disciplinary health team and is responsible for providing comprehensive and age appropriate care to both well and ill patients at the Johns Hopkins Oncology Center at Green Spring Station. Educates patients and families and intervenes in acute or chronic illness.
The Nurse Practitioner will practice 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 “Delineation of Privileges” form).
DUTIES AND RESPONSIBILITIES
- Provides comprehensive, age appropriate and episodic care to patients as a member of the multi-disciplinary health care team specifically dedicated to Oncology.
- Coordinates scheduling of and conducts comprehensive and/or episodic health assessments of patients/families with real, potential, acute and/or chronic health problems.
- Performs history and physical examination as it relates to chief complaint, following guidelines of specific protocols.
- Discriminates between normal and abnormal findings in the history and physical
- Identifies differential diagnosis.
- Assesses severity of illness and establishes plan for evaluation.
- Records and documents assessment data necessary to maintain, coordinate, and/or expedite required services.
- Orders appropriate laboratory studies, radiographic studies, and other tests specific to the diagnosis or protocol.
- Follows daily progress of oncology patients, including history and physical exam, ordering, performing, and interpreting laboratory and radiological data and establishing and implementing a plan of care based on those interpretations and observations. Makes referrals to appropriate specialties.
- Follows long term progress of oncology patients including history and physical examination, performs LPs and bone marrows and other necessary procedures as indicated, orders and interprets re-staging tests, and assesses status.
- Provides outside referring physicians with reports on patients’ status by ordering, interpreting, collecting, and communicating results and recommendations to the physician. Consults with referring physicians regarding questions specific to the treatment and/or its complications, suggesting treatment plans and making appropriate referrals for further follow up.
- Provides education to patient and family members regarding diagnosis, complications, treatment and medications in order to provide them with continuous information.
- Performs, but is not limited to the following advance procedures after supervision and approval by collaborating physicians:
- Routine laboratory procedures such as cultures, smears, venipunctures, electrocardiograms.
- Expands role by learning to perform advanced procedures such as bone marrow aspiration and biopsy, skin biopsy, lumbar puncture, and other procedures as necessary, including paracentesis and thoracentesis.
Provides Emergency Care:
- Maintains airway, breathing, circulation
- starts and provides basic CPR
- Orders and administers anti-anaphylactic and supportive medications
- Maintains CPR certification
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.
- Provides preceptorship to RN, Masters preparing NP, and PA students through collaboration with and direction from their respective University professors.
- Supervises and evaluates student/patient interactions in an academic setting. Assumes responsibility for patient care as provided by the student. Is granted affiliate/adjunct faculty status with the various universities with whom he/she works.
- 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.
- Learns to perform oncology related procedures, such as bone marrow aspiration and biopsy, lumbar puncture, thoracentesis and paracentesis, and other procedures as called upon within the scope of practice.
- 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.
- 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.
- Understand and works within the scope of the Nurse Practitioner-Physician written agreement and the State Nurse Practice Act and realizes limitations within the medical scope of the practice.
- Advance clinical skills in specialty area or equivalent
- 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.
Scope of Responsibility:
Knows the formal and informal departmental goals, standards, policies, and procedures which may include some familiarity with other departments within the division or hospital. Is sensitive to the interrelationship of both people and functions within the department.
Prioritizes and organizes work to meet changing priorities. Assumes authority and responsibility for coordinating and making decisions regarding patient care. Assumes responsibility and accountability for organizing time and workload to meet patient, staff, and departmental needs.
Assumes authority for coordinating and making decisions regarding patient care. May direct the activities of the non-physician health care team regarding health care issues of the patient.
Reports to the attending in charge of the patient’s care and ultimately to the physician who signed the Nurse Practitioner-Physician written agreement.
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. Requires minimum of 3 years’ experience in related clinical area, and obtained proficiency in area of specialty. Prefer at least 5 years Oncology nursing experience, inclusive of ICU and hospice experience. Residency or fellowship programs in area of specialization may substitute for some experience. 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.
Licensure, Certification, Registration:
- Successful completion of the national certification examination and certification as a physician assistant/nurse practitioner.
- Current NP licensure in the State of Maryland.
- Current CPR certification required.
- Approval of the Maryland Board of Nursing for the written signed delegation agreement.
Physical Requirements and Working Conditions
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.
Is aware of possible exposure to communicable diseases, hazardous material, aggressive patients, pharmacological agents, with little likelihood of harm if established health precautions and appropriate body mechanics are followed. Follows Universal Precautions and meets OSHA standards.
Classified Title: Nurse Practitioner
Starting Salary Range: Competitive; Commensurate with experience
Employee Group: Full Time
Schedule: Monday - Friday, 9:00 am - 5:30 pm / Some calls in the evenings and weekends
Exempt Status: Exempt
Location: JH at Greenspring Station
Department Name: Oncology
Personnel Area: School of Medicine
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 email@example.com. 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.
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