MGBCI Ambulatory Neuro Oncology NP

Site: The Brigham and Women's Hospital, Inc.

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Job Summary

Summary:

The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients.

The practitioner has responsibility for the assessment and management of patients, including diagnostic and therapeutic interventions, and the continuous implementation and evaluation of an appropriate plan of care.

The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines, members of the care team, and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing.

Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners.

ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

Working Conditions - Works in a variety of patient care environments where there may be exposure to communicable disease and hazardous materials.

APRN national certification required. Does this position require Patient Care Yes

Essential Functions

• Patient Care Organization

1. Provides direct care, counseling, and teaching to a select patient population.

2. Performs physical examinations and provides preventive health measures appropriate to patient needs.

3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients’ clinical problems and health care needs.

4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.

5. Performs laboratory tests appropriate for specific patient population.

6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.

7. Records pertinent patient care findings in the medical record.

8. Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.

9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.

10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.

11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

• Quality of Care

1. Assists in the development, implementation and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.

2. Evaluates outcomes of own patients’ care and makes necessary revisions in care plans.

3. Seeks and provides consultative services as required.

4. Participates in departmental and organization quality improvement program.

5. Utilizes quality improvement data and research findings to enhance patient care.

• Coordination

1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.

2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

• Budget

1. Participates in setting productivity metrics and in cost-effective management of personnel, time, supplies, and equipment in their area.

2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.

• Personnel Management

1. Participates in selection process of new employees in group or team practice as requested.

2. Provides input into evaluation of other staff as appropriate.

• Education

1. Acts as preceptor for nursing students and staff as requested.

2. Participates in orientation of new staff.

3. Participates in Departmental and organization continuing education programs.

4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.

5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

• Planning

1. Develops annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.

2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.

3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.

4. Maintains current knowledge of legislation that may affect the health care delivery system.

5. Identifies and integrates patient population and/or disease state in programmatic goals and objectives.

• Research

1. Participates in nursing research at a level consistent with educational background and experience.

2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.

3. Participates in grant writing as appropriate.

• Supervisory Responsibilities

1. May assume responsibility for providing direction to designated personnel.

Qualifications

Education & Licensure

Master's in Nursing (MSN) (or) Doctor of Nursing Practice (DNP) (or) PhD Degree in Nursing required. Can this role accept experience in lieu of a degree? No.

Completion of a Master’s or post Masters’ degree in Adult program accredited by the Commission on Collegiate Nursing Education (CCNE) or the National League for Nursing Accrediting Commission (NLNAC).

Satisfactory completion of an approved formal education program which has as its objective the preparation of professional nurses to practice as nurse practitioner.

Current Adult/Gerontology (AGNP) or Family Nurse Practitioner (FNP) Certification by an accredited APRN certifying body required.

DEA registration required and current APRN License to practice in Massachusetts required.

Experience

Minimum 5 years’ current nurse practitioner experience caring for an Oncology focused patient population required.

Clinical nurse practitioner experience in an ambulatory practice managing a solid tumor or CNS oncology focused patient population required.

• Oncology Nursing Board Certification strongly preferred.
• Clinical experience ordering and/or administering antineoplastics preferred.

• Knowledge, Skills and Abilities
• Proficiency with Epic EMR.
• Telemedicine experience.
• Strong managerial presence and ability to provide & direct feedback and guidance to staff.
• Strong interpersonal communication skills.
• Ability to function effectively in a fast-paced environment.
• Results-oriented and exhibits a strong attention to detail.
• Expert clinical judgment skills to function in the independent role.

Excellent interpersonal relationship and communication skills in order to collaborate with patients’ families, staff and community health workers.

Ability to work with frequent stress resulting from busy clinical settings and changing organizational climate.

Ability to be self-directive and demonstrate initiative in addressing responsibilities of position.

Ability to utilize appropriate problem solving and conflict resolution skills.

Additional Job Details (if applicable)

The neuro- oncology NP provides comprehensive ambulatory care for patients with primary brain tumors and brain metastases, assesses neurological status, prescribes and manages antineoplastic regimens, and may perform procedures (lumbar punctures, accessing Ommaya reservoirs for CSF collection and/or chemotherapy instillation) as needed. With an interdisciplinary team approach, this provider promotes a collaborative relationship between all providers, professional nurses and administrative staff, to ensure continuity of patient care and efficient use of resources. The NP is responsible for the assessment and management of neuro-oncology patients, including diagnostic and therapeutic interventions and development and implementation of appropriate plans of care across the trajectory of illness for patients.

In addition to providing direct and indirect patient care, the neuro-oncology APP serves as a role model for professional advanced practice and participates in the professional development of the team through teaching, committee involvement or quality and safety initiatives. The neuro-oncology APP will provide thorough, compassionate, culturally sensitive clinical care and should demonstrate operational flexibility and strong leadership, problem-solving and communication skills in order to work effectively with other members of the team.

• Performs comprehensive histories and physical examinations.
• Completes high quality and timely documentation.
• Participates in scheduled encounters, maintains capacity for urgent care for the evaluation for complex symptom evaluation and management and improves access for newly diagnosed neuro-oncology patients.
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