Nurse Practitioner Pediatrics
Coordinate management, treatment, & education of patients with bleeding and/or clotting disorders in YM outpatient settings across region including obtaining history and examining patients to collect info about their physical condition and to establish a clinical diagnosis to provide treatment, formulate a health care plan and counsel patients on various health practices. Thus providing reasonable and prudent medical care, practicing appropriate management, and using sound clinical judgment based on best practice standards and evidenced based medicine. This includes but is not limited to obtaining, compiling, and recording patient medical data, including health history, performing physical exam, obtaining diagnostic studies, and formulating treatment plan. Encouraging compliance with treatment plans through education, assessment of patient understanding, and regular patient monitoring. Provide preventive health practices to patients to maintain and improve health and prevent illness. Coordinate patient care, including ordering of lab tests and radiographic studies, with sub specialists, PCPs, and outside providers for patients with bleeding disorders to provide education and recommendations for children with significant/serious new diagnosis and changes in health status or treatment regimen. Develop emergency plans and update accordingly for patients. Develop surgery plans and order necessary outpatient specialty medications for patients. Post-surgery plans and order pre-op infusions and labs in EPIC. Coordinate with surgeons, anesthesia, lab medicine, pharmacy and blood bank regarding patients scheduled for procedures, surgery, and possible admission. Assist attending and fellow physicians and APRNs with management of patients with bleeding and clotting disorders who are scheduled with providers outside of coagulation clinic. Evaluate in-patients, e.g. in ER, pre-op/PACU, NICU, and on inpatient units, in conjunction with or at the request of hem/onc MD on service. Provide anticoagulation education and medication oversight for children being discharged on anticoagulation medication who will be managed by hematology services. Prescribe and monitor outpatient anticoagulation medication, including dose titration and ongoing safety education & side effects management. Respond to and triage referrals and patient calls for urgency and appropriateness. Contact patients to review lab results, provide education, and recommendations. Conduct infusion visits for education and patient/family training. Coordinate with data manager, team members, & PI to identify patients eligible for participation in research studies. Consent patient and families for participation in single site, regional, and national research activities and complete study questionnaires and paperwork as required. Educate families on home management of bleeding disorders. Prescribe and manage specialty prescriptions for hemophilia and thrombosis medications, handle renewals, track need for dose adjustment. Prescribe infusion supplies and home nursing services as appropriate. Complete prior authorization (PA) paperwork for specialty medications. Write individualized letters of medical necessity and conduct peer to peer phone reviews to appeal coverage denials with insurers. Provide in-service education to hospital staff on topics of expertise, including anticoagulation management and safety and care of patients with bleeding disorder. Collaborate with blood bank and pharmacy staff regarding formulary medications and workflow/EPIC optimization for products utilized by HTC patients. Participate in quality improvement and safety initiatives as they arise. Attend benign hematology/thrombosis & hemostasis conference, present cases as appropriate. Provide outreach/education services in the bleeding disorders community, by presenting education content at community events. Provide medical and nursing support at New England Hemophilia Association Family Camp.
- Examines patients to collect information about their physical condition and establishes a clinical diagnosis.
- Conducts physicals, provides treatment, formulates a health care plan and counsels patients on various health practices.
- Encourages compliance with treatments plan through education, assessment of patient understanding and regular patient monitoring.
- Provides reasonable and prudent medical care, practices appropriate management, and uses sound clinical judgment based on best practice standards and evidenced based medicine.
- Obtains, compiles, and records patient medical data, including health history, progress notes and results of physical examination.
- Provides preventive health practices to patients to maintain and improve health and prevent illness.
- Coordinates patient care including ordering of laboratory tests and radiographic studies.
- Interprets diagnostic test results for deviations from normal.
- Prescribes therapy or medication as necessary.
- May perform other duties as assigned.
Required Education and Experience
Master’s Degree from an accredited Advanced Nurse Practitioner program or graduation from a Physician Assistant (PA) Training Program accredited by the American Medical Association Council on Medical Education.
Required Skill/Ability 1:
Demonstrated clinical experience in pediatrics and specialized knowledge of the unique needs of patients with hematology/oncology/transplant diagnoses.
Required Skill/Ability 2:
Ability to assess, prioritize, delegate and/or perform critical clinical, research, and administrative tasks. Ability to interact professionally and problem solve with all members of the team including medical staff, nursing, administration, pharmacy, blood bank, lab medicine, and others involved in the care of hemostasis/thrombosis patient population.
Required Skill/Ability 3:
Advanced knowledge of the therapeutic regimens utilized for drug administration for hematology patients, skills and ability to administer medications, factor, blood products.
Required Skill/Ability 4:
Demonstrated good verbal skills. Ability to be organized and attentive to detail. Ability to have good record-keeping skills, working knowledge of EPIC. Willing to learn and think independently.
Required Skill/Ability 5:
Ability to understand, prioritize and perform critical research tasks. Prior research experience. Ability to interact professionally and problem solve with all members of the clinical care team including patients and families, medical staff, administration, pharmacy, nursing and others involved in the clinical care of a hematology-based research population.
Preferred Education, Experience and Skills:
Master’s degree – nurse practitioner or physician assistant. Experience in management of pediatric patients with hematology/oncology diagnoses. Experience in management of patients with hemostasis and thrombosis diagnoses. Preferred to include pediatric age range patients with bleeding and clotting disorders.
Required Licenses or Certifications
CT APRN license (or eligible) with ANA certification OR CT PA license (or eligible). Prescriptive privileges (or eligible) in the State of Connecticut, federal DEA license and CT DCP license for prescription of controlled substances.
While performing the duties of this job, the work involves sitting, standing, walking, bending, and occasional slight lifting. The employee occasionally lifts and/or moves up to 50 pounds when transferring a patient from chair or wheelchair to exam table and turning patients for examination. Proper body mechanics must be used when maneuvering patients.
Preferred Licenses or Certifications:
Advanced practice registered nurse licensure in CT or physician assistant license in CT.
Weekend Hours Required?
Evening Hours Required?
Background Check Requirements
All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. Please visit www.yale.edu/hronline/careers/screening/faqs.html for additional information on the background check requirements and process.
The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position. Employees will be assigned specific job-related duties through their hiring departments.
Affirmative Action Statement:
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